I know lots of folks do tummy tucks or boob jobs, but if there is one thing I want more than any other it's shapely legs. I have had cankles for as long as I can remember, my ankles are almost as thick as my knees. I am no where ready for it now, still have 60lbs to lose but I am really thinking about it. I feel like spanx or other compression garments can help with other trouble spots but I have never found a solution for my tree trunk legs.

I also have some ropey veins and spider veins to add to the ugliness.

for anyone interested who thinks they may have lipodema, here are some links

http://www.webmd.com/women/guide/lipedema-symptoms-treatment-causes

http://en.wikipedia.org/wiki/Lipedema

http://www.lipedema-simplified.org/

I think you will need an incision to remove the skin, not just lipo to remove the fat. I do know that Dr. Capella in NJ does some thigh lifts where the incision is down to the ankle but I have not seen any of his before/after pix of this or know how often he does this type. His thighs lifts are really good, though. I love mine.

I also know the patient of Dr. Fisher that AZDee refers to. You can read her review on RealSelf. She wrote extensively about her operations: http://www.realself.com/review/san-antonio-tx-body-lift-dr-fisher-post-massive-wl-specialist-excellent

Good luck! You have to be very careful with lipedema: http://www.healthcentral.com/obesity/c/85857/171731/living-lymphedema-lipedema/?ic=hero