Diagnosis, Superdry 4D lymph-sparing surgery and the long game — explained without jargon by the surgeon who wrote the book on it.
Lipoedema treatment overview →Bow legs, knock knees, calves, ankles, knees and buttocks — shaped the way a sculptor shapes a figure.
Leg aesthetics overview →
Professor of Plastic, Reconstructive and Aesthetic Surgery. Sculptor. Author of Iconoplasty — the book this clinic is named after.
Biography →For muscular calves, botulinum toxin gives a temporary result; selective microneurotomy gives a lasting one by quietening the nerve branches to the bulkiest part of the muscle. The ankle is shaped with micro-cannulas.
For calves that are bulky from muscle rather than fat, and for ankles that have lost their taper.
Options
Botulinum toxin · Microneurotomy · Ankle liposuction
Anaesthesia
Local (toxin) · General (microneurotomy)
Duration
20 min – 1.5 h
Hospital
Day case
Istanbul
3–5 nights
Result
Toxin: 4–6 months · Microneurotomy: lasting
Examination decides which is driving the bulk; each needs a different tool.
Toxin for a trial or temporary result; microneurotomy for a lasting reduction of the bulkiest muscle heads.
Superdry micro-cannulas define the space between calf and foot.
Every operation carries risk. These are the ones that matter for this procedure, and we discuss each with you before you decide:
Not answered here? Message us and a coordinator will reply within one working day.
Yes. Only the bulkiest muscle heads are targeted; function is preserved.
Yes — many patients do, then decide on microneurotomy.
Only tiny marks, hidden in skin creases.
Prof. Karacalar will tell you honestly — including if the answer is no surgery at all.
Lipoedema & leg aesthetic clinic in Istanbul, led by Prof. Dr. Ahmet Karacalar — Professor of Plastic, Reconstructive and Aesthetic Surgery.
© 2026 Ikonoplasti · Prof. Dr. Ahmet Karacalar
Surgery carries risks and results differ from person to person. Content on this site is general information, not medical advice. Please seek an independent opinion before deciding on any procedure.