Skinniest Calves/Shins/Ankles, Underwent Fat Grafting Today! - New York, NY

Hey guys, so quick summary followed by my surgery...

Hey guys, so quick summary followed by my surgery outcome, ive had the skinniest calves/ankles/shins imaginable ever since i was born. I specifically noticed it in 5th grade and through middle school when the entire playground would make fun of me when i wore shorts. I still remember the last day I wore shorts to school, in 8th grade. Since then Ive gone through high school, undergrad, medical school, and half a year of residency without ever wearing shorts. Ive avoided tropical vacation destinations and cruises when all my friends went because I just couldnt wear shorts.

So in undergrad I began researching calf implants, but I knew this would only augment the upper half of the leg. My primary problem was the lower shin/ankle where there isnt any muscle so no implant can be placed. I also knew it would be my late 20's before I had a job and money to afford any procedure. In Med school, through just googling "skinny ankles" on the internet, I came across fat grafting as a new method of doing calf augmentation. Immediately I began to think, if fat can augment the calf then why not the shin/ankle. This blew my mind, and I began doing a lot more research. I came across Dr. LG's website and I sent over some pictures and they said they could do the procedure with permanent results! BTW Ive always had a gut, love handles, and man boobs so the donor fat site was a non issue.

So anyway, I still didnt have the money as I was knee deep in med school loans and all my credit cards were in my dads name. I started my Internal Medicine residency in Chicago in June 2013 and finaly had a source of income, and so I applied for a few cards and got a credit line going. My vacation month was in February so i made the decision that I would fly to NY to Dr. LG's office, get a consultation and a surgery done in one trip.

So yesterday I flew up here, had my consultation. Dr. LG initially was surprised at how tight my calves and ankle/shin area was. I think because I had tried to correct the problem with calf workouts that really tightened the area. So this did limit how much fat was able to be put, because if too much is put in a tight area, you can lose circulation. Anyway, he said he could fix the bowleg problem and would try to put as much fat as possible and he thought I would like the results. And besides I had to start somewhere, i wasnt anticipating being 100% happy with just one surgery. The site stores fat for 2 years and does touch up treatments if needed for 1000-2000 dollars.

So today was my surgery, immediately after I am ABSOLUTELY THRILLED with the results. The entire medial aspect looks significatnly bigger. Im sure some of this is due to swelling, but Dr. Grossman expects most of the fat to survive (he uses stem cells to enhance the viability). So even if I get 75% of the current results after swelling goes down and some fat is reabsorbed, i would be thrilled. The ankles/shins are still skinny because not much could be put down there. But again, I had to start somewhere. The fat placed plus the swelling will loosen up the skin and allow a futher treatment to be more successful. Right now Im immediately post op so Ill keep u guys updated with photos.

Day 2 Post Op

So the recovery is going great. I had to travel back to the midwest via airplane the day after surgery, and it was a little difficult. But not too bad. Today, the stiffness in my legs is improving. The back/flank area where they did lipo is still really sore, a little worse than if i did a real solid back workout. The area is still numb, which is expected. My legs still look great to me. I think the swelling has gone done a bit, but for the most part, the volume is all still there. I had a little concern yesterday because the fat that was grafted was colder than the other part of my leg, but today its warm! So i think that means blood has started to supply the area. We'll see how much is retained but Dr. G told me he expects my current result to be the final result. Im still planning on getting a touch up procedure in 3-6 months to the shin/ankle area. So far so good! Ive attached some new pics from today.
Your results look great! But so expensive, hope it lasts!
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Your calves look very nice..enjoy them!
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Congrats to you
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1 week

Hey guys, so its been one week now and every things going good. My calves are still a little stiff and im still not walking completely normally, but there isn't any pain. My ankles are swollen today after walking around a lot yesterday. The fat that was grafted is all still there! I can tell because i put my feet completely together and i can measure the distance of the gap in between my calves, and its been the same. The flanks where i had the lipo is still sore/swollen/numb. This is expected for 1-3 months. Attached is a picture. I go back to work tomm and ill keep you guys updated! Dr. Grossmans staff followed up with my recovery today which i thought was nice.
How painful was the recovery? I'm debating whether to have implants or fat transfer. I don't handle pain very well so I 'd rather go with the less painful procedure. Good luck to you :)
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Hi, how's it going? Could we have an update and photos please?
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from what I've read definently the fat transfer is the less painful one. i pretty much had just 1-3 days of mild/moderate pain, after that its just stiffness. the implants I've read have pain for around 2-3 weeks. plus i didn't want something foreign in my body if i could use fat instead.
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2 weeks +

