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Calf Implants and Fat Grafting in Congenital Club Foot Deformity

  Underdevelopment of the calf muscles in congenital clubfoot is a common sequelae no matter how timely or well primary treatment for it is done. Such underdevelopment of the lower leg, particularly in asymmetry or unilateral involvement, can be a source of patient sensitivity and lowered self-esteem. Calf muscle hypoplasia can be treated successfully in Read More…

Case Study – Custom Thigh Implant for Soft Tissue Atrophy

  Background:  The size of the thigh (upper leg) is heavily influenced by the bulk provided by its muscle mass. Between the large femur bone and the many muscles that encircle it the thigh is always bigger than its lower leg counterpart in both length and circumference. As the connector between the pelvis and the Read More…

OR Snapshots – Skin Incisions for Calf Implants

  There are numerous reasons patients seek calf augmentation. The desire for a more muscular calf appearance in an otherwise normal but thin calf and improvement in congenital or traumatic calf asymmetry are the most common patients that seek calf augmentation. The only assured method to achieve such calf size improvements is with the use Read More…

Calf Implants and the Sural Nerve

  Calf implants are used for a variety of reasons from aesthetic muscular augmentation to correction of congenital lower leg deformities. (e.g., club foot) They are placed on top of the existing gastrocnemius muscles to provide an external contour change that results in an enhanced lower leg size appearance. Since there are two muscle bellies Read More…

Long-Term Results in Calf Implants

  Calf augmentation is most commonly done with implants. There are a variety of reasons patients pursue augmenting the gastrocnemius muscle from congenitally thin legs, muscle atrophy due to disease or trauma and the desire for larger calfs that exercise and effort alone can not easily achieve. While injection fat grafting is another option for Read More…

Subfascial Calf Augmentation

  Calf augmentation is one of the most infrequently performed of all body contouring procedures. Part of the reason for its low rate of performance is patient demand. The other reason is that most plastic surgeons are uncomfortable performing the procedure having never seen it done or been trained to do it. The widespread use Read More…

Case Study – Upper Inner Calf Implants

  Background: The shape of the lower leg is most commonly defined by the contours along its inner half. The knee, calf muscle and ankle provide a curvilinear shape that has a well known pleasing set of convexities and concavities.This undulating shape is highly influenced by the size of the medial gastrocnemius muscle well as Read More…

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 Read More…

Case Study – Female Calf Implants

  Background: The calf or gastrocnemius muscles are a compact and powerful set of lower leg muscles that run from the knee to just above the ankle. It is a bipennate musclke with two known heads. The outer or lateral head starts at the lateral condyle of the femur while the inner head starts from Read More…

Calf Implants Surgical Technique

  Calf augmentation can be done by two surgical methods. The most historic and reliable is the use of synthetic calf implants. A more recent but far more unpredictable technique is that of fat injections. Each calf augmentation method has its advantages and disadvantages but, like breast augmentation, fat injections are a good volume addition Read More…

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