Abstract
Augmentation of the calves has been performed for over 25 years. Patients seeking this procedure have underdeveloped lower legs that make them self-conscious and their calves are source of embarrassment. This is even more true when the underdevelopment or atrophy is associated with asymmetry, congenital deformity (tibial torsion, pes planus, genu valgus) traumatic nerve injury or disease (polio). In some people exercise would not help in building the musculature in the calves. Calf augmentation with implant has been performed by placing a subfascial silicone implant from a transverse incision in the popliteal crease in a plane dissected between the gastrocnemius fascia and the muscle. Usually either medial and/or lateral gastrocnemius is augmented with the medial one being a larger size. In patients who have lower legs that are also thin from calf to the ankle, just performing the calf augmentation alone would exaggerate the deformity.
Posthumously for Robert A Gutstein.
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Reference
Gutstein RA. Augmentation of the lower leg a new combined calf-tibial implant. Plast Reconstr Surg. 2006;117(3): 817-216
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© 2010 Springer-Verlag Berlin Heidelberg
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Farzadmehr, A., Gutstein, R.A. (2010). Lower Leg Augmentation with Combined Calf-Tibial Implant. In: Shiffman, M., Di Giuseppe, A. (eds) Body Contouring. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02639-3_40
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DOI: https://doi.org/10.1007/978-3-642-02639-3_40
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