The calves are a surprisingly popular area for liposuction.

Although often overlooked, this area can yield 300–600 cc of pure fat, helping refine the overall proportion of the legs.

Benefits

✔︎ Improved leg balance

When combined with thigh liposuction, it allows for better harmony and proportion across the entire lower body.

✔︎ Excellent synergy with Botox

Calf Botox can reduce muscular bulk, and when combined with liposuction, produces a slimmer and more feminine leg contour.

✔︎ Improvement of swelling

In cases where excess fat compresses veins or lymphatic channels, removing it can help alleviate chronic swelling or heaviness in the lower legs.

Possible Risks and Limitations

✔︎ Surface irregularities (unevenness)

Because the gastrocnemius and soleus muscles have a complex shape and the fat layer is thin, unevenness or dimpling may occur if the fat removal is not carefully balanced.

✔︎ Superficial vein injury

The superficial venous system runs close to the surface.

If these veins are damaged, venous or lymphatic return may be compromised, causing postoperative swelling.

A preoperative ultrasound scan can help identify venous pathways and minimize this risk.

✔︎ Mild visible change

Compared with thighs or abdomen, the fat volume in the calves is smaller, so the visual change tends to be subtle.

However, with precise technique, a sharper and more defined lower-leg silhouette can still be achieved.

Summary

Calf liposuction serves as the final refinement in leg contouring.

Because of the intricate anatomy of the lower leg, achieving beautiful results requires precise control of the suction layer, protection of veins and lymphatic vessels, and proper postoperative compression management.

At AVAN TOKYO Ginza Liposuction Clinic, we carefully evaluate each patient’s anatomy and perform ultrasound assessments when necessary to minimize risk while pursuing a smooth, graceful, and well-balanced leg contour.