Calf plasty with implant: secondary surgeries

Calf augmentation is a quite popular surgery in Russia. However, there is insufficient data on complications after the implants’ installation, its analysis is missing, and methods for correction and prevention of complications are not developed.The author has the experience of 53 re-surgeries after calf plasty with implants. The incorrect selection of implants was the cause of correction in 36 patients, the surgeon’s errors in their installation in 7, the implant displacement in 4, and its contouring in 6 women. The analysis of each group of complications was performed.The author considers the installation of implants under the medial head of the gastrocnemius muscle as the method of choice for secondary surgery, which prevents implant displacement and isolates it from the previously formed cavity. The result of the correction directly depends on the proper selection of implants. The author recommends using his own method of implant selection, considering the length of the gastrocnemius muscle and the harmony of the leg contour. Sufficient knowledge of the anatomy of the lower leg is necessary to eliminate technical errors.Implant visualization after calf augmentation for aesthetic reasons was observed in 26 out of 561 cases, and in 3 of those cases an implant replacement surgery was required. To a large extent, contouring of the implant is observed due to its design. The advantage of custom-made implants of improved shape is shown.