[Duhan Plastic Surgery Calf Contouring] - [Types of Calf Reduction Procedures]

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Types of Calf Reduction Procedures

Various procedures for creating slimmer calves

DUHAN CALFS CLINIC

Types of calf reduction procedures
1. Selective nerve block
2. Medium-frequency muscle cauterization
3. Medial neurectomy
4. Muscle excision
5. Neurolysis
6. Botox procedure
7. Liposuction

Selective Nerve Block for the Calves

DUHAN CALFS CLINIC

Selective nerve block works by blocking the gastrocnemius nerve branching from the tibial nerve so that the gastrocnemius loses its mobility.

Because a nerve-blocked muscle cannot contract or relax, it loses mobility, and over time the muscle inevitably atrophies.

It blocks the nerve based on the principle that unused muscles deteriorate.

Advantages of selective nerve block for the calves

⊙ By selectively blocking the nerve branches, the muscle can be reduced without damaging the muscle itself.

⊙ It does not create scars.

⊙ It is done under local anesthesia, the procedure is simple, and you can return to daily life immediately.

⊙ It can be performed on both the inner and outer sides.

Disadvantages of selective nerve block for the calves

With the nerve finder, which is the basic equipment for nerve block procedures, it is difficult and time-consuming to locate nerves that cannot be seen.

Also, if the nerve deviates from its normal path, finding it becomes very difficult, and in many cases the procedure is not performed properly.

If the nerve is not found properly, the procedure may have no effect or only a very limited effect, side effects may occur, and the recurrence rate may be high.

⊙ Because invisible nerve branches must be found, it is technically difficult.

⊙ If the nerve branches are not found properly, the procedure’s effect is greatly reduced or recurrence is likely.

⊙ If experience is insufficient, nerves or blood vessels other than the gastrocnemius motor nerve may be damaged.

Medium-Frequency Muscle Cauterization for the Calves

DUHAN CALFS CLINIC

Medium-frequency muscle cauterization is a method that burns and necrotizes the gastrocnemius with a medium-frequency cauterizer. The principle is to burn the gastrocnemius with heat so that the muscle becomes necrotic and disappears.

Because the muscle itself is damaged, the procedure can be demanding, and side effects from damage to tissues other than the muscle may also occur.

Advantages of medium-frequency muscle cauterization for the calves

⊙ It makes the scar smaller.

⊙ It is simple to perform under local anesthesia.

⊙ It can be performed on both the inner and outer sides.

Disadvantages of medium-frequency muscle cauterization for the calves

⊙ Swelling and pain are severe, making it difficult to return to daily life immediately.

⊙ The effect of muscle reduction is limited.

⊙ Recurrence is frequent, and the muscle reduction effect is often not uniform.

⊙ Heat damage to other tissues may cause irregular contours in the calf.

⊙ If sensory nerves are also damaged by heat, sensory disturbance may occur.

Medial Nerve Excision for the Calves

DUHAN CALFS CLINIC

This method involves making a 4 to 6 cm incision in the popliteal fossa, finding and excising the medial motor nerve going to the gastrocnemius. It leaves a large scar in the popliteal fossa. Since only the medial nerve is excised, contour deformity may occur in the medial muscle, and there is also the problem that the outer muscle may develop relatively more, resulting in O-shaped legs.

Advantages of medial nerve excision for the calves

⊙ If the nerve is excised precisely, the surgical effect is large.

⊙ It is performed under local anesthesia and the surgery is simple.

Disadvantages of medial nerve excision for the calves

⊙ It leaves a large 4 to 6 cm scar in the popliteal fossa.

⊙ Because only the medial side can be treated, it may create O-shaped legs in which the outer muscle becomes relatively larger.

⊙ It is difficult to return to daily life immediately.

⊙ If experience is insufficient, other nerves may be mistakenly excised, causing side effects.

Gastrocnemius Excision Surgery for the Calves

DUHAN CALFS CLINIC

This method involves making a 4 to 6 cm incision in the popliteal fossa and removing the gastrocnemius itself with an instrument.

