Calf and Gluteal Implants
It is not unusual that women (mainly) find their calves too thin and sometimes asymmetrical. This is often called bird-legs and these women refuse to show their legs by wearing a skirt. Few patients are happier than those who have received a filling of their lower legs. Despite these large silastic implants, the patients have few problems after only a couple of weeks. We have had patients without any problems for over 20 years. Thin calves also exist if the muscles of the lower leg are under-developed. This occurs in connection with several deseases, such as polio or other nerve damages in the lower leg. It is usually the medial muscle bulk of the lower leg that is missing or poorly developed. The reconstruction is performed under general anaesthesia and a small skin incision is made on the back-side of the knee. This becomes the entrance-point for the implant, which has been individually chosen. The missing volume on the medial or back side of the lower leg is replaced. Antibiotics are given after the operation. See examples in the Photo Gallery.
The insertion of calf implants are performed at our modern clinic at the Institute of Plastic Surgery, Western Harbour, Malmö, Sweden.
If the gluteal area (the behind) is flat and thin, this can be regarded as very unattractive and a sign of old age. However, the behind can have this appearance even in young individuals and often after weight-loss. Malformation of the behind can occur in connection with some skin diseases and after polio and nerve damages. Both muscles and subcutaneous fat can be missing. In such instances it is gratifying to use gluteal implants to build up the behind. In some cases a severe asymmetry can be corrected.
Some men like to have a female appearance, and gluteal implants can be the preferred choice. This is common in transsexual men and after a change of gender. The transvestites of Argentine are well-known examples. These procedures are performed under general anaesthesia. The implants are large but well tolerated when placed in the right pockets.
Lipoaugmentation of the Gluteal Area (Buttocks)
For a few years now we have had the knowledge of how to enlarge the behind with autologous fat. Availability of fat is of course a pre-requisite, but this is not always the case. A large amount of fat (200 ml on each side) is desirable and could be needed during 1-3 sessions. For the surgeon, this is a tedious operation, but the result can be excellent. The use of autologous fat rather than artificial implants lessens the risk of complications.
Lipoaugmentation has been performed for many years at the Institute of Plastic Surgery, Western Harbour, Malmö, Sweden.