The aesthetic importance of legs, both for women and men, has long been known. One of the crucial elements are certainly lower legs and their proper look. The so called “calf” is actually the topographic back and partially inner part of the lower leg, i.e. the lower leg’s upper half or two thirds. The shape and the overall appearance of this region depend of two main factors:
- lower back leg muscles corpulence (musculus soleus and musculus gastrocnemius)
- thickness and distribution of subcutaneous fat
Some patients opt for this surgery solely for aesthetic reasons, in order to improve the shape a fullness of calves (thin legs, underdeveloped calves), while others can have certain deformities or asymmetries, congenital (genus varus, genus valgus) or developed (as a consequence of poliomyelitis, congenital muscle atrophy, etc.)
In addition to the usual preoperative preparation, the most important thing is to select the silicone implant of appropriate size so to have the most natural result (it is better for the implant to be slightly smaller than too big!). Patient’s height, length of the whole leg and the lower leg, as well as the length and corpulence in the calf area must be taken into consideration.
The operation is performed either with general anaesthesia or intravenous analgesia. The incision is located within one of the transversal lines in the kneepit, and it is usually 3-4 cm long. The silicone implant is places below the muscle fascia, in the back and inside. In patients with thin skin and a short muscle, there is a possibility for the implant’s lower part to be too prominent with a noticeable transition, but this can be solved by injecting the patient’s fat into this region during the same procedure or, what’s even better, after 3-6 months.
The compression bandage is worn for 7 days and it is recommended to wear a special compression sleeves 3-4 weeks. Local swelling is present, while bruising is very rear. It is recommended to elevate the legs slightly during sleep. It is possible to walk immediately, but tightening sensation and discomfort are present for the first two weeks. During this period, it is recommended to avoid physical strain, standing and walking for a long time. Scars are small, short and virtually invisible.