Calf reduction? This may come to you as a surprise since I have been discussing calf AUGMENTATION for over 17 years now in Toronto, for both men and women.
As many know now, augmenting calf with implants is very common in my practice and I am likely the Canadian plastic surgeon performing the bulk of those procedures in Canada, along with pectoral, hip, buttock augmentation and all types of facial implants. When discussing calf augmentation, we have implants to both improve the muscular look of one’s calves and/or to augment the entire inner lower legs in patients with thin lower legs and/or with a bowed-legged look.
Yet, CALF REDUCTION is a relatively frequent request in my office, and it is usually a ladies’ request.
Calf reduction surgery, in USA and Canada, involves a specialized type of liposuction.
One has to determine if the hypertrophy is fat, muscles, bone or a combination of the above. Assuming there is indeed extra amount of fatty tissue, one can safely undergo liposuction of the lower legs. This is performed with smaller-than-average cannula. Tumescence-assisted liposuction is used. I like to place my incisions on the sides (ankles and knees) as to make them the least visible possible. We, plastic surgeons, must be very meticulous and attentive as this area is sensitive to getting “cannula tracts” as the lower legs, unlike other parts of the body, do not have two defined layers of fat (deep and superficial) but rather a single one. That is why I like to use our small 2 and 3mm cannula and the older but safer SAL (suction-assisted) liposuction system. This is also why many plastic surgeons won’t do this procedure as it requires much attention and meticulous care (i.e. it is not a fast surgery).
This procedure usually involves a 360-degree liposuction around the calves and ankles. Patients will often add liposuction to inner knee, to above the knees, inner and outer thighs, etc.
Pain is quite light post-surgery. Recovery is also relatively gentle. Compression socks or garment are recommended for 3-4 weeks to minimize the normal swelling that occur after liposuction to lower extremities. Bruising will usually subside 1-3 weeks post surgery and swelling (edema) 1-6 weeks post-operatively, so one must plan a pool or beach vacation accordingly. Sports should be avoided for 3-4 weeks.
Dr. Marc DuPéré, aesthetic plastic surgeon