Skinny lower legs cause psychological stress for women and men. A combination of calf implant with fat injections is sometimes the best option. If you do not have fat to harvest then calf implant is the best option to go. Recent approach for calf implant is the endoscopic calf augmentation and enable surgeon to place calf implant precisely. I choose the implants based on the patient's requirement and the desired 'look': The implants are placed under the muscle . Placing the implant under the muscle is one of the key feature of endoscopic calf augmentation and this is usually strong enough to undergo the physical stress of sporting activities. The procedure is performed in a JCI-accredited hospital, with board-certified anesthesiologists, under general anesthesia.