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Surgical Calf Augmentation Techniques: Personal Experience, Literature Review and Analysis of Complications

  • Dario MelitaEmail author
  • Alessandro Innocenti
Original Article Body Contouring
  • 6 Downloads

Abstract

Background

More attention is paid to calf appearance, both in males and females, and several surgical techniques are available. Different studies have been published over time for calf augmentation, but, to the best of our knowledge, no comprehensive literature review and complications analysis have been published.

Objectives

The aim of the study is to analyse the overall complication rate of calf augmentation surgical procedures and complication rates associated with the investigated techniques, namely subfascial implant placement, submuscular implant placement and fat grafting or lipofilling. Demographic analysis, including age and gender, is also performed.

Materials and Methods

A literature review on the PubMed database was performed for clinical studies regarding calf augmentation surgical procedures. The authors selected and analysed 26 articles among the actual literature on this field and reported personal experience in calf augmentation surgery.

Results

Twenty-six studies, published from 1993 to 2018, were included in the study for a total amount of 1498 patients, with a total of 2629 calves treated. Three different surgical techniques have been reviewed, excluding medical procedures: subfascial implant augmentation (n = 1929), submuscular implant augmentation (n = 435) and fat grafting (n = 265). The overall complication rate was 4.4883%. Calf augmentation with subfascial implants presented a total complication rate of 5.702%. The submuscular implant placement complication rate was 0.92%. Fat grafting presented a global complication rate of 1.509%.

Conclusions

Calf augmentation, with all reviewed surgical techniques, has a low rate of complications compared to other body contouring procedures, but a high rate of satisfaction among patients. Fat grafting has the lowest rate of complications, but multiple sessions are required. Specific complications of implants, such as capsular contracture, malposition or rupture, are less common compared to the use of implants for other cosmetic purposes. Procedures should always be performed by experienced plastic surgeons.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Calf augmentation Calf implants Lipofilling Body contouring 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study, informed consent is not required.

