this area is in my opinion by far the technically most difficult area to treat on the body. As well, Directory is much more challenging than other areas. Gravity keeps the area swollen for 2 to 3 times longer than regul this area is in my opinion by far the technically most difficult area to treat on the body. As well, Directory is much more challenging than other areas. Gravity keeps the area swollen for 2 to 3 times longer than liposuction on other areas. Personally I don't think the recovery will be that different from the use of VASER. Aggressive liposuction regardless of device will make the recovery more challenging. Because the recovery is difficult and contour irregularities, and I would avoid liposuction of this area unless you have severe excess fat in this area. This is not a good procedure for having moderate results or making things look a little better. Other providers opinions may differ. My practice is devoted exclusively to liposuction and fat transfer. This week I'm doing 11 liposuction cases. I typically perform 400 cases a year. I get asked to do calves and ankles about once a year. The average plastic surgeon does PR liposuction about one and 20 cases. Obviously it varies from provider to provider but considering the diversity of the specialty pure liposuction may be a common procedure but the type of numbers I do I rarely see and except providers who specialize in doing this procedure Now that you know a little bit about my background I will tell you I've done in less than 10 cases including cats and ankles in my career. Perhaps there are others who have done many more bad there aren't going to be very many plastic surgeons who've done a ton of these cases. Without experience it may be tempting to believe they can give great results and recovery will be easy because that's sometimes how liposuction is perceived. My patients have told me to pass on that people should expect delayed recovery, difficulty fitting into normal shoes as well as discomfort with wearing footwear. I tell my patients expect recovery to take 2 to 3 times longer than liposuction in other areas. Recovery from liposuction it typically takes six weeks to three months. With this area expect the recovery to take 6 to 9 months. Because of the tight turns and difficult anatomy contour irregularities are common. Obviously more talented providers can deliver consistent better results. Can your provider show a significant number of before and after pictures of this area? How many cases have they done? And if so do they have before and after pictures to verify this. Personally I believe liposuction results vary more than any other plastic surgery procedure. I cannot emphasize enough the importance of choosing the best providers for liposuction. This is especially true for calfs and ankles. I'm not saying you shouldn't have this procedure but you should go in to it with red flags as a baseline. If you do that and find a good provider then this may be a worthwhile endeavor. I can't tell you there are numerous patients who regret having the procedure. That said, I have many patients who were happy with the results, we're willing to put up with the recovery and would do it again or at least are glad they had the procedure. I don't care what device is used to. That is a relevant in comparison to the surgeon either having skills and experience or not. I think that's pretty much all you need to know. Compression garment selection can be challenging as well. Most companies making compression garments don't even make compression garments appropriate for this and atomic area which should tell you something. Compression socks used for people with leg Adema and varicose vein's work great. Another alternative is using his wras. Lastly, leg elevations are your friend after this procedure. You will it without question have a significant foot in ankle swelling. The primary reason for this is due to gravity in the area being the lowest part on your body. Reverse this by putting your feet above your heart and the swelling Will reverse. Best, Mats Hagstrom MD