Dr. Chugay has worked tirelessly to expand the use of muscle augmentation surgery. As an example, the calf implant has been used to treat several patients born with club foot deformity. By placing an implant into the affected limb, patients are able to see an improvement in symmetry, making them less self conscious when out in public. Care must be taken, however, to minimize tension in the affected limb as an excessively large implant can cause compromise of circulation to the distal aspect of the limb.
Calf implants mimic the natural shape of the calf muscle. It is made of solid very soft pliable silicone-based material. It is uniquely lozenge-shaped and anatomically correct. There are other implants available; however, Dr. Chugay, after many years of experience, has determined that they do not have the same natural anatomic configuration as the one that he currently uses.
What is the Word on Silicone?
Silicone is a generic term for a family of polymers derived from the element silicon (Si). Silicone is biologically inert. There are two major types of medical-grade silicone: liquid and solid. The breast implant controversy involved liquid silicone encapsulated in a hard shell. When the implant leaked, liquid silicone was dispersed in the body, often producing problems.
It is a fact, however, that solid silicone will not "leak out." Furthermore, there have been absolutely no clinical findings of cancer risk from solid (or recently - even liquid silicone). Plastic surgery savvy customers know that many facial implants, including chin, cheek and jaw are usually made of soft solid silicone. The conclusion: solid silicone is just as safe as basically any other implant material. However, you should always remember that a foreign material is not a part of your body - there will always be risk for infection, implant migration, and local tissue reaction.
A cut is made on the posterior aspect of the leg, horizontally in the posterior knee fold. A pocket is made between the lining of the muscle and the calf muscle itself with blunt instruments to minimize bleeding and unnecessary pain post-operatively. The implant is then placed in the pocket. The muscle lining is sutured with absorbable sutures and subcuticular sutures are used to close the skin. Over time, the implant becomes surrounded by a scar tissue pocket, where it stays for the rest of the person's life.
What is Unique About Dr. Chugay's Technique?
A Word on Blunt Dissection
Remember: the hallmark of Dr. Chugay's methodology in any operation is the dissection. Whenever possible, Dr. Chugay will use blunt instruments. Although this does prolong the operative time, the benefits to the patient are numerous:
It is unfortunate that most surgeons still prefer to use sharp instruments; hopefully, as time goes by, more physicians will learn the intricacies of the blunt dissection technique.
Suturing: Can your Scar be Less Noticible?
The answer is a resounding: "YES!" Dr. Chugay in most procedures (whenever possible) will use subcuticular sutures. They are dissolvable and hidden UNDER the skin, not on TOP of it! This minimizes post-operative scarring, making the incision almost un-noticed by the untrained eye.
What does Artistry have to do with it?
Everything. In Muscle Augmentation, artistry comes into play both during conceptualization and execution. Dr. Chugay will consider every factor: your body type, symmetry, proportions, the desired result and the most effective outcome with the least invasive action. Unique implant designs are created and proposed implant locations are selected. Finally, a custom-made implant, created just for you, will be manufactured and skillfully inserted to give you the look you've always wanted.
Dr. Chugay utilizes a combination of local anesthesia and IV sedation. You will be asleep and comfortable during the procedure. The risky general anesthesia is not used. Dr Chugay is pleased to offer Goldilocks Anesthesia.
Many surgeons still utilize general anesthesia. After all, the patient is completely paralyzed and is easier to work on. However, surgeon's ease does not translate to the patient's advantage. Another reason why so many surgeons choose general anesthesia over IV sedation is the experience of their anesthesiologist. It takes more experience to administer IV sedation. Many anesthesiologists and nurses anesthetists do not know how to handle it properly. Many anesthesiologists have little practical experience with sedation. It takes a lot of skill to make certain that patients are comfortably asleep and do not wake up during surgery.