References

  1. 1.
    Hedén P, Sellman G, von Wachenfeldt M, Olenius M, Fagrell D (2009) Body shaping and volume restoration: the role of hyaluronic acid. Aesthet Plast Surg 33(3):274–282CrossRefGoogle Scholar
  2. 2.
    Blanco Souza TA, Colomé LM, Bender EA, Lemperle G (2018) Brazilian consensus recommendation on the use of polymethylmethacrylate filler in facial and corporal aesthetics. Aesthet Plast Surg 42(5):1244–1251CrossRefGoogle Scholar
  3. 3.
    Oranges CM, Tremp M, di Summa PG, Haug M, Kalbermatten DF, Harder Y, Schaefer DJ (2017) Gluteal augmentation techniques: a comprehensive literature review. Aesthet Surg J 37(5):560–569CrossRefGoogle Scholar
  4. 4.
    Wang C, Luan J, Panayi AC, Orgill DP, Xin M (2018) Complications in breast augmentation with textured versus smooth breast implants: a systematic review protocol. BMJ Open 8(4):e020671.  https://doi.org/10.1136/bmjopen-2017-020671 CrossRefGoogle Scholar
  5. 5.
    Benito-Ruiz J, Raigosa JM, Manzano-Surroca M, Salvador L (2008) Male chest enhancement: pectoral implants. Aesth Plast Surg 32(1):101–104 PMID:17676376 CrossRefGoogle Scholar
  6. 6.
    Andjelkov K, Llull R, Colic M, Atanasijevic TC, Popovic VM, Colic M (2018) Aesthetic improvement of undeveloped calves after treatment of congenital clubfoot deformity. Aesthet Surg J 38(11):1200–1209CrossRefGoogle Scholar
  7. 7.
    Niechajev I, Krag C (2017) Calf augmentation and restoration: long-term results and the review of the reported complications. Aesthet Plast Surg 41(5):1115–1131CrossRefGoogle Scholar
  8. 8.
    Andjelkov K, Sforza M, Husein R, Atanasijevic TC, Popovic VM (2017) Safety and efficacy of subfascial calf augmentation. Plast Reconstr Surg 139(3):657e–669eCrossRefGoogle Scholar
  9. 9.
    Skorobac Asanin V, Sopta J (2017) Lower leg augmentation with fat grafting, MRI and histological examination. Aesthet Plast Surg 41(1):108–116CrossRefGoogle Scholar
  10. 10.
    Yazar M, Kurt Yazar S, Kozanoğlu E (2016) Calf restoration with asymmetric fat injection in polio sequelae. J Plast Reconstr Aesthet Surg 69(9):1254–1259CrossRefGoogle Scholar
  11. 11.
    Seo BF, Choi JY, Kim J, Oh DY (2015) Capsular contracture after calf augmentation with silicone implant insertion. Arch Plast Surg 42(5):642–645CrossRefGoogle Scholar
  12. 12.
    Mundinger GS, Vogel JE (2016) Calf augmentation and reshaping with autologous fat grafting. Aesthet Surg J 36(2):211–220CrossRefGoogle Scholar
  13. 13.
    Karacaoglu E, Zienowicz RJ, Balan I (2013) Calf contouring with endoscopic fascial release, calf implant, and structural fat grafting. Plast Reconstr Surg Glob Open 1(5):e35CrossRefGoogle Scholar
  14. 14.
    Hoppmann R, Meruane M, González D, Wisnia P, Hasbún A, Villalobos B (2013) Calf lipo-reshaping. J Plast Reconstr Aesthet Surg 66(7):956–961.  https://doi.org/10.1016/j.bjps.2013.03.017 CrossRefGoogle Scholar
  15. 15.
    Pérez-García A, Lorca-García C, Pérez-García MP, Cuesta-Romero C, Safont J (2013) Necrotizing fasciitis following calf augmentation. Aesthet Surg J 33(2):293–294CrossRefGoogle Scholar
  16. 16.
    de la Peña-Salcedo JA, Soto-Miranda MA, Lopez-Salguero JF (2012) Calf implants: a 25-year experience and an anatomical review. Aesthet Plast Surg 36(2):261–270CrossRefGoogle Scholar
  17. 17.
    Pereira LH, Nicaretta B, Sterodimas A (2012) Bilateral calf augmentation for aesthetic purposes. Aesthet Plast Surg 36(2):295–302CrossRefGoogle Scholar
  18. 18.
    Datta G, Bellezza E, Obbialero FD, Boriani F (2008) Calf silicone implants: preventing and treating displacement. J Plast Reconstr Aesthet Surg 61(11):1391–1392CrossRefGoogle Scholar
  19. 19.
    Erol OO, Gürlek A, Agaoglu G (2008) Calf augmentation with autologous tissue injection. Plast Reconstr Surg 121(6):2127–2133CrossRefGoogle Scholar
  20. 20.
    Gutstein RA (2006) Augmentation of the lower leg: a new combined calf-tibial implant. Plast Reconstr Surg 117(3):817–826 (discussion 827) CrossRefGoogle Scholar
  21. 21.
    Nunes GO, Garcia DP (2004) Calf augmentation with supraperiostic solid prosthesis associated with fasciotomies. Aesthet Plast Surg 28(1):17–19CrossRefGoogle Scholar
  22. 22.
    Kalixto MA, Vergara R (2003) Submuscular calf implants. Aesthet Plast Surg 27(2):135–138CrossRefGoogle Scholar
  23. 23.
    Dini M, Innocenti A, Lorenzetti P (2002) Aesthetic calf augmentation with silicone implants. Aesthet Plast Surg 26(6):490–492CrossRefGoogle Scholar
  24. 24.
    Rigg BM (2000) Calf augmentation. Aust N Z J Surg 70(5):362–365CrossRefGoogle Scholar
  25. 25.
    Carlsen LN (1996) Calf augmentation. Oper Tech Plast Reconstr Surg 3(2):145–153CrossRefGoogle Scholar
  26. 26.
    Szalay LV (1995) Twelve years’ experience of calf augmentation. Aesthet Plast Surg 19:473CrossRefGoogle Scholar
  27. 27.
    Durak N (2011) Twenty year’s experience of submuscular calf augmentation with silicone gel implants. Eur J Plast Surg 34:147CrossRefGoogle Scholar
  28. 28.
    Lemperle G, Kostka K (1993) Calf augmentation with new solid silicone implants. Aesthet Plast Surg 17(3):233–237CrossRefGoogle Scholar
  29. 29.
    Felício Y (2000) Calfplasty. Aesthet Plast Surg 24(2):141–147CrossRefGoogle Scholar
  30. 30.
    Hendy A (2010) Calf and leg augmentation: autologous fat or silicone implant. Egypt, J Plast Reconstr Surg 34(2):123–126Google Scholar
  31. 31.
    Menichelli Netto N (1999) Correction of limb deformities with silicone prostheses. Aesthet Plast Surg 23:134–138CrossRefGoogle Scholar
  32. 32.
    Carlsen LN (1979) Calf augmentation: a preliminary report. Ann Plast Surg 2:508–510CrossRefGoogle Scholar
  33. 33.
    Aiache AE (1989) Calf augmentation. Plast Reconstr Surg 83:488–493CrossRefGoogle Scholar
  34. 34.
    Carlsen LN, Voice SD (1991) Calf augmentation. In: Vistnes LM (ed) Procedures in plastic surgery: how they do it, chapter 15. Little Brown, Boston, pp 281–294Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Plastic and Reconstructive MicrosurgeryCareggi University HospitalFlorenceItaly

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