Cankle Surgery

Cankle Surgery basically involves the use of Vaser Liposuction to removes fatty deposits in and around the lower leg and ankles.

The Basics

Cankles are often the result of fluid retention, obesity (excess fat), poor circulation and genetics. Cankle Reduction Liposuction can slim the lower leg to achieve definition and tone around the ankles.

The Procedure

Cankles are treated using Vaser Liposuction with a ultrasound probe used to deliver smooth, natural results. Performed under conscious sedation, general anaesthetic is an option (on request).

Post Surgery

Cankle surgery is a day procedure and you return home the same day. You experience little discomfort for 2 – 5 days with minimal recovery time.

The Results

Results generally seen at the 6-week mark, with final results appearing between 3-6 months post-surgery. Results may vary.

*Disclaimer - Results may vary from patient to patient.

Other Facts

Cankles are a stubborn physical trait characterised by a lack of definition between one’s calves and ankles.

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.

Minimally Invasive
Costs Start From $4,400
Results Seen At Six Weeks

*Results may vary from patient to patient.
**All photos are of patients from Cosmos Clinic, and all ‘after’ images are taken 6 weeks post operation.

Cankle Surgery Videos

See YouTube Playlist
Cankle Surgery with Liposuction - Dr Ajaka on The Morning Show
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Top Cankle Surgery Questions

What is Cankle Surgery?

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.

The Procedure: What does it involve?

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.

Will I experience pain?

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.

What can I expect after the procedure?

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.

Do the fat cells come back?

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.

What happens to the skin after Vaser Liposuction?

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

Results. What and when can I expect them?

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.

Are there any risks for complications?

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.

At which clinic can I undertake my procedure?

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.

Clinic Locations

Come visit for a consultation

10 Henrietta Street

Double Bay NSW 2028

Monday to Saturday

8:30am - 5:30pm


163 Archer Street

North Adelaide, SA, 5006


9am - 5pm


10am - 6pm

Wednesday to Friday

9am - 5pm


Suite 1, Ground Floor, Equinox 2

70 Kent Street, Deakin ACT 2600

Monday to Friday

9am - 5:30pm


By Appointment

Gold Coast

220 Ashmore Road

Benowa QLD 4217

Monday to Friday

9am - 5pm