What's the Best Solution for Uneven Calves After an Injury?

Hello, I have recently done one of these cases. Nerve injury can lead to calf asymmetry from muscle atrophy. I recently did a case with implants where a large implant was placed on the inside of the calf and a medium size implant on the outside on the left leg only. Implant size can be determined at the time of consultation. Fat transfer can be performed as well but variable results have been seen and multiple treatments may be needed. I have performed fat grafting as well. Implants is the gold standard for calf enhancement at this time. They can be done by small incisions on the back of the knee and if placed correctly are relatively safe. Try to visit with a surgeon certified by the american board of plastic surgery for some options. Thanks. 

Calf implant surgery has become an increasingly popular procedure for men and women. It is not a technically difficult procedure to perform, relatively speaking and the incidence of complications are quite low compared to many common procedures. Many patients may have uneven calves from a variety of problems including club foot deformity, cerebral palsy, traumatic injuries, etc. Calf implant surgery for asymmetry is performed routinely with great success in creating symmetry in uneven legs with calf implants. Generally,  two implants are placed in the smaller leg, one medially and one laterally. This can be combined with fat grafting at the same time for blending and enhanced symmetry. Patient satisfaction with this procedure is exceedingly high. 

Depending on the type of deformity, properly-placed soft solid silcone calf implants are a wonderful option. I have placed calf implants in many polio patients, and several patients like you (including a female orthopedic surgeon with a skiing injury to one calf), as well as cosmetic patients such as body builders over the past 20 years, and can attest to their safety and effectiveness. Not many plastic surgeons do them, as seen by the number or replies here (as compared to breast implants), and unfortunately, the response by some surgeons who do not have experience with calf implants is to just speak about potential problems. Fat grafting is also something that is possible and effective, but does indeed require several sessions, and may not give enough bulk to simulate some degree of symmetry. I have fat grafted many patients as well, but find results better with smaller defects. Best wishes! Dr. Tholen