This text provides basic information on the principles and procedure of calf augmentation surgery using a prosthesis. A good understanding of the course of the intervention and the expected result is essential before considering it. It must be emphasized that the goal of this surgery is to bring about an improvement and not to obtain perfection. If your wishes are realistic, the result will satisfy you.
The initial consultation
The initial consultation makes it possible to assess your state of health, to specify the procedures for the intervention and the location of future scars.
You will be asked to completely stop smoking at least one month before the surgery date.
The anesthesiologist will be consulted less than a month before the operation. No medication containing aspirin should be taken within 10 days prior to the operation. It is imperative to remain on an empty stomach (do not eat or drink anything) 6 hours before the procedure. Before the intervention and the two previous days, an antiseptic soap will be used for the shower.
On the day of the operation, allow enough time to arrive at the scheduled time, without excessive stress. It is important to provide someone who can accompany you home after your hospitalization and who may help you in the first days following your surgery.
The principle is to introduce through an incision a flexible prosthesis in front of the calf muscle called the twin muscle. The prosthesis consists of a silicone shell and a silicone gel filler. The incision is made horizontally in the popliteal fossa (the fold behind the knee). The operation is performed under general anesthesia. Outpatient hospitalization is usually sufficient.
After the procedure
You may feel discomfort and fatigue for 2-3 days.
The pain is generally relieved by conventional analgesics. The hospitalization is of short duration. The first dressing is applied after 24 to 48 hours. If draining occurs, the drain will be removed at this time. The absorbable sutures are usually hidden in the scar and do not need to be removed. A break from work for a period of one week is generally necessary depending on your physical activity. A suspension of 2 months from all sporting activity is recommended. It is important not to expose the scar to the sun for at least 6 months and to protect it with a total screen after this period. The final result is assessed from the 3rd month.
Any surgical procedure, even carried out with competence in conditions of maximum security, carries a risk of complication. There are risks of reaction to anesthesia.
You should know that the anesthetic techniques, the products used and the monitoring methods have made immense progress. They offer optimal safety, especially when the intervention is performed outside of the emergency room and on a healthy person, but they nevertheless carry the risk of serious complications. The occurrence of a hematoma around the prosthesis in the first postoperative days can lead to a new intervention. The occurrence of an infection is a rare complication. It most often appears in the weeks following surgery. The implant usually needs to be removed. It will take several months before a new implant can be placed.
The fibrous capsule phenomenon around the implant is a natural reaction of the body to a foreign body. In some cases this phenomenon is exaggerated and leads to a fixed appearance of the prosthesis. The appearance of this hull is unpredictable and can lead to a new intervention. The rupture of the prosthesis can appear after a traumatism or because of the normal wear of this one. This involves removal and replacement of the prosthesis. A displacement of the prosthesis is possible in the first month. In this case, a short intervention is preferable to reposition it.
Calf augmentation surgery leaves scars. The evolution of these scars is unpredictable and can be unfavorable with the occurrence of pigmentation, hypertrophy (red and inflammatory scar) or even keloids (purplish indurated pad). These scarring complications can compromise the aesthetic appearance of the final result. If a complication appears, close monitoring is necessary and compliance with the instructions imperative.
Contact Doctor Desouches, plastic surgeon in Marseille to have more information on the operation of enlargement of the calves.