hey everyone. so its been a little over 2 weeks and every things going well. this week i started having some pretty bad swelling of my legs, because my job requires me to be on my feet for 14 hrs a day. theres been some pain associated with it. at night time I've been elevating my legs on pillows when i sleep and it feels better in the morning. the last 3 days the swelling has been going down tho. all the fat is still there, nothing has melted away! i also noticed some redness on the inside part of the calf which i think is the new blood supply to the area. k attached are the pre and current photos from today. ill update again soon, probably at the 1 month mark.
Incredible! I know exactly you felt. Anything leg showing is a no go for me. But would there be any negative impact doing calf workouts after this procedure? (ie: losing the fat) Also what has been the reaction from others? How do your calves/shins/ankles feel? Any issues so far?
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after the 1-3 month mark, the fat becomes permanent. it has formed a blood supply and reacts the same way as any other fat cells in your body. IE, if you work out, run etc. you will burn fat....BUT keep in mind when we lose fat, we lose the fat thats inside the cell. you never lose the actual amount of fat cells in your body. the only way to do that is lipo. so yes if you work out you may lose the amount of fat inside each cell, but the number of cells stays the same, so if you gained weight, the cells would again swell up. its been about a month and the swelling has gone down, and I'm pretty much 100% back to normal.
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1 month strong!

Hey everyone, its been a little more than one month since my sugary and everything is going great. I had some swelling of the legs the past 2 weeks, mainly because my work forces me to stand for 14-16 hrs a day. But the swelling has come down the last week and its almost gone. As for the fat, i would say >90% of it is still there! so I'm very thrilled with that. Its been one month and I think what i have now is close to the final permanent result. Regardless because i started out with such skinny legs, ill be getting the other half of my fat which was harvested injected around June or July. Luckily this will be done with local anesthesia so the cost is much cheaper. After that I'm sure ill have the desired look I've been going for. Ok check out the attached pic!

some more one month pics

Please let me know the recovery. I live in Europe and have to Travel back soon again:-)
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Hi Aswin. Can we have an update please? My procedure is getting close now and I would like to see how your fat has retained. Thanks.
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Hi Aswin. Could you tell me how long it took to do the whole process please? Were you IV sedated or general anaesthetic? Was any fat put into the calf muscle or only to the tissue around it? Thanks and hope you are doing ok as haven't heard anything from you of late.
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3 months!

hey people, sorry, been busy with work. but I'm basically at the 3 month mark which is the point where they say the fat is not permanent and you see the final results. I'm happy to say that only like 10-20% of the fat has dissolved, the vast majority of it is still there, and I'm going to schedule an appointment to get the remaining 200 cc placed! i should have my desired look after that.

edit

edit: i meant "the 3 month mark which is the point where they say the fat is NOW permanent"
Hi, results look good to me...I've been looking for years and could never find any positive info on fat transfer to the ankles. I'm tired of not feeling secure wearing shorts, short dresses and high heels without pants or long dresses-my ankles are super thin :(
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Hi Aswin. Have you had your second lot of injections yet?
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Went for my touch up today! 7 months post

Hey guys, haven't updated in a while because not much has changed. Its been 7 months since my original surgery and the results were final so I decided to go for my touch up procedure to get the frozen 220 ccs of fat injected into my legs. I am THRILLED with the results and think that I've finally achieved the results I've been after for so long. On a side note, I ran into a girl at Dr. LG's office today who apparently was following my posts and decided to go through with the surgery. Im sure she'll be happy with her decision. Anyway, attached are some pics.

Hopefully the frozen fat survives just as well as the original fat. We'll have to wait and see!
OMG! And I thought I was the only other person who felt exactly as u did! I never wore a bsuit either all of my growing up years! Constantly being made fun of- please keep me updated-happy for u !
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Results are still great Aswin! $10,500- is an awful lot... was that only for fat transfer to the ankles or did you also add fat to your calves? Thanks!
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Dr. Leonard Grossman

Very great surgeon, thorough, encourages questions. Staff is excellent and caring as well.

5 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
3 out of 5 stars Payment process
5 out of 5 stars Wait times
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