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Calf Implant Surgery – Anatomy and Surgical Placement Considerations

Introduction The most reliable method of calf augmentation is with the use of implants.. Fat injections may benefit patients who have adequate donor sites and can tolerate their unpredictable volume retention, but most muscle augmentations get the most predictable and effective results from implants. Like most extremity implants, subfascial placement inside the muscle sheath is Read More…

Calf Implant Surgery: Nerve Anatomy, Technique, and Considerations

Implants remain the most definitive and reliable method of calf augmentation. While fat injections may benefit select patients, calf implants consistently provide a more predictable and effective outcome. Like other extremity implants, calf implants are linear in design, with length greater than width, and are placed in a north–south orientation. The incision is favorably positioned Read More…

Plastic Surgery Case Study – 4 Implant Male Calf Augmentation

Background: Augmentation of the lower legs can be done by either fat injections or implants. Each has their advantages and disadvantages which is consistent with the same choice for any other body muscle augmentation. Fat injections are an autologous procedure that has few complications and is a natural material but its volume retention is unpredictable Read More…

OR Snapshots – Calf Implants and the Peroneal Nerve

Calf implants involve dissection from incisions on the back of the knee inferiorly down to the gastrocnemius muscle fascia. The fascia is then entered so that the implant can be placed underneath it on top of the muscle. There are two gastrocnemius muscles,  an inner or medial muscle belly and an outer or lateral muscle Read More…

OR Snapshots – Calf Implants and the Sural Nerve

Calf implants are placed on top of the gastrocnemius muscles but under their overlying enveloping fascia. To place the implants separate small incisions are placed on the back of the knee in the popliteal crease above each muscle head. From the incision to the gastrocnemius fascia it is necessary to dissect past the semimembranous/semitendinous tendons Read More…

Custom Designed Solid Silicone Calf Implants

The most common lower leg aesthetic augmentation method is that of calf implants. They are used for those patients who want larger calfs due to natural lower leg disproportion (‘chicken legs’), muscle atrophy due to injury (e,g. achilles tendon rupture) or congenital underdevelopment. (clubfoot) Calf implants have been around for decades in the U.S and Read More…

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