• Calf muscles

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Calf augmentation or calf implant is a plastic surgery procedure that increases the size and shape of the calf muscles. It is a procedure performed on people who are dissatisfied with the shape and size of their calf muscles. Most women with smaller calf muscles fill uncomfortable wearing attire that exposes their legs. For this reason, the women with calf muscles that are disproportionate from their thigh size will consider getting calf implants.

Although regular exercises can sometimes improve the size and shape of calf muscles, the outcome might be irregular. Calf implantation can remedy such problems by the use of solid and soft silicone implants. This procedure can be performed on anyone with average physical conditions and of good health.

The purpose of calf implants

Calf implants are meant to create perfect leg proportions thus creating a more confident feature. It is also a procedure intended to improve congenital deformity such as poliomyelitis, and club foot by placing silicone implants on the affected limb.


Implants are distinguished by their size and the material used to make them. There are calf implants infused with silicone gel, and there are those formulated from a firm silicone.

  • Solid calf implants

The biggest advantage of the solid silicone calf implants is that they can be shaped individually and can also be cut to fit even during the operation process. The only disadvantage is that they are very firm thus often felt. They are also expensive.

  • Silicone gel

Calf implants made of silicone gel are economical and give a more comfortable filling after surgery. They are often smooth and can hardly be felt in the body. The only disadvantage is that they cannot be reshaped after manufacturing. Shaping them when performing the operation is impossible.

Implants shapes

  1. Symmetry

Cigar shaped calf implants are commonly used to shape women’s calves. These implants are also used to correct the middle and lower sections of the calf.

  1. Asymmetry

The anatomic calf implants are bigger on one side. Thus, they highlight the top third of the calf.  Male patients prefer them as they assist in achieving a more masculine feature. Patients with a history of clubfoot can use these implants as well.

Number of implants

The normal number of implants per leg is usually two. A leg may need 1 or 2 implants.

Implant size

Before an operation, the doctor will measure the height of your calf muscle and choose a proper implant size.

Implant placement

  1. Sub fascia placement

This procedure is popular since it involves less dissection and is simple.  The procedure also results in faster recovery with patients reporting less pain after the operation.

Some of the disadvantages of sub facial include drift and rotational movements in the calf implant. The patient might also fill the perimeter edges of the implant afterwards since the implants are usually harder than the muscles with less tissue covering the implants.

  1. Sub muscular

The biggest advantage of the sub muscular implant placement is that the implant is placed more securely and accurately within the gastronomies and oleos muscles. This calf muscle that has deeper fascia tissue allows for more aesthetic placement of the implant.

The sub muscular implant, however, requires a more complicated procedure as the operation delves deeply into tissue. The patient also needs more time and can cause a lot of discomfort before healing begins.


There are a couple of pre-operation preparations for patients to make. First, it is important for the patient to make the decision on the doctor that will perform the operation. The following is a list of some important consideration to put in mind before the operation.

  • Determine the type of silicone you need
  • Determine the shape of the silicone you want
  • Make sure the size of the silicone implant is right
  • Choose a silicone implant placement procedure that is right for you
  • Prepare for the incision.

Pre-operation preparation

  • Patients should abstain from food and water 6 – 8 hours before the operation takes place.
  • If the patient is working, preparations for a two-week work leave is a must.
  • It is also important for you to inform your doctor about your medical history.
  • Inflammatory drugs such as aspirins and other medications that can cause anticoagulation must be avoided 2 weeks to the operation.
The Procedure

Before the operation, the patients will be given general anesthetic. Then an incision will be opened on the popliteal line around 4-5cm.

A pocket for the silicone implant is then made, and the implant is inserted. After the implantation, the open incision is stitched up, and the procedure should take about 2-3 hours.

Post Operation

After the operation, the patient should take a day to rest while conducting evaluation of the leg to avoid any swelling. Special stockings have to be worn for at least 2-3 weeks. For a month, patient’s fond of high heels should avoid wearing such shoes. With a well-followed prescription, the incisions should be able to heal within 7-10 days.