Women with thick calves and ankles are often helped by liposculpture to these areas. The goal is to reduce the bulk of the calf and make the lower leg look slender. The ideal lower leg should taper all the way down to the ankle, with good definition around the Achilles tendon rising up from the ankle. Liposculpture can achieve all of these. Small amounts of fat removal can change the shape of the ankle dramatically.

Sometimes there are hereditary collections of fat in these areas and removal of these can reduce the circumference of the ankle substantially. The amount of fatty tissue to be removed from the calf varies considerably, but the aim is to make the leg appear finer and more symmetrical. The results of removing even a small amount can be dramatic.


Any women with fattiness of the calves and ankles. If the calves and ankles (often referred to as “cankles”) feel out of proportion or looks bulky, liposculpture of these areas may be of benefit. Often women have never worn short skirts and only wear long skirts or pants. They are often very self conscious of their thick lower legs and hate to show them in public.

Sometimes women are misdiagnosed and are told they have lymphoedema when in fact they have fat in their calves and ankles. It is however important to distinguish between swelling from poor lymphatic system or faulty venous system. Seeing the right doctor is paramount to get the right diagnosis. It is often a revelation to some women when they find out that something can be done about making this part of their bodies permanently slender.

Yes, the reduction in the size of the calf and improved shaping of the ankle is permanent, but the final result may take many months. Because this area is the most dependent part of the body, swelling can take many months to subside, even up to a year. The swelling can be worse at the end of day after one has been on her feet all day.

There are generally small access points 3-5mm wide at several points around the knee, ankle and calf. These are not sutured after the procedure and essentially are barely visible to invisible after a few months.

Sometimes the knee area can be treated at the same time. The thighs cannot be treated at the same time as this puts too much pressure in the body’s ability to take swelling away (lymphatic system). Procedures to treat the thighs would need to be done at another time, preferably at least a month later, at a minimum.

Special support stockings are worn for 4 weeks day and night. I often recommend that the patient leave the stockings on and not to take them off at all. They are quite difficult to take off and put back on. They are the same tight elastic stockings used after varicose vein treatments. The patient may shower in them, towel dry them afterwards or use a hair dryer. When she does take them off, flakes of dried skin may peel off the skin and this is all normal.

Preparation for liposculpture is remarkably straight-forward. After an initial consultation, some blood tests are ordered to ensure that there is no problem such as anaemia or blood clotting problems. It is important that aspirin and anti-inflammatory medications (Nurofen, Feldene, Voltaren etc.) not be taken for two weeks before the procedure. They decrease the effect of platelets in the blood and can increase the amount of bruising and chances of bleeding. An antibactrerial soap is used for two days prior to the procedure. Antibiotic tablets are started the night before the procedure to minimise any chance of infection. After the procedure, a garment is worn over areas treated for one to two weeks (sometimes longer). This is quite a light, comfortable garment and easy to wear under normal clothes, so no-one should be able to notice.

Most calves and ankles reduction procedures takes about 4 hours.

In general you can probably return to work 2 days after the procedure. It would be about 4 weeks or so before normal gym activities or jogging should be restarted.

The cost of this procedure varies according to the areas that require treatment and whether the area is treated alone or in conjunction with another area. For an accurate costing, please use the online consultation or make an appointment by phoning (02) 99061555.


Scroll to Top