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Multimodal Approach for Lower Leg Liposculpture: A Case Series and Lessons Learned
Aesthetic Surgery Journal. Open Forum
|August 12, 2026
Summary
This study introduces a multimodal liposuction technique for aesthetic lower leg contouring, combining laser, power-assisted, and fine-cannula methods. The approach showed potential for improving lower leg aesthetics with manageable complications when combined with proper patient care.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Body Contouring
Background:
- Lower leg lipodystrophy causes patient distress.
- Liposuction offers contouring for ankles, calves, and medial knees.
- Previous studies focused on single liposuction techniques.
Purpose of the Study:
- To present a multimodal technique for lower leg liposculpture.
- To discuss lessons learned from this approach.
- To evaluate aesthetic outcomes and complications.
Main Methods:
- Retrospective review of patients undergoing bilateral lower leg liposculpture (2021-2025).
- Combination of laser, power-assisted, and fine-cannula liposuction.
- Exclusion of unilateral, revision, lipedema, or isolated ankle/knee cases.
Main Results:
- 30 of 40 cases involved ankles, calves, and medial knees.
- Average lipoaspirate: 793 ± 418 cc per leg.
- Three complications: hyperpigmentation, scar thickening, pressure injury with cellulitis.
Conclusions:
- A multimodal approach to lower leg liposculpture can enhance aesthetics.
- Appropriate preoperative assessment, counseling, and postoperative care are crucial.
- This technique offers improved lower leg aesthetics with limited adverse events.