Calf Contouring with Endoscopic Calf Implanting and Structural Fat Grafting

Unnatural curves of the lower legs are causes of concern for many women and men. Contour problems of lower legs related solely to shape may merit lipoplasty as a remedy. If thickness is the cause then calf muscle volume reducing procedures might be the procedure of choice. If the problem with legs are overall shape, indentation or bulges on both sides and paucity of an aesthetic shape what are our surgical options? The answer to the question is discussed in detail in this chapter. Endoscopic calf augmentation with combination of suction-assisted lipoplasty and structural fat grafting is introduced. This method requires release of fascia covering muscles of the inner leg bulge via endoscopic approach and simultaneous calf augmentation with calf implant, liposuction, and structural fat grafting to optimize the results. The procedure is well tolerated with minimal discomfort during the postoperative period. Improvement in diameter and contour of proximal as well as distal legs are significant. Lower leg contour is satisfactorily developed by endoscopic calf implanting combined with lipoplasty and structural fat grafting. Endoscopic fasciotomy with calf implant placement and structural fat grafting is a simple, effective, reliable, and predictable technique for calf contouring.