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Do you want to improve the appearance of your body?
Orthopedic surgery of the lower limb has undergone an important development that has made it possible to solve a wide range of problems, most of them congenital. With the aim of improving ambulation and avoiding foot deformities during development, it is common to find patients undergoing surgery for pathologies such as clubfoot, clubfoot, short achilles … who nevertheless need surgery to reconstruct their calf due to the disproportion of the two legs.
Plastic surgery can offer a solution to these patients.
My preferred technique is submuscular implant reconstruction. The implant lifts the muscle increasing its mass and at the same time increasing the circumference of the calf.
Normally two implants are necessary and if possible they are placed between the two calf muscles and the deeper soleus. The size of the implant is chosen according to the muscle length, i.e. the space available.
The main problem in these legs is that there is not enough room to place two implants and one is usually insufficient. To avoid blood circulation problems in the leg we have to do a two-stage reconstruction.
First an expander is placed, a device that is inflated weekly until the desired volume and circumference is achieved. This process can take about 4 to 6 months, since the leg structures are not very distensible and time is required in the process.
In a second stage, the expander is removed and the definitive implant is placed. The scars remain in any of these options in the hollow of the knee.
But implants do not solve the distal third of the leg, which is the area occupied by the tendons. Here we use adipose tissue grafts to increase the thickness of the subcutaneous tissue and make a more natural contour between this area and the area reconstructed with implants.
We recommend a week off work and no physical exercise with legs for at least 6 weeks.
After this time there are no restrictions.
Implants should never be changed unless a rupture is suspected (usually due to wear and aging of the device). The ultrasound is the tool we use to check that the implants are well positioned and their integrity.
If you have underdeveloped calves and the musculature does not match the rest of your legs, consider calf reconstruction or calf augmentation.
Orthopedic surgery of the lower limb has undergone an important development that has
allowed to solve very diverse problems, most of them congenital. With the
objective of improving ambulation and avoiding foot deformities during the
development, it is common to find patients operated on for pathologies such as clubfoot,
clubfoot, short achilles… who nevertheless need to be operated on to
reconstruct their calf due to the disproportion of the two legs.
Many of these surgeries treat the Achilles tendon. This tendon whose name comes
bulky musculature than the healthy leg.
Even if the function is completely correct and they can do any activity
two problems occur:
There is a disproportion between the two legs that can be quite
ostensible.
It is not corrected with physical exercise and training.
Other causes of atrophy of the calf muscle is poliomyelitis and other neurological
diseases.
