Help! I'm a woman in my 40's with thin legs and tiny ankles.

Other than favorable genetics combined with rigorous consistent exercise, there is no other way to grow the calf muscles besides calf implants. Unfortunately fat transfer produces very inconsistent unreliable results. 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. 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.