Fat Transfer for Thin Calves?

This is not an optimal place to perform fat grafting for several reasons:

It has a tendency to swell and accumulate fluid which can be detrimental to fat survival.
The blood supply is often not as good as other portions of the body.
The muscle is contained by a tight fascia and cause problems if injected excessively

Having said that, if you are young, healthy and otherwise in good condition, you may be a candidate for the procedure.

Fat transfer is powerful way to move fat from an area of excess fat to any area in the body. Plastic surgeons are especially trained to transfer fat. A part of our practice is dedicated to fat transfers and injections. The most common areas of fat transfer in our practice is the face, breast, buttocks, hips, calves and ankles. Fat transfer to the legs is not very common, but requires experience and should be performed by a plastic surgeon with experience.

I agree with Dr. Placik's concerns regarding the survival of fat in this area. However, since an implant is not an option, fat grafting is the only option left. A Board certified plastic surgeon with experience in fat grafting techniques would be able to acheive a good result.