Is it possible to perform Smart Lipo on ankles/calves/knees?

we do a significant amount of calf/ankle/knee liposuction but VASER + bodytite or jplasma is much better than smart lipo. confirm you do not have lipedema.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Dear kaydub5,
it is hard to tell for sure without an examination. Generally speaking, ankles and calves are difficult area for liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Smartlipo can be used in any region of the body but there are techniques that are better suited for certain areas. I have been using Smartlipo since 2007 and frequently use the technology on the knees, inner and outer thighs to help with cellulite and skin tightening. There is a technique called Cellulaze which is use of the Smartlipo laser with a different laser fiber to treat cellulite so obviously Smartlipo can be used on the legs.
When it comes to calves and ankles, my preferred technique is Body Jet Liposuction also known as water assisted liposuction. In fact, I prefer Water assisted liposuction, Aquashape by Body Jet, for most leg areas as it is very gentle to the connective tissues and more likely to produce a smooth contour. I often sculpt the area with WAL and then use Smartlipo for skin tightening in areas where there is cellulite present in the overlying skin. The calves and ankles rarely have cellulite and are treated effectively with WAL.
If you disproportionately store fat in your legs, you may have a condition called Lipedema. WAL is the technique of choice when treating Lipedema. I do not use Smartlipo when treating Lipedema patients.
As with any procedure, one technology is not best for all. If Smartlipo is the only technology your surgeon offers, you have to consider the options they are presenting. A surgeon who has never performed Smartlipo may not know what can and cannot be done. For your areas of concern, I highly suggest you research WAL. I am not saying Smarltipo cannot be performed in the lower leg areas. I am only suggesting that perhaps there is a more ideal technology.