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Dr. Barry Eppley

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Surgeon Dr. Barry Eppley

Case Study – Calf Implants for Male Lower Leg Reshaping


Background: Increasing the size of the calf (gastrocnemius) muscles is very difficult. The tight and dense muscle fibers of this lower leg muscle take extreme muscle-building exercises to enlarge the overall muscle size. And unless one is willing to continue these exercises for the rest of one’s life, the size of the calf muscles will not persist.

Calf Implant Augmentation Indianapolis Dr Barry EppleyThe most immediate and permanent method of calf augmentation is the placement of calf implants. Inserted through small incisions on the back of the knee, they are placed in the subfascial location on top of the muscle. Because there are two separate bellies of the muscle, implants can be placed on either the inner or outer calf muscles or both.

Patients for calf augmentation generally hope to achieve one of two effects. Some patients simply want to have a more shapely lower leg by making the inner belly of the calf muscle bigger. This creates an outward bulge that changes a straight line leg profile. Less commonly are patients that want to have a much more muscular appearing calf and need both inner and outer calf implants to create a more profound effect.

Case Study: This 36 year-old male wanted to make his lower leg look more proportionate to his upper leg. He had very skinny lower legs with a straight line profile from the knee to the ankle.

Calf Implant Incisions Dr Barry Eppley IndianapolisCalf Implant Insertion Technique Dr Barry Eppley IndianapolisUnder general anesthesia and in the prone position, 3.5 cm skin incisions were made on the inner half of the popliteal fossa behind the knees. The fascia was incised and subfascial pockets developed. Medium size calf implants (Implantech) were inserted over the medial belly of the muscle and as anterior s possible. The incisions were closed with resorbable sutures.

Male Calf Implants result front view Dr Barry Eppley IndianapolisMale Calf Implants result front view raised Dr Barry Eppley IndianapolisMale Calf Implants result back view Dr Barry Eppley Indianapolis Male Calf Implants result back view up Dr Barry Eppley IndianapolisHis postoperative results showed an improved lower leg profile in the inner half. There is now a more pronounced bulge below the knee that makes the leg look more muscular and proportionate. The muscle is more evident which is seen when standing his toes.

Calf implants provide permanent muscle enlargement. The size of the calf implant chosen is subjective and the maximum size implant that will fit into the subfascial pocket should always be chosen as it very difficult, if not impossible, to make a calf look too big.


1) Calf implants provide increased gastrocnemius muscle size to improve the shape of the lower leg.

2) The most common location for calf implants is on the medial or inner half of the gastrocnemius muscle.

3) Calf implants improve only the upper half of the lower leg.

Dr. Barry Eppley

Indianapolis, Indiana

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Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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