Procedure
Calf implantation is a surgical procedure that must be performed in a hospital with an inpatient stay. The procedure can be performed under general anesthesia or anesthesia of the spinal cord. Depending on whether only the inner or also the outer part of the calf is to be enlarged, a different incision is made.
Often only the inner part is provided with an implant. For this purpose, the surgeon makes an approximately four-centimeter-long incision either on the inner or on the outer side of the hollow of the knee. If both sides are enlarged, a slightly wider horizontal incision is made.
The implant is placed on the gastrocnemius muscle. This is a two-part muscle on the surface of the fibula. It is prepared for this by removing its fascia, a thin layer of connective tissue that lies directly on the muscle, so that the implant lies directly on the muscle tissue.
If a patient, in most cases a bodybuilder, wants the gastrocnemius muscle with your two muscle bellies to remain visible, the implant can also be placed under the muscle heads. Then the wound is sutured and closed in several layers. It is additionally treated with a light wrapping bandage and, if necessary, a support stocking.
The support stocking and an additional dose of heparin serve to prevent thrombosis. Depending on the degree of mobilization, this must be maintained for several days after the operation. In general, the patient should not put too much weight on his or her legs after the operation and should only cover short distances with the help of assistants and supports.
Even sports activities should only be started again carefully after six weeks. Despite careful surgery and adherence to hygiene measures, numerous side effects can occur after the operation. Every operation involves risks for the whole body, including thromboses, embolisms and severe postoperative pain.With calf implantation there are special risks, because a foreign body has been implanted, the patient must expect swelling and irritation in the leg and foot area.
In addition, bruising or fluid accumulation can occur, but these can be avoided by wearing support stockings and, if necessary, by placing drains. The risk of postoperative infection of the wound and hardening of the implant cannot be ruled out. In rare cases, the implant may be displaced and thus cause visual disturbance or the silicone of the silicone cushion may even leak from the wound.
