This surgical procedure is performed in our out patient facility under general anesthesia. Regional spinal anesthesia or local anesthesia with intravenous sedation may also be used. Calf augmentation usually takes from one-and-a-half to two hours. Preoperatively, in front of a full-length mirror, sizers are placed on the claves to determine appropriate location and outline the precise “pockets” for the implants. Planning and placement are crucial. Implants placed too posterior will not show adequate enhancement when viewed from front and behind. The incision in the natural crease behind the knee is outlined. With positions and outlines completed and agreed upon, the patient speaks with the anesthetist/anesthesiologist and is brought to the operating room. After asleep, the patient is turned on to his or her stomach and the legs prepped. Local nerve blocks, combined with medication that shrinks blood vessels and capillaries to reduce bleeding, are instilled. A one-and-a-half to two inch incision is made in the natural crease behind the knee. The incision is continued through the tough connective tissue fascia that covers the gastrocnemius muscle. A long blunt dissector carefully creates a pocket between the fascia and the underlying muscle.
It is important to make the pocket just large enough to accommodate the implant to avoid post-operative displacement. The implant is then carefully inserted into this space to insure the implant lies correctly without buckling or folds. The same procedure is followed for the additional implant(s). The fascia and skin are closed with dissolving sutures, which are placed under the surface of the skin in the dermis to avoid cross- hatching and allow for the finest healing. With both legs symmetrical and complete, they are wrapped with compression bandages and the patient is returned to a face up position. Once awake, the patient is taken to recovery with the legs elevated.
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2954-B Aventura Blvd Aventura, Florida 33180
Tel: (305) 933-1838
Fax: (305) 933-1850