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Calf augmentation : This operation involves the placement of specially designed silicone gel prostheses in the calves of people who have a relative underdevelopment of the calves.



Who should have this operation?
For obvious reasons this operation is intended for those people who have been seriously underendowed with natural calf development. It is extremely difficult if not impossible to develop calves even with sustained and strenuous exercise



Will I be very bruised and swollen?
There is not generally a great deal of bruising with this operation but the swelling will last for ten to fourteen days during which time the calves will feel tight and walking will not be comfortable.



How long will the operation last?
This operation should last for many years.



How is the operation done?
An incision is made at the back of the knee. A pocket is created under the fascia covering the muscles of the calf and the prosthesis is placed in the pocket.




What sort of anaesthesia is required?
This operation is performed under general anaesthetic.




How long will the operation take?
The operation last between 1- 1 ½ hours.




Is the operation very painful?
This operation is painful as it requires placing a prosthesis in an area of the body where there is very little laxity. A cavity has to made where none exists and, once the prosthesis is in situ, there is very little room for movement. This is accentuated by the normal postoperative swelling which makes it very difficult for the patient to walk comfortably for up to two weeks.




How long will I remain in hospital?
You will need to remain in hospital for at least twenty-four hours at bed rest and with the legs elevated.




When will I be able to resume exercise?
As described above, it will be some weeks before you will be normally mobile. It will not be possible to resume anything other than very gentle exercise for at least four to six weeks after the op.




What complications can I expect after this operation?
The most significant is the swelling and pain described above. These will be minimized by means of the use of anti-inflammatories, elastic supports, elevation of the legs for the first ten days postop and gradual return to mobility and exercise.