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Calf Augmentation and Reshaping with Autologous Fat Grafting
Gerhard S Mundinger1, James E Vogel1
1From the Department of Plastic Surgery, The Johns Hopkins Hospital and School of Medicine, Baltimore, MD, USA.
Aesthetic Surgery Journal
|September 4, 2015
Summary
Autologous fat grafting offers a viable alternative for calf augmentation and reshaping, providing durable results comparable to implants. This technique is effective for both aesthetic concerns and congenital leg discrepancies.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
Background:
- Fat grafting presents advantages over silicone implants for calf augmentation.
- Limited published reports exist on fat grafting techniques for calf reshaping.
Purpose of the Study:
- To detail the technique and outcomes of autologous fat grafting for calf augmentation.
- To evaluate the efficacy of fat grafting in improving calf contour and volume.
Main Methods:
- Retrospective review of 13 patients undergoing calf augmentation via autologous fat grafting.
- Injection of prepared lipoaspirate into medial and lateral calf compartments (intramuscularly and subcutaneously).
Main Results:
- Mean 157 cc of fat grafted per leg; 60% medial, 40% lateral.
- Four patients (31%) required a second grafting session for increased volume.
- Durable augmentation and improved contour observed at mean 19.6-month follow-up.
Conclusions:
- Autologous fat grafting is a suitable alternative to implants for calf augmentation.
- Effective for aesthetic pseudo-varus deformity and congenital leg discrepancies.
- Achieves results comparable to traditional calf augmentation methods.
