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Overview

Leg and ankle fat distribution in women is often genetically predetermined and resistant to diet and exercise. This fat is primarily superficial, increasing the risk of injury to the subdermal vascular plexus during liposuction. Special care must be taken to avoid areas like the popliteal fossa (behind the knee) due to the presence of important nerves and blood vessels.

Description

Liposuction of the legs and ankles focuses on removing superficial fat to improve contour:
  • Superficial Fat: The legs and ankles contain mainly superficial fat, with no deep compartments, making the procedure delicate and riskier for vascular injury.
  • Popliteal Fossa: This area behind the knee should be avoided due to the risk of injuring nerves and blood vessels.

Consultation

During the consultation, the surgeon will assess the patient's leg and ankle fat distribution, overall health, and aesthetic goals. Detailed discussions about the risks, benefits, and expectations of the procedure will be conducted to ensure the patient is well-informed.

Procedure

  • Preparation: Marking the targeted areas for precise fat removal.
  • Anesthesia: Local or general anesthesia is administered depending on the extent of the procedure.
  • Liposuction Technique:
    • Superficial Liposuction: Fat is removed superficially to minimize the risk of vascular injury.
    • Open Drainage: Tiny adits (1mm to 1.5mm round holes) are made to encourage drainage of residual anesthetic solution, reducing swelling and bruising. Absorbent pads and elastic compression bandages are used to manage drainage.

After Surgery

    Patients should be encouraged to walk during the first few days following surgery to promote drainage and minimize swelling. Open drainage technique helps in reducing postoperative swelling and bruising. Bed rest and leg elevation are necessary only if open drainage is not utilized.

Results

    The goal of leg and ankle liposuction is to achieve a natural and aesthetically pleasing result. Final results will be visible as swelling subsides over several weeks to months. Patients should avoid overly aggressive fat removal to prevent irregularities and ensure a balanced contour.

Complications

    Potential complications include swelling, bruising, and risk of injury to the subdermal vascular plexus. Overly aggressive liposuction can cause irregularities, leading to lumpiness and bumpiness if the patient gains weight. Persistent swelling of the ankles and feet can occur without proper drainage techniques.

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