Abstract
Ideal aesthetic proportions of the lower limb call for a tapering thigh leading obliquely inward toward the knee. A very small medial and anterior convexity at the knee forms the transition to lower leg. Although frequently ignored in anatomy texts, significant fat deposits are often present in the lower thigh above and medial to the knee, especially in females. Current fashion, calling for skirts with hemlines above the knee, heightens concern among wearers about the appearance of the knees. Fat in this area is ideally suited to removal by lipo-suction surgery. This article will review the anatomy of the region with recommendations for a technique of lipo-suction surgery that combines the ability for adequate removal, safety, and the distinct advantage of avoiding all visible scars. The technique, in essence, calls for removal of the fat by the use of a long #10 cannula introduced through incisions in the groin and/or the top of the crease between the buttocks overlying the upper coccyx.
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