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Circumferential liposuction of calves and ankles


Calf and ankle liposuction was performed on 110 patients for a total of 166 cases. Only 84% of these patients were satisfied with the results compared with 98% of those who underwent liposuction in other parts of the body. The author presents statistics and explains the criteria used to select patients for treatment. Selection is partly based on the preoperative thickness of subcutaneous fat. He also outlines the minimum amount of fat that should be reserved to avoid postoperative skin irregularity. The difficulties encountered during liposuction that are caused by the anatomical characteristics of the calves and ankles are discussed, and suggestions for solving such problems are presented. The author also describes special instruments he designed.

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  1. Avelar J: Regional distribution and behavior of the subcutaneous tissue concerning selection and indication for liposuction. Aesth Plast Surg13:155, 1989

    Google Scholar 

  2. Ersek RA et al: Suction-assisted lipectomy for correction of 202 figure faults in 101 patients: indications, limitations and applications. Plast Reconstr Surg78:615, 1986

    Google Scholar 

  3. Illouz YG: Body contouring by lipolysis: A 5-year experience with over 3000 cases. Plast Reconstr Surg72:591, 1983

    Google Scholar 

  4. Illouz YG: Surgical remodeling of the silhouette by aspiration lipolysis for selective lipectomy. Aesth Plast Surg9:7, 1985

    Google Scholar 

  5. Illouz YG: Body sculpturing by lipoplasty. New York: Churchill Livingstone, 1989, pp. 270–280

    Google Scholar 

  6. Kesselring UK: Suction currettage to remove excess fat for body contouring. Plast Reconstr Surg69:572, 1982

    Google Scholar 

  7. Pfulg M: Complications of suction for lipectomy. Plast Reconstr Surg69:562, 1982

    Google Scholar 

  8. Reed RL: Lipoplasty of the calves and ankles. Clin Plast Surg16:365, 1989

    Google Scholar 

  9. Schrudde J: Lipexeresis as a means of eliminating local adiposity. Aesth Plast Surg4:215, 1980

    Google Scholar 

  10. Schrudde J: Suction curettage for body contouring. Plast Reconstr Surg69:903, 1982

    Google Scholar 

  11. Schrudde J: Lipexeresis (liposuctions) for body contouring. Clin Plast Surg11:445, 1984

    Google Scholar 

  12. Teimourian B: Tourniquet after suction lipectomy of the lower extremity (letter to the editor). Plast Reconstr Surg75:442, 1985

    Google Scholar 

  13. Watanabe K et al: The clinical application and the main points of suction-assisted lipectomy. Jpn J Plast Reconstr Surg28:(5):375, 1985

    Google Scholar 

  14. Watanabe K et al: Theory and basic technique of the S.A.L. Med Jpn Soc Aesth Plast Surg8(3):7, 1986

    Google Scholar 

  15. Watanabe K: Suction-assisted lipectomy for lower extremities. Trans IXth Int Congr Plast Reconstr Surg 530, 1987

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Watanabe, K. Circumferential liposuction of calves and ankles. Aesth. Plast. Surg. 14, 259–269 (1990).

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Key words

  • Liposuction
  • Calves
  • Ankles
  • Feathering rods
  • Circumferentially arranged two-hole cannula