The Shape of Legs to Come

Dr. Nikolas V. Chugay, DO – (The Shape of Legs to Come — Cosmetic surgery creates a step up to impeccable curves in those calves)
By: Rich Smith

Dr. Nikolas V. Chugay, DO – (The Shape of Legs to Come — Cosmetic surgery creates a step up to impeccable curves in those calves)

By: Rich Smith

“Nothing beats a great pair of legs!”

So goes the famous 40-year-old advertising slogan of name-brand pantyhose maker L’eggs, a slogan still used today because it conveys a timeless truth: Shapely stems get noticed. Trouble is, it takes more than decent nylons to produce fabulous-looking legs.

Good genes are the most helpful. Stiletto heels, jogging, old-fashioned iron-pumping, they all help, too. But what if you were short shrifted in the gene department and can’t seem to develop that attractive calf silhouette no matter how many leg-lifts you do or pairs of Jimmy Choos you own? The fix for you might be calf implants.

Long a popular procedure among women, calf implants are fast becoming a cosmetic surgery choice among image-conscious men.

Calf implants proved the right choice for Jim, a 47-year-old Southern California native who longed to spend more time outdoors. For most of his adult life Jim was extremely selfconscious about his bowed and stick-like legs. “I had a complex about letting anyone see my legs,” he explains. “There were a lot of outdoor activities I just never would do. Going to the beach, for example. I stayed home a lot.”

Across Gender Lines

According to Jim’s doctor, Nikolas V. Chugay, DO, of Chugay Cosmetic Surgery Medical Clinic Inc. in Beverly Hills, Calif., about 60 percent of his patients who have calf implants are women. The majority of them undergo this procedure because they desire anatomically balanced legs. Heels don’t always create the curves where you want them most.

But, that’s not to say that their male counterparts don’t also long for shapely legs. Cosmetic surgeon Chasby Sacks, MD, of Arizona Cosmetic Surgery in Phoenix, says that about 70 percent of his patients are men.

“Many patients come to me because they won’t wear dresses, if they are women, or shorts, if they are men, until they have the operation done,” Dr. Sacks admits. “Men being teased with names like ‘chicken legs’—they all feel much more comfortable with their appearance afterwards.”

The source of those stubbornly stick-like stems? Another reason to blame your parents.

“You have to have the right kind of genetics to develop these muscles. Most people can’t build them no matter how much they work out,” explains Dr. Sacks. “Sometimes patients don’t have enough muscle development. Bodybuilders have tremendous trouble building this muscle.”

But, how do calf implants overcome those inadequate genes and not look artificial?

“Calf implants mimic the natural shape of the calf muscle. They’re made of solid, very soft and pliable material that’s silicone-based,” Dr. Chugay explains.

The anatomically correct devices—two per leg—come in a variety of dimensions to achieve different effects.

“Overall, they are designed to add volume to your underdeveloped legs and structurally give appropriate shape,” he says.

Surgery Shape-up

A single calf implant on each side can be placed to fill in a deficient inner calf muscle without augmenting the outside of the lower leg. But in many cases, both sides of each leg are implanted during a single surgery session. Sometimes, the preferred way to go is by placing an implant on one side of each calf, then, six months later, placing the second on the opposite sides. In cases where one leg is normal in size and shape, implants may be necessary for only the thinner of the two, Dr. Chugay explains.

Be aware that this procedure carries with it a slight risk of minor nerve damage that can cause numbness in the foot.

Calf implants are ordinarily an outpatient procedure, with the work completed in about 30 minutes to 45 minutes per leg. Fat transfers are often performed on the ankles to improve symmetry where calves and feet meet.

For surgery, Dr. Chugay’s calf implant patients are usually under intravenous twilight-sleep anesthesia. “I also put local anesthetic into the area of the calf so that nothing is felt during the operation or immediately after,” he adds.

The surgical technique for placing the calf implant is similar to that performed in breast augmentations. The surgery involves making a small incision in the back of the knee, directly in the fleshy fold, and, then creating a pocket between the lining of the calf muscle and the muscle itself.

Dr. Chugay says he performs the surgery in such a way that helps to minimize bleeding and reduce the risk of injury to tendons, nerves, blood vessels and other tissues. Patients are then sent home the same day with a week’s supply of pain medication.

Show Off!

During the recovery period, you can expect to rely on crutches for at least a few days and to wear a compression stocking over each leg for at least two weeks. You will have to curtail your physical activity for a full month, but light exercise should be possible in about two weeks post-surgery.

Jim says his own recuperation lasted six weeks, at the end of which he excitedly packed his swim trunks and hopped a flight to Hawaii to celebrate.

Today, a year later, Jim is just as thrilled with his implants. Not only does he have those curves in his calves, but the implants don’t interfere with exercise and other vigorous activities, such as running.

“I still can’t get over what an amazing difference this has made in my life,” he marvels. “My self-esteem is way up. I’ve got confidence and assurance about myself that I never really ever had before. If you understood how bad I felt about myself before, you’d really be able to appreciate what this has meant to me—the world!”