Most people with very heavy, thick calve and ankles are not aware that there is a very safe and efficient surgical method of improving this condition. Circumferential liposuction starting at the level of the knees and extending all the way to the bottom of the ankles is an extremely useful and exacting operation. It does require a higher skill level but judging from my patients who come to see me from out of state and from out of the country, it can be transformative. One of my patients says she could not wear boots before surgery. Following her procedure she says she cried every time she put her boots on.
The patient selection and the skin condition including varicosities are all factors that need to be considered.