Other than favorable genetics combined with rigorous consistent exercise, there is no other way to augment or restore (in the cases of genetic or aquired disease/trauma) the calf muscles besides calf implants. I do not recommend fat transfer to the calves for several reasons: 1) it is highly unlikely that the fat will survive in this area, 2) the dying fat may get infected and likely infect the implant as well, 3) whatever fat does survive may be lumpy-bumpy and uneven with the opposite side. Bottom line, fat transfer will NOT work, period! Surgical prices vary by region, surgeon reputation, and surgical experience. However, very few plastic surgeons specialize in this operation so you may have to travel a long distance to one that does. The implants are made of soft semi-solid silicone rubber and placed surgically through a small (3/4 inch) incision in a natural crease behind the knee. When the implants are properly sized and placed under the muscle fascia, they should blend in and look natural. There are too many critical nerves and blood vessels under the muscle to risk this technique. All surgery comes with post-operative pain and recovery. For calf implants, the first two weeks after surgery is the most difficult time because walking is painful. Recovery usually progresses at a smooth steady pace from there. Glad to help.