Because it leaves a large scar in the popliteal fossa and the muscle is removed unevenly, the appearance is not good. It also has the problem of severe swelling and pain, making it difficult to resume daily life immediately, so it is now a method that is rarely used.

Advantages of gastrocnemius excision surgery for the calves

⊙ Compared with other methods, this method has almost no advantages.

Disadvantages of gastrocnemius excision surgery for the calves

⊙ Swelling and pain are severe, making it difficult to return to daily life immediately, and hospitalization is required.

⊙ It leaves a large 4 to 6 cm scar in the popliteal fossa.

⊙ Because the muscle is not excised uniformly, it creates a bumpy leg.

Calf Neurolysis

DUHAN CALFS CLINIC

This method involves searching for the nerve with a nerve finder and then injecting medication (phenol) around the nerve to dissolve it.

First of all, the nerve search itself often does not go well, so the procedure is not accurate. The expectation is that after phenol is injected, the nerve will dissolve and disappear, but the effect is often below expectations or almost nonexistent.

In addition, as the phenol spreads, there is a high possibility of damaging important nerves or blood vessels.

Advantages of calf neurolysis

⊙ It does not create scars.

⊙ It is done under local anesthesia, the procedure is simple, and you can return to daily life immediately.

⊙ It can be performed on both the inner and outer sides.

Disadvantages of calf neurolysis

⊙ It is very difficult to find the nerve with a nerve finder, so accurate treatment is difficult.

⊙ The effect is weak or recurrence is frequent.

⊙ As the injected medication spreads, it may damage surrounding important nerves or blood vessels as a side effect.

Calf Botox Procedure

DUHAN CALFS CLINIC

This method temporarily paralyzes the gastrocnemius with Botox and causes it to atrophy, but the treatment effect is weak, the cost is high, and it is temporary, so it is not a recommended method for calf reduction surgery.

Botox is mainly effective when used on the masticatory muscles that cause a square jaw, but using it on the calf muscles, which are dozens of times larger, is an unreasonable approach, so it is rarely used.

Advantages of calf Botox

⊙ Before discussing pros and cons, this is not a suitable method for calf treatment.

Disadvantages of calf Botox

⊙ The treatment effect is almost nonexistent or very weak.

⊙ It is temporary and recurs after 3 to 6 months.

Calf Liposuction

DUHAN CALFS CLINIC

This method reduces calf volume by suctioning the fat between the muscle layer and the skin layer of the calf.

It is performed when the fat layer is relatively thicker than the muscle.

Because many sensory nerves pass through the calf area, excessive suction can cause sequelae such as sensory disturbance, so it is important to suction carefully to prevent side effects.

Indications for calf liposuction

⊙ It is applied when the calf has a thicker fat layer than muscle.

⊙ It is applied when additional partial liposuction is performed after muscle reduction to further reduce volume.

Notes on calf plastic surgery

DUHAN CALFS CLINIC

There are many methods for calf reduction, but there are not many that are suitable.
The choice of procedure depends on the shape and cause of the thick legs.
A good procedure is one that has no side effects and has a clear effect.
The method chosen should minimize swelling and pain after the procedure.
For muscle reduction surgery, ultrasound-guided selective nerve block is the most preferred method.

At the Duhan Plastic Surgery Calf Clinic ~

Using ultrasound nerve-finding and coagulation surgery equipment,

we perform

"non-incisional ultrasound-guided selective nerve block"

to create slimmer calves.

The trend in cosmetic plastic surgery is to actively reflect patients’ needs and to continuously demand solutions that are minimally invasive,

yet clearly effective,

and that ensure procedural safety.

At the Duhan Plastic Surgery Calf Clinic ~

we use non-incisional ultrasound selective nerve block equipment + an ultrasound diagnostic device

to perform procedures with fewer side effects

and significantly lower recurrence rates.

It is non-incisional,

and unlike the conventional muscle reduction procedures using medium-/high-frequency muscle cauterization that cause severe swelling and pain,

this is the New Calf Reduction Procedure - non-incisional ultrasound-guided selective nerve block.

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