Over the past several decades, there has been increased interest in creating a fuller-appearing and more well-defined calf region. The primary method for calf augmentation is use of a semirigid silicone prosthesis as it produces reliable results and an aesthetically pleasing calf contour. Men and women alike wish to have a more muscular and toned physique. Despite vigorous exercise and body building, however, some people are unable to attain the definition that they desire. Calf implants of various shapes and sizes have been created to increase volume in the calf. In addition to calf implants, there has been increasing interest in the use of fat to augment the calf to avoid foreign body placement. However, the primary method for augmentation is still the use of a semirigid silicone prosthesis as it produces reliable results with an aesthetically pleasing calf contour.
Calf implants enhance the shape and size of the calf muscles by placing soft, solid silicone implants in pockets overlying the existing gastrocnemius muscles. The calf muscle is a two-headed muscle (one head on the upper inside of the leg and the other on the upper outside of the leg) on the back of the leg that attaches on each side of the femoral bone just above the knee and extends down the leg ending as the Achilles tendon at the heel.
These implants which may be one to each leg or two depending on the desired effect are placed through small incisions in the creases behind the knee. A person may desire to have only the inner head of the muscle enlarged, the outer head, or both. The result is that the existing musculature is made to appear larger and more defined.
Consultation and Physical examination
In the consultation, the patient is seen and preoperative goals are assessed. A patient who has unrealistic expectations and is unable to comply with the post-operative instructions is deemed a poor candidate for augmentation. Patients who have congenital anomalies, a significant size disparity between 2 calves, or bilateral hypoplasia are informed that additional surgeries may be required to attain symmetry and achieve the augmentation they desire. Patients are taken for a physical examination. Patients seeking calf augmentation are evaluated first and foremost for symmetry between the 2 calves. If there is a size discrepancy, this is discussed with the patient. The physician then evaluates the quality of the skin, subcutaneous tissue, and muscle. A person who has very thin tissues or significant hypoplasia of the calf may not be able to adequately accommodate a large implant. The calves are measured in circumference at the mid-calf. This is used primarily as a means of comparing the patient from preoperative to postoperative period. Physician makes some additional measurements to determine how large an implant can be accommodated within the calf.
Operation and Afterwards
Patients are staying 1 night at the hospital after their operation. The surgeon delivers the first post-operative check on the next day before patient’s discharge from the hospital. In the first week following the operation, patient is having follow-up check almost everyday or every other day. Our surgeon mainly prefers to use non-dissolvable stitches which means stitches are dissolving in approximately 2 months time. Patients are allowed to begin light exercise at the week 2 and full activity at weeks 4-6. Patients are asked to wear compression stockings to reduce the risk of seroma formation.
The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.
Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.
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