The calves in both men and women play an important role in the aesthetics of the leg. But when a calf is of little volume it makes the aesthetics of the leg disharmonious and patients are often influenced to the point of even changing their way of dressing in order to conceal their complex. In these cases we resort to physical exercise to strengthen the gastrocnemius muscle, and wherever this is not sufficient, we turn to cosmetic surgery.
The intervention for the increase of the calves is made by the implantation of prostheses. These are inserted below the floor above the muscle fascia, and in some cases through a small incision at the level of the popliteal fossa. They are composed of cohesive silicone gel, of the type used for breast augmentation.
The invasiveness is certainly minimal. Intervention requires a very short time, about an hour and is performed in day hospitals. To increase the volume of the calves, epidural anesthesia is sufficient, if requested by the patient, or alternatively only local anaesthesia supplemented by sedation. It is evident that, as the region of the calf is involved in walking, it is prudent to rest or to minimize walking for at least 7 days after surgery. It is advisable to suspend sports activities for at least a month after calf augmentation surgery to avoid complications.
The implanted prostheses, moreover, will not need to be replaced, except in special and rare complications, for at least 15 – 20 years.