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Calf Implants
Calf implants are inserted to create the impression of greater definition and contour in the lower leg area. They are also used sometimes used to reduce the appearance of bow-leggedness and tibial torsian (twisting below the knees). Sometimes, implants are used to correct a dissymmetry that was a result of a congenital deformity or polio.
What does it cost?
The price for calf implants for cosmetic reasons is approximately $5,500. Cost varies from surgeon to surgeon and according to where they practice. There may be additional costs such as anesthesia, operating room facility, prescription medicines, etc. If calf implants are used for non-cosmetic reasons, there is a possibility that the costs will be covered by insurance but it is important to speak to your surgeon and your carrier ahead of time.
What happens during the procedure?
The procedure is usually performed in an outpatient surgical center, either operated by your surgeon or a hospital facility, and takes about an hour per leg, but depending on the extent of the procedure, it can take longer. If you are having more than one procedure, overnight hospitalization may be required.
The procedure is usually performed under light sedation with local anesthetic or under general anesthetic. Incisions are made in the crease behind the knee and the surgeon creates pockets to hold the implants beneath the fascia. In some cases balloon-like tissue expanders may be used temporarily to allow for gradual stretching of the tissue. After several weeks the expanders are replaced with the implant. If the degree of enlargement is not excessive, the permanent implants are placed immediately. Often, two implants are placed in each leg.
Compression stockings are placed on the calves after the procedure and these will be worn for about 2-3 weeks. There are generally no bandages.
Are there risks or potential side effects?
As with all surgeries, there is always a possibility of complications following chin surgery, including infection, bleeding, a reaction to the anesthesia, hematoma, seroma, extrusion (the implant works its way back up to the skin’s surface), capsular contracture (excess tightening of the scar tissue) which may distort the implant, asymmetry and nerve damage.
Should infection occur, your surgeon will prescribe a treatment with antibiotics, however, the implant might have to be temporarily removed if the infection does not clear up and replaced at a later time.
Sometimes calf implants can shift slightly out of alignment and a second operation may be necessary to replace it in its proper position. Loss of sensitivity is common, although temporary. Permanent loss of sensation may happen. Anyone undergoing a calf implant procedure should also be aware that there is permanent scarring behind the knee.
Other, less-common risks may be associated with certain implants. Be sure to ask your surgeon about all of the risks associated with the procedure your considering before you make any decision.
What to expect post-procedure?
It is suggested that a shoe with a 1 ½ to 2 inch heel (like cowboy boots) should be worn after surgery. Bed rest immediately following surgery is recommended but after 24hours, you can get up to eat or go to the bathroom, stairs are to be completely avoided, though. You will, however, need to be off their feet for about a week with the legs elevated. Keeping the legs elevated will reduce the swelling and therefore reduce pain. Some patients, usually male, experience pain for the first 48 hours after surgery. You can expect to feel as if you have had an intense calf work out that lasts for 2 weeks, although the pain medication prescribed by your doctor can help.
The extent of the post-operative swelling and bruising is dependent on whether you tend to bruise or swell easily. The amount you can expect varies for each individual but past surgeries or injuries should be a good indication. Applying cold compresses, or small ice packs will reduce swelling and relieve discomfort. Many patients use a water-tight plastic sandwich bag filled with frozen berries or peas. Regular icing is the key to relieving the swelling.
You should not sleep on your back for at least 10 days allow proper healing without pocket disruption. Your sutures on the exterior may be of the dissolving or non-dissolving type. Of they are non-dissolving they will be removed in approximately 10 days. You must be careful not to strain the muscles in that area or lift heavy objects with your calf muscles (as in calf exercising) for several weeks. Doing so could "pop" the sutures or disrupt the pocket holding the implant leading to additional surgery or possible infection.
How soon does normal life resume?
Recovering individual and varies from person to person. People with office jobs can usually get back to work in one or two weeks. As your legs adjust to the implants, there will be discomfort. Most patients find walking on their toes or in shoes with heels the most comfortable during this healing phase. Avoid strenuous use of the legs for at least six weeks to allow for healing and to make sure the implant has securely positioned itself. Upper body workouts can be resumed in a week; light leg workouts can begin in three weeks.
As with any surgery, it is also sometimes normal to feel anxious or depressed in the days or weeks following the operation. If there is heavy bleeding or increased pain, be sure to inform your surgeon.
Are you a good candidate?
As with all elective surgery, good health and realistic expectations are prerequisites, but if you want to change the appearance of your lower leg then calf implants may be appropriate, especially if:- Your doctor is aware of any medical conditions or allergies you may have and any medication, herbal supplements or natural supplements you are taking (both prescription and non-prescription) and whether you are a smoker.
- You are not prone to scarring problems such as keloids.
- You are free of known allergies to the implant material.
- You have a good understanding of the limitations of the procedure.
How to prepare for this procedure?
Before your surgery, your surgeon will instruct you as to what to do and not to do pre-surgery, but here are a few standard tips:- Avoid aspirin or any aspirin containing medication for two weeks prior to your surgery date. Because aspirin thins the blood it can interfere with normal blood clotting.
- Smoking inhibits the healing process, so stop smoking before your procedure and if you start again, make sure it is after you are completely healed.
- Avoid drinking alcohol a few days before your surgery.
- Make sure to follow any fasting instructions the night before and morning of your surgery. Your doctor may insist on an empty stomach depending on the type of anesthesia.
- Make sure that you arrange for someone to bring you home and to help you out for 24 hours after surgery.
Are there alternatives to this procedure?
Although there are no other procedures to enlarge the calf, exercise, especially weight lifting, should always be considered an alternative to a surgical procedure. Cycling is also an excellent sport for building-up your calves.
Locate a certified physician with our Doctor Locator.
To view Personal Stories about this procedure contributed by our members, Click Here.
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