Muscle wasting of the upper thigh of the quadriceps region can occur from a variety of medical conditions. Such thigh muscle wasting can occur from chronic disuse and unloading, multiple causes of cachexia and the sarcopenia of aging. AIDS-related cachexia is a well known cause and is a complication of HIV and the highly active antiretroviral therapy therapy employed to treat it. While numerous muscle implants exist, none exist for augmentation of the quadriceps or thigh region.
In the December 2013 issue of the Journal of Cosmetic Surgery an article was published entitled ‘Quadriceps Implant: Cosmetic Improvement to the Anterior Thigh Region in a Patient Suffering From HIV Muscle Wasting’. A single patient with HIV induced muscle wasting underwent quadriceps augmentation with a semisolid silicone prosthesis and had had an excellent cosmetic result three months after surgery. A custom-designed silicone prosthesis was placed via an incision in the anterior thigh beneath the fascia of the quadriceps muscle to augment the anterior thighs.
Because of HIV and the medications used to treat it, a patient may suffer from wasting in the legs, and placement of a soft solid silicone implant can help improve the cosmetic appearance of the anterior thigh/quadriceps region. Putting the implant beneath the fascia of the muscle is common practice for any body implant and the thigh muscles woud be no exception. While this is just a single case report (one patient) and the follow-up is short, the use of implants in the anterior thigh for cosmetic augmentation could have application beyond HIV thigh muscle wasting.
Dr. Barry Eppley