Calf augmentation

Calf augmentation is a plastic surgery procedure performed to increase the volume of the calves. This way symmetry of the legs and body is achieved.

Who is the ideal candidate for calf augmentation?

  1. Men or women who wish to enhance the volume of their calves because they are either very thin, curved or asymmetrical.
  2. Bodybuilding athletes who failed to enhance their calves with exercise.
  3. Patients with
    • Poliomyelitis
    • Spina Bifida
    • Club Feet

Men or women who experience a reduction of the muscular substance of the calf

How is the procedure performed?

There are 3 ways to perform a calf augmentation procedure:

  1. Silicon implants
  2. Fat transfer
  3. Hyaluronic acid injection

Α) Silicon implants

This is the most common method used and the only one that can yield a permanent result as well as significant enhancement of the calf volume. Silicon implants come in a great variety of shapes and sizes. They are either placed above or below the muscle (gastrocnemius). They usually enhance the inner belly of the muscle although they can be placed on both bellies of the muscle. Placement is performed with local anaesthesia or a combination of local anaesthesia and sedation or epidural anaesthesia. The procedure lasts 40 minutes and the patient can go home on the same day. The incision is 3-4 cm long, made behind the knee.

Complications from the use of implants

  • inflammation
  • haemorrhage
  • hygroma (fluid concentration)
  • capsular contracture
  • implant dislocation
  • deep venous thrombosis

Although complications are rare when patient is in good hands, these must be thoroughly discussed with your plastic surgeon.

What is recovery like after implant placement?

Patients may go back to work within 7 days, depending, however, on the method the doctor has used. You should expect light pain after surgery and slight bruising and swelling.

  • Straight after surgery, feet are placed on two pillows
  • For the first few days, it is advisable to place your legs high when sitting on a chair
  • Wear slippers or low-heel shoes (4-6 cm high)
  • You may walk immediately after surgery, but you must not overdo it since there is a risk of hygroma (fluid concentration) and implant dislocation.
  • Running is allowed 6 weeks after surgery.
  • If visiting from out of Athens, it is better to be accompanied by an adult.
  • When lying down, keep moving your toes and feet.
  • Do not shave your legs for 2-4 weeks and avoid sunbathing for 4-6 months.
Τεχνική Ενθέματα σιλικόνης
Τεχνική Ενθέματα σιλικόνης
Τεχνική Ενθέματα σιλικόνης

Β) Fat transfer for Calf Augmentation

Liporecycling is a technique used to remove fat from certain areas of the body and re-infuse it into the calves. Usually 75-150 cc of fat is necessary for each calf. The procedure is performed with local anaesthesia and no hospitalization is necessary.

The technique used for fat grafting also affects the way fat will be absorbed by the body.

The volume achieved with fat transfer is usually smaller compared to the volume silicone implants yield.


  1. Use of tissue from same patient
  2. Possibility of fewer complications , e.g. inflammation, haemorrhage
  3. No contracture possibility


  1. Difficulty in estimating the shape and size of application following surgery
  2. Part of the fat will be absorbed, and we might need to make a second or third effort to place the fat again.
  3. Ο ασθενής πρέπει να έχει τουλάχιστον 150-200 cc λίπος σε άλλες περιοχές του σώματός του
Τεχνική Λιπομεταφορά για την Αύξηση της Γάμπας

C) Use of Hyaluronic Acid (Macrolane)

High-density hyaluronic acid in 20 cc syringes is used. A repeat session must take place after 12-18 months because hyaluronic acid is absorbable. The procedure is performed under local anaesthesia, without incisions.

Τεχνική Χρήση του Υαλουρονικού Οξέος (Macrolane)

Is calf augmentation a common procedure?

Calf augmentation is a plastic surgery procedure which, although only performed by a few experienced plastic surgeons, has become quite common during the last years.

Men choose to undergo this procedure to gain volume on their legs.

Women usually undergo the procedure to gain symmetry in their anatomy, so that their calves will appear to be in harmony with their thighs. Patients also opt for this procedure in cases of curved or asymmetric calves or in the abovementioned cases of:

  • poliomyelitis
  • spina bifida
  • club fit


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