Currently, there is an increase in the interest to have bigger volumen and definition in the area of the calves. It is true that weight training for this part of the body can help gain muscle mass in this area and cause some toning. However, in some cases even the most strenuous exercise isn’t enough to cause a significant increase in volume and the only way to achieve a harmonious contour of the leg compared to the thigh, is with semirigid silicone implants. There are many different types of calf implants in the market, with different shapes and sizes. There are silicone gel and solid silicone implants. The silicone gel implants are available in symmetric sizes, which are ideal for the general populations. They are also available in anatomic sizes (asymmetric), which can be used for bodybuilders who need a more dramatic volume. On the other hand, the solid silicone implants can be shaped by the plastic surgeon according to the patient’s anatomy and needs.
In order to determine if a man is a good candidate for this surgery, a consultation must be done in order to first of all evaluate the patient’s expectations in regards to the surgery. Also, a physical exam must be performed and among other things, it is important to determine if there is any asymmetry between the calves. The quality of the skin, subcutaneous tissue and muscle is also assessed. Those men with very thin tissues or with significant hypoplasia of the muscle may not be capable to accommodate a big implant.
The implants are introduced through incisions in the crease behind the knees and may be set in place in two different ways: below the fascia or below the muscle. The former is the most common one because the procedure is less invasive, less difficult, and the recovery is quicker and less painful. However, sometimes this technique may develop an implant rotation or a palpable implant and the final result may not be the one desired, because the shape of the calf will depend on the implant and not the muscle tissue. On the other hand, the submuscular technique is considered to be more difficult because the surgeon must dissect deeper into the muscle tissue. The recovery is longer and more painful. However, the implant is more secure and well located. Also, the final result is more pleasing because the muscle tissue covers the implant.