Abstract
Although hypoplastic calves can be caused by unusual disorders that affect muscle development and spinal cord problems, most cases are presumed genetic and are resistant to the patient’s efforts to bulk up with exercising.
Solid or gel-filled implants (not available in the United States) can be inserted in the posterior compartment of the leg to augment the medial calf. Some operators also use implants for lateral calf augmentation.
A posteromedial transverse incision along the popliteal crease provides access. The medial sural cutaneous nerve is preserved. The scar tends to be well concealed, although it may hypertrophy or become hyperpigmented. The subfascial plane is ideal for implant insertion. This plane is located between the muscle investing fascia and the thin epimysium on the muscle surface.
Fat injection is a useful alternative to implants and can provide a modest degree of improvement. Frequently the author uses subcutaneous fat injection simultaneously with an implant.
Calf skin typically has little capacity to stretch. The surgeon must be cautious to balance implant size with tissue tolerance or face serious complications that include skin necrosis, extrusion, and compartment syndrome. Superior malposition is avoided by adequate distal blunt dissection of the pocket. Infection is unusual.
Patients wear an Ace wrap for 1 month. Patients typically return to nonphysical jobs in 1–2 weeks and exercising in 1 month.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Glicenstein J. Correction of the amyotrophies of the limbs with silicone prosthesis inclusions. Rev Bras Cir. 1979;69:117.
Carlsen LN. Calf augmentation: a preliminary report. Ann Plast Surg. 1979;2:508–10.
von Szalay L. Calf augmentation: a new calf prosthesis. Plast Reconstr Surg. 1985;75:83–7.
Aiache AE. Calf implantation. Plast Reconstr Surg. 1989;83:488–92.
Aiache AE. Calf contour correction with implants. Clin Plast Surg. 1991;18:857–62.
Mladick RA, Hunstad JP, Pitman GH, Vogt PA. Male body contouring. Aesthet Surg J. 2006;26:307–16.
Niechajev I. Calf augmentation and restoration. Plast Reconstr Surg. 2005;116:295–305.
Gutstein RA. Augmentation of the lower leg: a new combined calf-tibial implant. Plast Reconstr Surg. 2006;117:817–26.
Erol OO, Gurlek A, Apaoglu G. Calf augmentation with autologous tissue injection. Plast Reconstr Surg. 2008;121:2127–33.
Mundinger GS, Vogel JE. Calf augmentation and reshaping with autologous fat grafting. Aesthet Surg J. 2015;36:211–20.
Andjelkov K, Sforza M, Husein R, Atanasijevic TC, Popovic VM. Safety and efficacy of subfascial calf augmentation. Plast Reconstr Surg. 2017;139:657e–69e.
American Society of Plastic Surgeons. 2016 .Cosmetic plastic surgery statistics. https://d2wirczt3b6wjm.cloudfront.net/News/Statistics/2016/plastic-surgery-statistics-full-report-2016.pdf. Accessed July 11, 2017.
Howard PS. Calf augmentation and correction of contour deformities. Clin Plast Surg. 1991;18:601–13.
Niechajev I. Calf augmentation with autologous tissue injection. Plast Reconstr Surg. 2009;123:1891–2.
Nunes GO, Garcia DP. Calf augmentation with supraperiostic solid prosthesis associated with fasciotomies. Aesthetic Plast Surg. 2004;28:17–9.
Kalixto MA, Vergara R. Submuscular calf implants. Aesthetic Plast Surg. 2003;27:135–8.
Gold AH. Calf, buttock, and pectoral implants. Aesthet Surg J. 2003;23:410–2.
Pérez-García A, Concepción L-G, Pérez-García MP, Cuesta-Romero C, Safont J. Necrotizing fasciitis following calf augmentation. Aesthet Surg J. 2013;33:293–4.
Lemperle G, Kostka K. Calf augmentation with new solid silicone implants. Aesthetic Plast Surg. 1993;17:233–7.
Hallock GG. Myonecrosis as a sequela of calf implants. Ann Plast Surg. 1993;30:456–8.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Swanson, E. (2018). Calf Augmentation. In: Evidence-Based Body Contouring Surgery and VTE Prevention. Springer, Cham. https://doi.org/10.1007/978-3-319-71219-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-71219-2_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71218-5
Online ISBN: 978-3-319-71219-2
eBook Packages: MedicineMedicine (R0)