Tumescent Liposuction — Inner Knees

Inner knee liposuction addresses a fat pad above and around the medial knee joint — a deposit that MUDr. Šimek's clinic describes as 'often genetically determined and practically impossible to reduce through exercise or weight loss.' It is one of the smaller-volume liposuction zones, which is reflected in the lower starting price compared with larger body areas, and it is notable for producing a disproportionately significant visual result from a small amount of fat removal. The tumescent technique is applied under local anaesthesia, and knee-length compression stockings — included in the price — are worn for 2–3 weeks post-procedure. No hospitalisation is required.

The medial knee fat pad is a distinct anatomical deposit that sits immediately above the joint line and along the inner aspect of the lower femur. Unlike most other areas where liposuction is performed, the inner knee fat does not directly overlie a major muscle group — it accumulates against a bony and cartilaginous structure, which is why conventional exercise (which burns subcutaneous fat by recruiting underlying muscle) has minimal effect on it. MUDr. Šimek's clinical documentation explicitly notes this genetic determinism: the inner knee deposit is present even in otherwise slim, active patients and does not diminish proportionately with general fat loss or targeted exercise. For patients who are self-conscious about the inner knee appearance while standing or in photographs taken from below knee level, surgical liposuction remains the only reliably effective intervention. **Volume and visual impact** The inner knee is a relatively small-volume zone — the fat deposit is typically measured in tens to low hundreds of millilitres per side. However, because the knee joint narrows the silhouette naturally below and above, even a modest fat pad has a disproportionate visual impact. Patients consistently describe a marked change in the perceived width and proportion of the lower limb after inner knee liposuction, despite the small volume removed. **Technical approach** A small access incision (2–3 mm) is placed at the medial knee skin fold, typically barely visible after healing. The tumescent solution is infiltrated into the medial fat pad, and a fine-gauge cannula removes the deposit under suction. The procedure is brief — typically 30–45 minutes for bilateral treatment — and performed under local anaesthesia only. **Recovery specifics** Compression stockings (knee-length, included) are worn for 2–3 weeks. This compression period is slightly shorter than for larger-zone liposuction because the volume of aspirate and residual oedema is smaller. Normal walking is possible immediately; running and impact sports should be avoided for approximately 3–4 weeks. The medial knee area is visible even in non-athletic daily clothing, so many patients notice the change rapidly as post-operative swelling resolves in the first 2 days. **Suitability** Suitable for both men and women of any age who carry a disproportionate inner knee fat pad relative to the rest of the leg. Because this deposit is genetically determined, it is present in patients across a wide weight range — it is not exclusively a concern for overweight patients.