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Dr. Linder's Blog


Category: Knob Knee

Body Contouring of Thighs, Hips and Knees

The female patient presented was requesting to address her outer thighs, inner thighs, hips, and inner knees. During her consultation, she discussed the chafing and touching of her inner thighs and the fat deposits on the lateral thighs and the muffin top or hip area. All of these areas are difficult for many women to remove through diet and exercise and, therefore, elect for liposuction surgery.
To address the knees, a small stab incision was made in the medial knee area (inner knee), and a small fat pad was suctioned out smoothly and evenly without skin laxity. Along with the medial knees, we also sculpted the fat deposits of the body, medial and lateral thighs, and the hips concurrently.
After six weeks of wearing postoperative compressive garments, the patient is recovering well, and, as you can see, she is looking great.


The knob knee procedure is an excellent new procedure that Dr. Linder  performs removing the inner or medial knee pad.  This is an area referred to as “the knob knee area” where when the legs are brought together these areas of fat show disproportionate distribution of the fat or adiposity leading to a knob knee appearance.  This can be removed through simple microscopic pathology lipo-sculpting under sedation or local anesthesia with a small 2 mm triple lumen blunt tip cannula.  This is a nice well-defined fat pad in the medial knee area which can easily be suctioned out and cleaned to allow a nice contour of the inner knee region.

Dr. Linder performs knob knee procedures on majority of patients undergoing lower extremity liposuction of the saddlebags, medial thighs and hip areas in order to allow for a nice medial contour.


Case Study: “Linder Knob Knee Lipectomy Procedure”

Patients present for liposuction of the medial and lateral thighs, but also have concerns of their inner knee area.   A small stab incision can be made under local or IV sedation in the medial knee area (the inner knee) and a small fat pad usually as well localized fat that can be suctioned using a very small 2 mm cannula after a small infiltrate of tumescent fluid.  This fat pad is usually a compact fat and therefore suctions out smoothly and evenly without skin laxity problems or looseness of the skin.

The example shown shows a patient with well-defined inner knee/knob knee lipodystrophy and postoperative day one shows smoothing out of the inner knees and a small amount of bruising which is expended.  The knob knee procedure can be performed with total body contouring, including inner and outer thigh liposuction which helps once again to give enhanced contour of the entire inner medial thigh area from the knee all the way up to the groin.

Pre Op Back View / Post Op Back View / Post Op Frontal View

Knob Knee Liposculpture

Dr. Linder’s procedure of the knob knee liposculpturing is the newest innovation with sculpturing of the medial knee fat pad, suctioning the fat along the medial knee area.  He uses a small incision with a small 2 mm blunt tip cannula to 1 atmosphere of vacuum suction pressure to lipo-sculpt the medial knee area.  This can be done under local IV sedation if done alone or it can be under general anesthesia combined with other areas, including the medial and lateral thighs, hips, and abdomen.

Medial knee liposuction requires finesse and very smooth liposculpturing of the localized deep fat deposits of the medial knee fat pad.  This should be performed only by Board Certified Plastic and Reconstructive Surgeons who understand the anatomy of the difficult area.

The example  shows a before and after of a patient one month postoperative from a medial knee procedure.  The knob knee has been reduced by suctioning with a small cannula under tumescent technique.  Notice a reduction of the fat herniation of the medial knee areas and a smoothing out of fat.