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Yuveo Clinic

Calf augmentation / calf surgery in Düsseldorf

On this page you will find information on surgical and non-surgical calf augmentation procedures.

We will inform you about which forms are possible and will be happy to explain the procedure to you at our Yuveo Clinic in Düsseldorf.

Calf augmentation is often considered by patients whose calves are excessively thickened as a result of a disease (in extreme cases, so-called stork legs).

However, calf augmentation for aesthetic reasons has become increasingly popular in recent years.

From time to time, there is also interest in calf implants from the bodybuilding scene. If, despite the most intensive training, the calves cannot be shaped like the rest of the body and there is therefore no physical harmony, the frustration threshold can be exceeded. This is why some athletes are considering tackling this problem with surgical augmentation.

Contents

Procedure for calf augmentation with implants

Personal consultation before the operation

Before the calf operation in Düsseldorf, we will ask you about any existing general illnesses, among other things. Blood-thinning medication should be discontinued in good time. In a detailed consultation, your plastic surgeon will tell you about the techniques of augmentation and explain the advantages and disadvantages. Complications will be discussed in detail.

Procedure of the intervention

Our patients receive general anesthesia for calf augmentation with implants. We recommend a short inpatient stay.

OP techniques

The exact incision depends on whether only the inner or also the outer part of the calf is to be corrected.

When enlarging the inner part of the calf (the most common procedure), we make a 4 cm incision (see illustration) on the inside of the hollow of the knee. When enlarging the outer part, this is done on the outside. If both parts are enlarged (insertion of two implants), a horizontal incision of approx. 5 cm in the middle is sufficient.

From here, we prepare the implant site under a firm layer of fascia on the two-headed calf muscle and place the appropriate implant. As there is hardly any bleeding here, we can dispense with the insertion of drains if necessary.

For bodybuilders, we can place the implant under the head of the two-headed muscle so that it remains visible.

Finally, we suture the wound in several layers. A lightly compressing bandage or support stocking reduces the risk of bleeding and thrombosis after the augmentation operation.

waden vergrößern
Left: underdeveloped calf Right: after insertion of a calf implant
Waden vergrößern, Schnitte bei OP
The diagram shows the incisions for calf augmentation of the inner part of the calf.

Frequently asked questions about calf augmentation

While breast augmentation using breast implants is part of everyday life for plastic surgeons, also here in Düsseldorf, the demand for calf augmentation (see also calf correction) using calf implants is significantly lower. However, the quality of these implants has also improved as a result of developments in breast implants.

Today, leak-proof silicone gel rather than liquid is the standard for them too. The stability of the multi-layered outer shell is significantly increased, so that the probability of breakage is low even in the event of severe bruising and impacts. Calf implants can withstand the strain on the calf.

We have to insert these smooth-walled implants through very small incisions (4 cm) to a depth of 30 cm.

At Yuveo Düsseldorf, we most frequently use the calf implants described here, which consist of a solid shell and are filled with the corresponding gel. However, there are also solid, i.e. firm rubber-like implants.

In principle, two basic forms have become established:

Anatomical calf implants

They are flared on one side and therefore emphasize the upper third of the calf. They are mostly used in men (‘men’s form’) to emphasize the upper calf muscles. Patients who suffer from a thinned calf after clubfoot surgery in childhood also benefit from this shape.

Spindle-shaped calf implants

They are slimmer than the anatomical calf implants and are used in particular to shape female calves (‘ladies’ shape’). Depending on the findings and implant size, these implants can also be used to correct the middle and lower section of the calf.

Implants can also be made to measure for special cases.

  • After the operation, the legs are wrapped or a well-compressing support stocking is worn.
  • Thrombosis prophylaxis with heparin is required. Depending on the degree of movement restriction, the heparin must be injected for several days after the calf augmentation.
  • Crutches provide safety for the first 2-3 days, but can also be used for longer.
  • Especially in the first 2 weeks after the procedure, we recommend restraint during physical exertion and elevation of the legs.
  • You should abstain from sport for approx. 6 weeks.

Calf augmentation without surgery is possible with the highly cross-linked hyaluronic acid – albeit with the trade-off of a shorter effect that lasts around 1.5 years. For more information, read the article MacrolaneTM.

