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Calf Augmentation

Calf Augmentation in Pittsburgh, PA

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Calf augmentation or calf implantation is a procedure performed for both men and women to create a cosmetic fullness in the lower leg region. Plastic surgeon, Dr. James Fernau, offers this enhancement surgery for Pittsburgh patients who desire shapelier calves. In men, calf augmentation is typically sought to emphasize muscle bulk. Women often undergo calf augmentation for a proportionate appearance. After calf augmentation, the appearance of the calf area is larger and more defined. Implants can also help correct a muscle imbalance that has resulted from physical or congenital defects or disproportionate calf development. Calf implants are made of silicone and placed in “pockets” created over the existing leg muscles. A number of calf implants may be inserted during the procedure – depending on the need or the desired outcomes.

Surgical Technique

During calf augmentation surgery, the legs are measured to determine the suitable size and shape of implant to use. The incision is then created in the natural line of the fascia, the fibrous tissue that covers the outer muscle. A special instrument is used to create a ‘pocket’ between the fascia and the muscle, which is big enough for the implant insertion. Implants are typically inserted into the muscle, and the area is reshaped until the desired size is achieved. Because the muscle covers the actual silicone device, the calf looks and feels like real muscle. The wounds are then closed with stitches and once they dissolve, scarring is minimal due to the discreet location of the incision.

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During/After Surgery

Calf augmentation surgery normally takes about an hour per leg and is performed as an outpatient procedure under general anesthesia or IV sedation. After surgery, especially during the first week, crutches are required until the patient can stand and walk slowly. When lying down, legs should be elevated in order to reduce the swelling. A stretching regime will be prescribed that helps the legs get adapted to having the implants in place. Once the first week is up, the patient can walk longer and greater distances. The results are a shapelier, curvier lower leg that can last for many years.

Expected Cost

Calf augmentation surgery will vary in cost depending on the extent of surgery. Some patients will require liposuction to help reshape the lower leg area, and there are a variety of implant types to consider.  The average cost can range between $5,500 to $8,500.

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Average Cost  
$5,500 - $8,500
Recovery Time  
2-4 Weeks
Average Procedure Time  
2-3 Hours
Post-op Follow-up  
2 Weeks
Procedure Recovery Location  
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Calf Augmentation FAQs

Only Aesthetic?

Calf augmentation surgery is not confined to aesthetic purposes only. There are several illnesses or diseases that this procedure can help to correct a visual defect in the lower leg. Specifically, diseases such as Poliomyelitis and Spina Bifida can lead to a visible deformity. In addition, clubfoot where the heels and toes turn inward, as well as bow-legged conditions can also be corrected with implants.

Are Scars Noticeable?

The placement of the incision when it comes to cosmetic surgery (in most cases) is always along natural folds and creases of the area being treated so it can be easily concealed. For calf augmentation, the incision is located either behind the knee or under the front knee. When the scar heals, this strategic positioning will conceal the scar making it difficult to see.

How Long Will They Last?

The results from calf augmentation, just like with any other cosmetic surgery that uses implants, can lasts for approximately 10-15 years. However, once the patient ages, a shapelier calf may no longer be desired if it does not remain proportionate with the rest of the body. In some cases, patients can opt to have the implant removed if they wish. However, they are considered permanent until that decision is made.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.