Suction lipectomy of the ankle area.

This article discusses the basic concepts of the aesthetics of the ankle area, emphasizing the lower limb's proportions, and looking for the greatest proportional fineness in this area. The normal ankle is schematized as if it were a rhomboid prism whose major axis is anteroposterior, and circumferential liposuction is discussed in order to avoid reproduction of the same ankle's lipodystrophic shapes. To do so, the roundness of the ankle is divided as if it consisted of the rectangular faces of a rhomboid prism to get the anatomic and aesthetic shapes of this area. The article also discusses the details of the anesthesic infiltration, the surgical technique, and ways to avoid any damage in the noble structures when liposuction is performed in the ankle area. This technique may be applied when the orthostatic axis of the lower limbs is deflected; it can be optically corrected in the leg or aligned through exaggerated liposuction of the convex lipodystrophic areas.