How it works
First, you have a consultation and examination with a plastic and aesthetic surgeon. Your surgeon maps the areas of excess fat on your calves, assesses your particular situation, and orders routine pre-surgery tests to check your general health and screen for any related conditions. You will also be seen by an anesthesiologist to prepare for the procedure.
You need to avoid all food and drink for at least 6 hours before surgery. If you take medications such as aspirin or anticoagulants, you will need to stop them 10 days before surgery. Talk this point through carefully with your surgeon.
Depending on how much fat is being removed and whether any other surgery is combined with it, you will have either local anesthesia (the surgical area is numbed while you stay awake) or general anesthesia (you are asleep for the whole procedure). When calf liposuction is done on its own, it can usually be carried out under local anesthesia.
Your surgeon makes 1 to 2 small incisions, about 2 to 3 mm each, near the back of the knee and the ankle. Before the fat is removed, the area is filled with a fluid that helps it swell. Your surgeon then passes a thin cannula through the incisions into the fat layer beneath the skin and draws out the excess fat through suction. The liposuction itself usually takes 45 minutes to 1 hour.