One leg is thinner than other, why and what is the diagnosis?

Although soft semi-solid silicone implants work very well for calf augmentation, i do not recommend placing an implant in the ankle region. Similarly i do not recommend injecting any filler material or fat for ankle augmentation because of either poor longevity and/or serious complications. Glad...

In the calves, a great percentage of the volume is usually muscle. Your photo does not allow a precise assessment.Calf reduction is possible but is somewhat complex.

Calf Implants have changed a good deal over the last 12 years. Implants previously were often very firm and had more rounded edges that do not blend well in the tissues of the leg.Todays calf implants are made of a very soft, solid silicone that are very nicely tapered and are quite natural...

Other than exercising the calves vigorously, and often times this fails purely due to the genetic limitations of growing this muscle, calf implants made of shaped soft semi-solid silicone are the only reliable, predictable, permanent option currently available.  Glad to help. 

    You may consider fat grafting to the hips and fat grafting to the calves or calf implants.Kenneth Hughes, MDLos Angeles, CA

   Either approach is acceptable.  I might lean toward fat transfer in you, but either can be performed.Kenneth Hughes, MDLos Angeles, CA