What's the best treatment for fat ankles that will give me a better shape?

Liposuction of Calves and Ankles  (Cankles) can absolutely perfomed and it can provide a beautiful result that can be life changing.

Liposuction is a body contouring surgery that requires not only an artist's eye, but also the insight to determine which patients are likely to benefit from the procedure, and which specific areas of a patient's body are appropriate for liposuction. When artfully and appropriately applied, liposuction can produce dramatic contour improvements. As with all plastic surgery, the goal should be to produce a natural contour.

Some liposuction patients that I treat seek a 'total body makeover', and undergo circumferential liposuction of the trunk, thighs and lower legs. The soft tissue contraction and resulting contour enhancement that is achieved by circumferential liposuction of a given area can be truly amazing.

At the same time, I am increasingly seeing patients who come in for what I refer to as 'finesse' or 'refinement' liposuction, where very fit individuals seek refinement of specific areas that they feel are resistant to further improvement with diet and exercise.

The possible treatment depends on the anatomical basis for your ankle shape. The ankle joint is predominantly bone and tendon with little muscle so the shape is dominated by the amount and distribution of fat. However, some lower extremities are influenced by the size and shape of the muscles.

Depending on what you want to achieve, liposuction may be a viable alternative. Calf implants can also be used cautiously to add shape to the lower extremity and may complement contouring with liposuction. Often excellent results can be achieved.