What is the Best Way of Fat Removal for Ankles and Calves?

I don't think there is any good evidence to show that one types of liposuction is better in this region than another.   So standard liposuction vs Smartlipo, vs ultrasonic liposuction is probably not that important.  What is important is choosing a plastic surgeon who is comfortable and experienced in performing liposuction to the region because it has to be done very carefully.

I would recommend power-assisted-liposuction (PAL) of the ankles and calves. I use a 2 to 3 mm cannula with holes on one side to get the best results. Other techniques will work, but the skill and experience of a Board Certified Plastic Surgeon is more important.

Consider liposuction for contouring of the calves and ankles. Liposuction of the calves and ankles can be achieved with Power Assisted Liposuction, Vaser or traditional hand assisted liposuction. Swelling will usually be a bit more severe in these areas.

Stubborn fat in the calves and ankles or “cankles” can be difficult to improve with just diet and exercise and patients who experiences this can benefit from liposuction. Calf and ankle liposuction can be performed as an outpatient procedure in a fully accredited ambulatory surgery facility with "twilight" anesthesia administered by a board certified anesthesiologist. I use several innovative forms of liposuction, including SmartLipo, in order to contour and resculpture the calves and ankles while providing the most beautiful results with minimal scarring. SmartLipo, used in combination with other forms of liposuction or alone, is a procedure that uses laser light to liquefy fat and tighten the surrounding skin. It involves less downtime and side-effects than traditional liposuction and is particularly good for small areas of fat deposits like the ankles. Liposuction works best on patients who are of relatively average weight, but who need help with a problem area. No, reshaping your body isn’t as easy as going to the beauty parlor. Surgery is never 100% risk free and the healing process requires patience and determination.

You must assess each situation anatomically. It is not a question of whether liposuction, or what type of liposuction, will produce good results around the calves or ankles, but rather, does the anatomy of a given area lend itself to treatment by fat removal. I have found that chubby calves and ankles with predominance of fat lacking in definition can be contoured very nicely with fat removal to reveal the shape of the underlying muscle and Achilles' tendon anatomy. But again, it is the anatomy, not the toll, that will determine what is possible.