There is also the option of enlarging and shaping the calves with the autologous fat transplantation.

However, this requires that the patient is not too thin, as otherwise no donor region can be found. However, the resulting calf does not look athletically muscular as it is filled with fat.

highly cross-linked hyaluronic acidMacrolaneTM has been on the European market since 2007. It is a highly cross-linked hyaluronic acid (produced using the patented NASHA ™ process, NASHA = Non Animal Stabilized Hyaluronic Acid), which is well suited for filling medium-sized areas.

The cross-linking makes it significantly more stable than the hyaluronic acid used for wrinkle injections. MacrolaneTM therefore lasts a little longer – 1 to 1.5 years. No visible scars remain after the injection.

It is used for buttock augmentation or buttock shaping, calf augmentation or calf shaping or for filling small and medium-sized defects. The pre-aged hand can also be rejuvenated with this product. It is even possible to improve the contour of the décolleté.

Procedure

Injections can be performed under local anesthesia. If the patient wishes, a twilight sleep can make the minor procedure more comfortable.

The injection takes about 20 to 30 minutes, depending on the amount injected and the area. During the treatment, the patient can express her ideas in the mirror. The result is immediately visible.

Costs

The costs for treatment with MacrolaneTM are quite high due to the material costs for large quantities. If the injection is to be carried out under sedation, the price increases. General anesthesia is more expensive.

The injected areas should be cooled and protected.

We recommend that you refrain from sport for approx. 2-4 weeks, depending on the region and the amount injected.

The treated areas should not be massaged!

After the injection with this hyaluronic acid preparation, our patients can go home. We are happy to apply a compression bandage after the treatment. Antibiotic treatment is recommended from time to time. Inpatient monitoring is then not necessary at our clinic in Düsseldorf.

Calves that are too small can be corrected quite well through muscle-building training.

Everything that requires strength in the pointed position of the foot trains the calves – e.g. standing on tiptoe with weights, climbing stairs, hiking, sprinting, etc.

In bodybuilding, extreme calf gains can be achieved through particularly intensive training in combination with a protein-rich diet.

Fact check for implant surgery (1) or filler (2)

(1) Implant surgery
  • Practitioners: Dr. Schumann and Dr. Schumann-Averkiou
  • Anesthesia: General anesthesia
  • Hospital stay: Short inpatient stay
  • Aftercare: Legs wrapped, support stocking, thrombosis prophylaxis, rest for 2 weeks
  • Sport: Abstain from sport for 6 weeks

(2) Filler therapy

  • Practitioners: Dr. Schumann and Dr. Schumann-Averkiou
  • Treatment duration: approx. 20 to 30 minutes

  • Anesthesia:
    local anesthesia, twilight sleep if necessary
  • Hospitalization:
    outpatient
  • Aftercare:
    Cool, protect, do not massage
  • Sport:
    Abstain from sport for 2 to 4 weeks
  • Costs:on request
Wadenimplantat, Silikongel
A calf implant with silicone gel filling.
silikon wadenimplantat
Spindle-shaped calf implant with silicone gel filling. At the right end you can see a U-shaped loop shimmering through, which serves to anchor the guide rod during implantation.

Liebe Patientin, lieber Patient,

wir freuen uns, Sie auch weiterhin persönlich in unserer Klinik in Düsseldorf begrüßen zu dürfen.

Auf Grund der besonderen Umstände bieten wir als Alternative zu einem persönlichen Gespräch eine erste Besprechung per Videosprechstunde an.

Wenn Sie einen Termin für eine Videosprechstunde wünschen, nehmen Sie bitte vorher Kontakt zu uns auf.

Tel.: 0211/24790940  |   Kontaktformular

Unsere Praxismanagerin wird Sie über die weiteren Schritte informieren.

Wir freuen uns auf Sie!
Ihr YUVEO-Team

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Dear patient,

We look forward to continuing to welcome you personally to our clinic in Düsseldorf.

Due to the special circumstances, we offer an initial meeting via video consultation as an alternative to a personal consultation.

If you would like to make an appointment for a video consultation, please contact us in advance.

Phone: 0211/24790940 | Contact form

Our practice manager will inform you about the next steps.

We look forward to seeing you!
Your YUVEO team

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