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In both women and men, the calf represents the area on the lower extremities which, due to genetic conditions, is very difficult to influence or change without surgical measures (diet, exercise, etc.). Both men and women can therefore suffer from the external appearance due to their ‘inherited’ calf shape. The shaping, alteration and construction of the calf can then be carried out using various techniques of aesthetic surgery in order to positively influence the overall appearance of the legs. Both liposuction and augmentation with the patient’s own fat and the use of various silicone implants can be useful and helpful here.
Continue readingIn addition, calf reductions can also be made by changing the volume of the muscle tissue if necessary. The repertoire of the plastic and aesthetic surgeon is rich and varied here, as well as in the modelling, shaping and improvement of other body regions, so that the most diverse requirements and questions can be met.
Duration of the operation: approx. 2 hours
Length of stay in the clinic: 1 night
Anaesthesia: general anaesthesia/ general anaesthesia or local anaesthesia in twilight sleep
Follow-up treatment: 6 weeks compression goods
Resumption of social activities: after approx. 14 days, depending on extent & additional interventions
The enlargement of the calf is an attractive procedure not only for men to change the shape of the calf and thus the entire leg. Increasing volume through silicone implants can be a sensible measure in women with underdeveloped and very thin calf musculature too. Calf enlargement can also reliably correct shape defects and changes in shape in the sense of bow legs or knock-knees.
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The calf muscles are often the limiting factor in the reduction of the calf circumference. This is where liposuction on the calf reaches its natural limits. In these cases, the calf circumference can be achieved by selectively cutting through the supplying nerves of the calf muscle bellies. This is a microsurgical procedure in which the supplying nerve branches are located and cut through via small incisions in the hollow of the knee and the calf itself. If the calf muscles are separated from their nervous supply in this way, the muscles may shrink and the calf circumference may decrease. The function of the calf musculature is maintained by the nerve supply which is not cut through (the calf musculature consists of three muscle bellies, so-called tripces surae). So, the ability to run, stand on tiptoes, etc. are not endangered in this form of calf reduction.
In particularly severe cases, where the calf muscles have led to a large total circumference of the lower leg, it may be useful to remove one or two of the three muscle bellies (so-called musculus triceps surae) on the lower leg to reduce the calf’s size. In these cases, calf reduction can be carried out radically in a single operation, with a scar in the hollow of the knee, and can lead to a significant reduction in the overall volume of the calf. The calf reduction by removing a part of the calf muscles has been largely replaced by denervation (cutting through the nervous supply). However, there is still a useful application for this procedure in selected cases.
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