Cankles are a stubborn trait characterised by the lack of definition in the lower leg. This physical feature occurs when there is minimal contour between the calves and ankles; giving the leg a large, stumpy appearance. Cankles occur in all people, but women seem to be more affected by the condition. Cankles arise as a result of fluid retention (possibly due to excessive sodium consumption), the presence of excess fat in the body, poor blood circulation (often apparent in the elderly or those who are pregnant) and one’s genetic make up. If and when cankles are present due to excess fat and genetic factors, surgery can be used to alleviate the problem. Cankle Surgery basically involves the use of Vaser Liposuction to removes fatty deposits in and around the lower leg and ankles.

Cankle Surgery (like all Vaser Liposuction procedures) follows a simple 3-stage process. In the first stage, local anaesthitic is injected into the treatment site to start the numbing process. Afterwards, tiny incisions are made around the base of the leg to allow the introduction of a very small cannula. The area is then infiltrated with more numbing solution to ensure that no pain is felt during the procedure. In this second stage, a small probe is inserted in and around the ankle. This tool utilises ultrasound energy to melt the fat into a liquid-like consistency as well as to heat up collagen fibres in the skin. This ensures that the fat is removed smoothly and that the skin is taut post-surgery. In the final stage of cankle surgery, the melted fat in suctioned out of the body. Following the procedure, a compression garment will be worn and follow-up appointments will be used to monitor progress. Post-op lymphatic massages are included in these appointments to reduce bruising and swelling.

During the procedure, you will feel some pressure and movement in the treatment area but you won’t feel any pain. You will be sedated, relaxed and numbed to ensure maximum comfort. Post-surgery, you will experience some discomfort – similar to having sore muscles after a leg workout. Scripted pain medication is available after your procedure and discomfort should subside after a week.

After your Cankle Reduction Surgery, you will be able to return home that very same day. However, it is important to note that post this procedure, you will experience swelling in the area for 3 – 6 months. This is because the treated area is further away from the heart than typical liposuction areas (like the abdomen or flanks). Because of this, the recovery time will be slightly longer. We recommend elevating your feet at the end of each day to speed up the de-swelling process. A compression garmet is also to be worn for about 6 weeks to minimise bruising and swelling, and to encourage skin tightening. We suggest getting this surgery in Winter to avoid having the garments seen. At Cosmos Clinic, we also assist in the recovery process with regular follow-up lymphatic massages.

With Vaser Liposuction performed around the ankles, the fat cells will not come back. This means that post-surgery, you will have a permanent change to your leg shape and ankle contour.

Ultrasonic liposuction stimulates the formation of new collagen fibres. This allows the skin to retract, resulting in tighter, firmer skin.

Results are often seen at 3 months post treatment. It is at this point that photos are taken to assess your progress. The final results may not be apparent until 3 – 6 months post-surgery. Strict adherence to the pre-operative and post-operative requirements is necessary in order to achieve the best possible results.

As with any surgery, there are inherent risks and potential complications. You should be aware of these risks and discuss any concerns you might have with your doctor before the procedure is performed.

Your initial Calf Surgery consultation and subsequent procedure can be undertaken at any one of your cosmetic clinics around Australia. We have practices in Sydney, Canberra, Adelaide and the Gold Coast. We also treat many interstate and overseas patients each year at Cosmos Clinic. Therefore, we have set procedures in place for those travelling to our clinics for treatment. For travelling patients please use the contact form located at the bottom of this page to send us images of the areas you wish to have treated, which Cosmos Clinic you’d like treatment at, and where you’re located in the description so our staff can include all the appropriate information for travelling patients as part of your personalised quote.