Safety and Efficacy of Subfascial Calf Augmentation

Andjelkov, Katarina; Sforza, Marcos; Husein, Rodwan; Atanasijević, Tatjana; Popović, Vladimir

doi:10.1097/prs.0000000000003120

Cited by 13 publications

(4 citation statements)

References 31 publications

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“…Many surgeons and physicians have thus been looking for ways of correcting or altering the forms and volumes of calves and upper arms. [1][2][3] In fact, the popularity of arm lifting (brachioplasty) has grown rapidly in previous years, with a 2017 top 5 ranking for the fastest growing surgical procedures with more than 18,000 performed procedures in a single year. 4 Similarly, for calves, the most popular procedure is surgery, specifically the insertion of calf implants or autologous tissue transfer.…”

Section: Introduction Imentioning

confidence: 99%

MRI Assessment of Arm and Calf Muscle Toning With High-Intensity Focused Electromagnetic Technology: Case Study

Katz¹

2020

JDD

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Arms and calves have long been a subject of interest in aesthetic medicine. Current surgical and non-invasive procedures focus on sagging skin and fat deposits without targeting the muscles. The aim of this study is to investigate the feasibility of high-intensity focused electromagnetic (HIFEM) technology for arm and calf toning through simultaneous fat reduction and muscle strengthening. In this case study, two subjects received four 20-minute HIFEM treatments of biceps, triceps, and calves, with the outcomes assessed by MRI. The analysis of MRI images showed an average increase in all three muscle groups, biceps muscle mass 17.1%, triceps muscle mass 10.2%, and gastrocnemius muscle mass increased by 14.6%. In addition, the arm fat thickness was decreased by 12.8% on average and the calf fat thickness decreased by 9.9%. The results suggest that HIFEM technology is a feasible modality for both arm and calf toning. However, it will be necessary to continue to validate this outcome in a larger sample size study.

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Section: Introduction Imentioning

confidence: 99%

MRI Assessment of Arm and Calf Muscle Toning With High-Intensity Focused Electromagnetic Technology: Case Study

Katz¹

2020

JDD

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“…We are convinced of the essential benefits of using 3D elastomer implants rather than classic gel-filled standard implants. The lack of implant models and choice of available sizes was recently strongly emphasized by Andjelkov et al 3 Moreover, we believe that we have demonstrated the value of computer-aided design and rubber elastomer for the correction of congenital thoracic malformations such as pectus excavatum 4 and Poland syndrome. 5 Overall, these implants are not likely to rupture in the long term and are in place for life.…”

mentioning

confidence: 61%

Correction of Calf Atrophy With a Custom-Made Silicone Implant for Reconstruction: An Update

Lupon¹,

Chaput

Moreno³

et al. 2020

Aesthetic Surgery Journal

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“…In recent years, both women and men have shown an increasing interest in the appearance of their thighs and calves, which has run along with the increasing demand of aesthetic procedures of this area. 2–22 In the US in 2018, there were 10,100 thigh lifts performed, 9614 in women (95.1%) and 486 in men (4.8%), and also 655 calf augmentations, 377 in men (58%) and 278 in women (42%). 23 Surprisingly, our population showed a different distribution, as men required less calf augmentations compared with women, and women actually sought the appearance of stronger legs and more voluminous thighs compared with men.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Although they may improve the overall appearance of the leg, their use has several potential complications, including hyperpigmentation, seromas, extrusion, infection, capsular contracture, secondary surgery, and compartment syndrome. 1,[8][9][10] Comparatively, fat grafting is likely to volumize the leg with a reduced likelihood of complications due to the autologous nature of the tissue transfer. We did an anatomical review and cadaveric dissections of the quadriceps and the gastrocnemius muscles before and after our fat grafting technique to provide safety recommendations.…”

Section: Introductionmentioning

confidence: 99%

Adipose Tissue Transfer in Dynamic Definition Liposculpture Part II. The Lower Limb: Gastrocnemius, Vastus Medialis, Vastus Lateralis, and Rectus Femoris Muscles

Hoyos

Stefanelli

Perez

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: One big challenge of body contouring surgery is the liposculpture of the lower limbs, probably because of the imperative symmetry and the risk of contour irregularities. We are reporting our experience in fat grafting of the thighs and calves for men and women undergoing dynamic definition liposculpture. Methods: We did cadaveric dissections of the vastus lateralis, vastus medialis, rectus femoris, and gastrocnemius muscles and identified each of their primary pedicles. We also performed fat grafting of these muscles in the contralateral virgin cadaveric specimen. We searched our records for patients who underwent fat grafting of the lower extremity in addition to dynamic definition liposculpture, from January 2016 to May 2022 at a single center in Bogotá, Colombia. Results: Seventy-three consecutive patients met the inclusion criteria (26 men and 47 women). We grafted 102 gastrocnemius muscles, 86 vastus medialis muscles, 98 vastus lateralis muscles, and 22 rectus femoris muscles. Mean age was 34 and 41 years for men and women, respectively. Range of the fat graft volume was 50-200 mL. No complications were recorded related to fat grafting. Almost all patients were satisfied with the procedure (89%). Follow-up period ranged from 2 to 36 months. Conclusions: Fat grafting of the lower limb muscles should be considered an alternative operative technique to enhance volume and athletic appearance of this body segment. Based on cadaveric dissections and clinical evidence, our technique is considered reliable and reproducible with remarkable outcomes and a very low complication rate.

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Safety and Efficacy of Subfascial Calf Augmentation

Abstract: Therapeutic, V.

Cited by 13 publications

References 31 publications

MRI Assessment of Arm and Calf Muscle Toning With High-Intensity Focused Electromagnetic Technology: Case Study

MRI Assessment of Arm and Calf Muscle Toning With High-Intensity Focused Electromagnetic Technology: Case Study

Correction of Calf Atrophy With a Custom-Made Silicone Implant for Reconstruction: An Update

Adipose Tissue Transfer in Dynamic Definition Liposculpture Part II. The Lower Limb: Gastrocnemius, Vastus Medialis, Vastus Lateralis, and Rectus Femoris Muscles

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