Procedure Leg and knee liposuction is commonly performed as a combined procedure with thigh and buttocks liposuction—most especially pairing the inner thighs with the inner knees for a balanced look—but can be performed alone as well.
By using very small incisions and careful technique, Dr. Shapiro can remove unwanted fat from around the inner knees, calves, and ankles to produce those slender, shapely legs so many women desire—without the obvious scars. Incisions are hidden in inconspicuous places at the knees, in the back of the legs, and the groin. Leg and knee liposuction is performed under local tumescent anesthesia, and most often on an out-patient basis.
Proceed With Caution
While a surgeon's expertise is quintessential to any surgical procedure, it seems to be most relevant to leg and knee liposuction. Knowing what could go wrong is very important to deciding who to go to for your surgery and what areas to have treated.
The most common error—often seen in surgeons who are not certified by the American Board of Plastic Surgeons—is removing too much fat from the legs. Overresection causes contour irregularities and can result in future damage to the blood vessels in the legs. These mistakes are very difficult to correct.
It is also important that care is taken around the knees, especially the backs, or the popliteal fossa, where the blood vessels and nerves are closely knit and very near the skin. The good news is that most deposits of fat around the knees are on the insides and outsides, not the backs.
Much of a woman's shapely, feminine curvature comes from certain deposits of fat left in just the right places. For that reason, a surgeon's strong aesthetic eye is required for a successful liposuction procedure. You should always choose a surgeon who has a strong portfolio of results that are attractive to you. Remember: advanced technology does not necessarily make an advanced surgeon.
Recovery
Generally after liposuction, a compressive garment is worn for 3 to 6 weeks, and final results are not evident for approximately six months. For lower leg and knee liposuction, walking gently is encouraged. Dr. Shapiro may use drains in incision sites to help surgical fluid exit the body. This keeps your ankles and calves from remaining swollen and tender for long periods of time, and removes the requirement to keep your legs elevated. Most patients are able to return to low exertion work one week after surgery. Exercise should not be resumed in the legs, especially high impact exercise, until four to six weeks later.