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Please keep in mind that a physical exam is always first necessary before providing any final surgical recommendations. Depending upon the physical exam and the patient’s goals, inner and/or outer calf implants may be necessary to best balance out the leg shape and symmetry. Commonly both women and men patients aesthetically benefit the most from having both inner and outer implants placed. Permanent nerve damage with muscle atrophy is indeed one of many medical indications for this surgery. 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.
Thanks for your question! It is difficult to know the correct plan without examining you myself and understanding the extent to your nerve damage. For many patients, calf implants are a great way to instantly increase lower leg volume. Make sure you consult with a board certified plastic surgeon.
This is a very good question but in order to answer it more information is needed regarding the cause of nerve damage and muscle atrophy. Is it because of trauma, congenital or hereditary? is it stable or progressing? is it affecting one or both legs and does it affect you activities and mobility. Calf augmentation with implants is a good solution to cosmetically correct muscle atrophy caused by many neurological problems such as spina bifida, club foot, trauma and few others. I've done many of these using standard and custom-made implants and patients are usually very happy with the outcome. However, you need to be very cautious in assessing the risks and benefits in some cases when you have a borderline or limited mobility. Surgery can affect the limb function. Sometimes recovery of mobility can't be 100% to the level of function before surgery. If a patient has a borderline motor function and just about manages to cope, surgery can tip the balance and render them permanently imobile or disabled. Therefore it is very important that your plastic surgeon has the experience dealing with these cases, he/she knows your condition very well, and seeks the opinion of the doctor treating your leg condition (neurologist, neurosurgeon, or orthopaedic)
Muscle atrophy of one or both heads of the gastrocnemius muscle is one indication for calf implant augmentation. More information as to the source of your nerve damage and muscle atrophy would be needed but I am assuming that the nerve damage is stable and is the source of the muscle atrophy. Some pictures of the involved leg and a history of the cause would be needed for a qualified answer.
This is a problem that can occur with calf implants for no one's fault. Because of the dynamic nature of the legs, there are a lot of forces that shift the implant and can cause the pocket to widen. There are various options to correct this: 1- If the implant in...
Definitely under the fascia. However, some people say "under the muscle" when they actually mean "under the fascia of the muscle". There is almost no benefit from putting them under the actual muscle, which causes too much trauma and complications.
Calf implants are indeed the best option to enhance legs with club foot. Fat grafting will not work, period! Please keep in mind that a physical exam is always first necessary before providing any final surgical recommendations. Depending upon the physical exam and the patient’s goals, inn...
Thanks for your question and the photos you provided. I am happy you are in contact with your surgeon. Seromas can occur after calf implants because the patient can not give the muscle rest, since you need to get up and go to the bathroom and walk to prevent blood clot. In most situations, a...
Thanks for your question. I can not speak for the cost of these procedures, but I can speak to some of the Pros and Cons. Fat transfer is great because you need to remove fat from one area and transfer to another. So you are improving two areas in 1 surgery! However, fat transfer is not...
Thank you for asking about calf implants for your club foot.I am sorry about your club foot but calf implants make a big difference.The implants sit on top of the muscle but don't change the muscle.If you are still growing, the normal side will grow faster and you may need larger implants later...