Calf Augmentations Bellevue
Calf Augmentation is a procedure performed that increases the size and shape of the calves. The procedure is performed in both males and females. Calf augmentation surgery may be performed for cosmetic or reconstructive purposes. In cosmetics, larger more defined calves are usually the reason. A patient that has been working out their calves daily and they just don’t bulk up. For reconstructive its more about creating symmetry between the 2 legs. Disease or injury can result in calf muscle atrophy or deformed calf shape.
Calf augmentation with either silicone implants or fat will not increase the power of the muscle or improve function.
Calf Muscle Anatomy
The calf muscles or gastrocnemius muscles lie beneath the skin and subcutaneous tissue. The skin over the calf muscles is pretty thin. There are 2 heads to the calf muscles; the medial head which is larger and lies towards the inside of the leg, and the lateral head which is smaller and lies towards the outside of the leg. These two heads fuse with the soleus muscle which is deeper in the leg to create the Achilles tendon. This important tendon attaches to the heel and allows for plantar flexion of the ankle.
Men have larger and longer calf muscles than women. Men usually want a bulkier calf, while women may want calf enhancement for shaping purposes. Calf augmentation can not only add bulk to the calf area but also increase fullness and shape to the inner (medial) or outer (lateral) leg. Overall calf augmentation can really improve your look in an area that is resistant to exercise.
Calf enhancement can be achieved by two ways. The more common solid silicone implants and the fat transfer.
Implant based: This is the preferred method for calf augmentation and reliable. A solid silicone implant is placed directly over the calf muscle and below the fascia of the muscle. Fascia is a thicker tissue that is semi adherent to the muscle. When in the right plane the dissection is easy and bloodless. It is paramount to go to a plastic surgeon who does calf implants routinely. Dr. Parikh has performed multiple calf implants throughout the area.
Incisions are placed in the knee crease. One or two incisions may be placed depending if one or two implants are being used. The silicone implants generally come in 3 sizes small, medium and large. The implants can also be carved to customize the shape if needed.
Fat based or grafting: The augmentation is performed by harvesting fat by liposuction from a different area of the body and transferring it to the calves. In general the fat is injected into the muscle belly and above the muscle. Fat survival can be an issue and more than one fat transfer may be needed to obtain the optimal look.
It is important to see a surgeon with knowledge of the anatomy of the area and fat grating or transfer techniques. All of this can affect your results and safety. At the time of your consultation Dr. Parikh can go over in detail with you regarding the anatomy of the area and different techniques used.
Candidates for Calf Augmentation:
Candidates are relatively healthy. Men or women who desire larger or more shapely calves. One or two implants may be placed in each calf depending on your goals. Dr. Parikh will discuss in detail regarding whether one or two implants will fit your needs. Patients that do not have any preexisting vascular disease are ideal and have been routinely working out there calves with no gains.
Calf Augmentation Cost
Cost of the procedure is based on 1. Anesthesia Fees 2. Facility Fees and 3. Surgeon Fees.
Range is from $6000 to $8500 USD for all combined charges. If two implants are required on each side versus one the cost will go up. Prices may vary based on length of time and complexity of the case. Pricing includes all follow up appointments and care. There are no hidden fees.
Postoperative Recovery after Calf Augmentation
Dr. Parikh will contact you and keep a very close follow up during the initial phase. Instructions regarding activity restrictions, wound care, and postoperative medications will be reviewed with you in detail. For women high heels are worn for 2 weeks for men elevated wedges can be used in the shoes or shoes with a heel is required. This takes the weight of the calf muscle area while healing. Postoperative is different between fat transfer calf augmentation and implant augmentation. The downtime with fat transfer is less and has a quicker recovery. We encourage patients to contact us immediately if there are any concerns after surgery.
Calf Augmentation Complications
- Implant extrusion
- Altered sensation
- Fat loss with fat grafting
- Compartment syndrome
With any surgical procedure complications can occur, but are generally low. We encourage that you ask about complications during your visit with Dr. Parikh. Dr. Parikh will ensure that your safety is first and discuss any concern in great detail that is tailored to your specific medical history
- Calf Implants
- Calf Fat Transfer or Grafting
- Cosmetic Need
- Reconstructive Need