Lipoedema · Guide
WATCH: Lower Limb Liposuction for Lipoedema | 5.2 Litres of Fat Removed
- Medically reviewed by
- Medically reviewed by Mr Vasu Karri, Consultant Plastic Surgeon, FRCS(Plast), GMC 4631035
- Written by
- Mr Vasu Karri
- First published
- Last reviewed
- Next review due
- 27 September 2027
- Reading time
- 2 min
At a glance
- Fat removed
- 5.2 litres
- Operation time
- About 2 hours
- Area
- Ankles to mid thighs
- Stage
- 3
Summary
- Four videos follow liposuction for a patient with advanced stage 3 lipoedema.
- Mr Karri treated from the ankles to the mid thighs, with particular attention to the knees so she could bend them more easily.
- The operation took around two hours, and 5.2 litres of fat were removed.
In this article (4 sections)

In this four part video series, watch as Mr Karri talks us through lipoedema liposuction surgery for our patient, a lady with advanced Stage 3 lipoedema.
Part One - Pre Op
In the first of four videos, Mr Karri is seen showing us his patient, a lady with advanced, Stage 3 lipoedema. She shows all the classic symptoms of the disease, including ankle (cankle) deformity, pre-tibial fat pads, her knees are encased in fat and her feet are spared. She has no pitting edema and column like lower limbs. The first stage of her operation will see Mr Karri liposuction from her ankles to her mid thighs.
Part Two - Marking Up
In the second of our four videos, Mr Karri is about to start the operation on his patient, a lady with stage 3 lipoedema. he has marked out the areas for liposuction, including the ankles both medial and lateral, the pre-tibial fat pads, inner knees and suprapatellar region. This patient's biggest problem is her inability to bend her knees, so Mr Karri is keen to pay attention to this area.
Part Three - Right Leg Complete
The right leg is now finished and Mr Karri has liposuctioned from the ankles to the suprapatellar region and saddlebags. Skin is all that remains. This patient had particularly painful knees and was unable to kneel down and move comfortably up stairs. By debulking the knee region and removing this firm fat, it should improve her knee range of motion.
Part Four - Operation Complete
The operation is now complete, taking around two hours. The legs are now completely deflated. Next, the team will put the he patient into her compression garments and once recovered she will leave. She has had a total of 5.2 litres of fat removed and for a lady of this age and stage of lipoedema, this is an appropriate and safe amount to remove.
Mr Karri is the UK’s leading surgeon for liposuction for lipoedema. To enquire about a consultation please email enquiries@kinvarahospital.co.uk or call on 01709 464 200.

About the author
Mr Vasu Karri
BSc(Hons), MBBS, MRCS, MSc, FRCS(Plast)
Mr Vasu Karri is a Consultant Plastic Surgeon in full time private practice at Kinvara Private Hospital, Rotherham. He is on the General Medical Council (GMC) specialist register for plastic surgery, certified by the Royal College of Surgeons of England in plastic surgery.
- GMC 4631035
- FRCS(Plast)
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