Calf Implants FAQs


    Calf implants continue to be popular, especially in summer. Usually, women choose to have one implant on the inside of their leg to produce a nice curve below their knee, while men choose four implants – two implants in each leg – one on the inside and one on the out-side, to provide a much more bulked up appearance.

    A small incision is made at the back of the knee area in a crease in order to insert the implant. Careful planning is necessary and often patients undergo liposculpture at the same time.

    In the twenty years I have been performing this procedure, there have been very minimal complications and problems in these patients.

    Women who have had calf implantation are delighted to be able to wear a short skirts and men are much more comfortable about wearing shorts!


    Before and After Calf Implants by Dr Hodgkinson


    CCB7 AiacheSquare 800x
    Aiache Square Calf Implant

    Calf implants are made of solid silicone.  Solid silicone implants used in plastic surgery come in a varieties of durometers or firmness as they are used to mimic a variety of tissues in the body from bone, to cartilage to muscle.  In the case of the calf implant they are intended to give the appearance of firm muscle tissue and hence have a greater durometer or one that would be firmer than gluteal (buttock) implants for example. Because these implants are solid they cannot rupture or leak like breast implants which need by the nature of breast tissue to be soft and are made of a shell filled typically with saline or silicone gel.

    Calf implants also come in a variety of shapes and sizes and are also side specific; their being a right calf implant and a left calf implant.  The sizing is critical as the implant must fit the contours of the individual patient’s leg(s) in length, width, and desired volume depending on the look the patient is trying to achieve.  Some patients, especially those who have one leg that is underdeveloped due to a disease like polio or trauma may be seeking only one implant to be sized and shaped to give a more symmetrical appearance to their legs.

    The expertise of the surgeon in this specific procedure as in all plastic surgical procedures is critical. The measurement, sizing, choice of implant are not only important but also the creation of the correct size of surgical pocket for the implant in the right position.  Too small a pocket can cause the implant to buckle and too large a pocket can allow the implant to move.  A pocket placed in the wrong position will not only render an unnatural look to the patient’s leg(s) but will compromise the ability for revision surgery and the potential to create a pocket that will securely hold the implant in its correct position.

    Calf implant surgery can render very pleasing results for the patient with withered or puny legs but it is a unique area of expertise in plastic surgery.  Make sure that your surgeon has a vast experience in this particular procedure before embarking on calf implant surgery.

    Calf implants if properly measured and surgically inserted can last a lifetime.  Dr Hodgkinson has up to a thirty year follow up on several patients whose implants are still in situ.  As calf implants are made of solid silicone, they do not rupture or leak.  The key to longevity is having the initial surgical pocket made exactly the right size and put in the correct place.  If the pocket is the right size then the implant can not rotate, move or buckle and if the pocket is in the right place then the calf implant will look natural and maintain its appearance.


    Before & After Insertion of Calf Implants (for previous club foot deformity) by Dr Hodgkinson