How it works
Everything starts with a consultation. Your surgeon will listen to what you want, then look at and feel your calves to tell which part is fat and which is muscle, while also assessing your skin firmness and the state of your veins. This is also the moment to be clear about your hopes and to agree together on a realistic result.
Calf liposuction is usually done with the tumescent technique. Your surgeon injects a volume of fluid containing local anaesthetic and a vessel-tightening medicine into the area being treated, which softens the fat, reduces bleeding, and eases pain. The type of anaesthesia may be local anaesthetic with light sedation, or general anaesthesia, depending on the extent of the work and your own situation.
Your surgeon makes a few very small incisions, usually hidden in a natural crease, then passes a thin metal tube called a cannula to draw the fat out in a controlled way. Because the calf is a small area with many blood vessels, tendons, and muscles, your surgeon works slowly and removes fat from the shallow layers to keep the line even and natural.
When the work is done, the small incisions are closed or left open so fluid can drain, and your legs are placed in compression garments or bandages. The length of the procedure varies with how much is treated, often somewhere between one and two hours.