Such implant aims the correction of legs imbalances or irregularities: Poliomyelitis sequels, congenital malformation, neurological affections, traumas and others. Although it’s been conceived for restoration surgeries it has been successfully used for esthetics as shown by some published works.

We’ve treated patients suffering from the sequels of the poliomyelitis who started to be aware of the esthetic aspects of their legs that show the unwished marks of such highly incapacitating disease. We were part of a group of studies in the 70’s whose aim was to correct such esthetic-functional deformity, recommending the inclusion of specific prosthesis to the legs. Such representation falls over the complementation of volume on the Medial Gastrocnemius muscle.

For the good esthetic resolution of this region, it was decided to enlarge the concept of the legs restoration aiming only the esthetic aspects. Therefore, if you feel bad about your “thin legs”, you can count on a safe solution so that you can fashion shorts and minis as you please. Prostheses or implants for the calves of the legs are aimed to correct the imbalances or irregularities of the legs and are available in two formats:

Symmetric Bases - designed by Dr. Glicestein, as the name, symmetric bases, which allows the use of various implants at the same time to obtain the wished profile. Volumes presented are from 12 to 140 cc.

Asymmetric Base - designed by Dr. Montellano, was designed to get closer to the anatomy of the region, being necessary to employ various implants as per volume. Volumes presented are 85 to 180 cc.

It’s the same prosthesis used for breasts having though a thicker layer to avoid possible traumas in the region.

As per the technique, the region of the scar is positioned in the popliteal cave (behind the knee), mid point to the origin of the Medial Gastrocnemius muscle, 2cm long, followed by the location of the muscular pocket, which is the representation of the muscle over the skin.

Epidural and/or rachial anesthesia is used in such surgery and the patient stays in for 24 hours. In the third day after surgery the patient should walk around slowly and keep a relative rest. The final result is seen in three months.

Possible complications - intra and post op are rare; mild compression elastic tights are recommended and anti-coagulators (Clexane) are taken in the previous night of surgery. We’ve noticed an increasing interest by the men for this plastic surgery.

Many of them practice weigh lifting and cannot develop the calf region. The prosthesis is introduced between the fascia and the muscle by means of a special tool. In some cases we associate a fat injection to give volume to the leg diameter in the areas not fulfilled by the prosthesis.

Prostheses do an excellent job to the esthetic aspect and provide the wished profile.