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Creating attractive calves through calf plastic surgery

The four principles of calf nerve block procedure

★ It must not recur

It is important to perform the procedure properly so that it does not recur.

★ The effect must be clear.

The result of muscle reduction should be close to 100%.

★ There must be no side effects.

There should be no side effects by avoiding damage to other tissues.

★ You should be able to return to daily life immediately.

Bruising, swelling, and pain should be minimized so that daily life is possible immediately after the procedure.

Important key to a successful calf nerve block procedure

It is to find the nerves accurately and quickly.

Because this is a non-incisional procedure, it is necessary to quickly find the invisible nerve branches and block as many branches as possible to achieve a satisfactory muscle-reduction effect.

The biggest blind spot of nerve block procedures is that the basic search needle cannot quickly find the nerves.

This is because, depending on the individual, the nerve may not respond properly to the search needle, and some nerves do not travel along the normal route.

In such cases, the search needle must be used to poke here and there in order to find the nerve branches that pass by, which is difficult.

Therefore, if the nerve branches cannot be found properly, the procedure may not be performed correctly, the effect may be reduced, or there may be cases where the procedure has almost no effect.

To achieve the desired muscle-reduction effect, it is necessary to find and coagulate as many nerve branches as possible within a short time, so the practitioner's extensive experience and know-how are required.

In addition, the effect of the procedure can be improved only when an ultrasound imaging device is used together.

Causes of failure in calf nerve block procedure

① When the surgeon's experience with nerve block procedures is insufficient

② When the patient has a constitution in which the nerves do not respond well to the search probe

③ When only one or two proximal sites are blocked without blocking many nerve branches in the proximal and distal areas

④ When the nerve cannot be found with the search needle because of a variation in which the nerve deviates from the normal path

⑤ When the nerve going to the gastrocnemius is not blocked and instead the nerve going to the deep soleus or the sural nerve is blocked

⑥ When the gastrocnemius nerve too close to the popliteal area is blocked and the tibial nerve is also damaged

▶ In a nerve block procedure, the key to success is to find the nerve accurately and block as many branches as possible.

If the nerves are not found properly, the effect will be minimal or recurrence will occur in a short time.

To do this, using an ultrasound imaging device together allows the practitioner to accurately identify the nerve pathway during the procedure, which maximizes the effect.

Side effects of calf nerve block procedure

Pain in the heel area or decreased sensation due to injury to the tibial nerve
Weakness in the leg due to injury to the nerve going to the soleus
Uneven contours in the calf due to partial blocking of nerve branches or recurrence

▶ Side effects of nerve block procedures occur when the exact location of the nerves cannot be identified.

Only when the procedure is performed accurately and in principle, based on extensive clinical experience, can the effect be improved and side effects avoided.

Guidance for cases where problems occur after calf reduction surgery at another hospital

1. In cases of recurrence where the muscle bulge returns

■ Recurrence due to nerve regeneration after nerve block procedure

All tissues regenerate when damaged.

Nerves are also highly regenerative tissues, so if the procedure is incomplete, the nerves can regenerate.

Nerve regeneration means recurrence.

If recurrence occurs, nerve blocking must be performed again, but reoperation is much more difficult and complicated than the first procedure.

The reason is:

First, around the nerve that was previously treated, a hard scar tissue forms and wraps around it like a protective membrane, so the nerve does not respond to the search needle, making it almost impossible to find with conventional methods.

Second, even if the nerve is found, the nerve enclosed in hard scar tissue cannot be properly blocked by the conventional coagulation heat.

Since the coagulation temperature does not exceed 90°C at most, it is difficult for heat of around 90°C to penetrate the hard scar tissue membrane and reach the nerve to block it.

To solve this problem, the nerve must be visually confirmed and its exact location identified, and for that, the help of an ultrasound imaging device is essential.

In cases of recurrence, repeat treatment is almost impossible without the help of an ultrasound imaging device.

Also, the found nerve must be coagulated by inserting the search needle through the scar tissue membrane so that it reaches as close as possible to the nerve.

The coagulation time must also be longer.

■ Recurrence due to muscle regeneration after medium/high-frequency treatment

All tissues regenerate when damaged.

Muscle tissue is also highly regenerative, so if the procedure is incomplete, the muscle can regenerate.

In addition, the parts that cannot regenerate are filled in by hard scar tissue, which reduces the volume-loss effect.

Reasons for recurrence:

First, even if the muscle is partially damaged and necrotic by medium/high-frequency treatment, other muscle cells are replenished and regenerate.

Therefore, with most procedures, the muscle cells regenerate to a large extent, so the effect is inevitably reduced.

Second, even if parts of the muscle tissue are necrotic from the heat of the medium/high-frequency treatment and do not regenerate, those areas are filled with collagen formed in the body, which then turns into hard scar tissue and reduces the volume-loss effect.

In other words, scar tissue takes the place of the muscle.

To solve this problem, instead of burning away the muscle again with medium/high-frequency treatment, it is necessary to replace it with ultrasound-guided selective nerve block to naturally induce muscle atrophy.

Selective nerve block is possible even in cases of recurrence after medium/high-frequency treatment.

2. In cases where a contour develops in the treated calf

■ Incomplete nerve block

After nerve block procedures, the calf line may become uneven rather than smooth.

This is a recurrence, but it can be considered a partial recurrence rather than a complete one.

In other words, among multiple nerve branches, some may have been blocked while others were not.

The muscle controlled by the blocked nerves atrophies and decreases in volume, but the muscle controlled by the unblocked nerves remains the same as before, so the blocked and unblocked areas become uneven due to the volume difference in the muscle.

Ultimately, this is a case of incomplete treatment or partial recurrence, so if the improperly treated nerve branches are found and treated accurately again, the contour will naturally disappear.

■ Incomplete muscle manipulation with medium/high-frequency treatment

When muscle is cauterized with medium/high-frequency treatment, some parts regenerate, some parts are replaced by scar tissue, and some parts may become somewhat depressed.

Reasons for the contour:

First, some parts of the muscle are necrotized by the heat of the medium/high-frequency treatment and lose volume, while other parts do not, creating height differences and causing contour irregularities.

In other words, the treatment effect is not uniform and only appears in some areas.

Second, excessive necrosis of muscle tissue can cause parts of the calf to sink in like a hollow.

This is a case where, along with muscle necrosis, the fat layer above the muscle also becomes necrotic as a complication, resulting in severe depression.

Third, if scar tissue fills in the area where the muscle was necrotized, the area where the scar tissue forms retains its volume, while the area where scar tissue does not form loses volume.

This causes contour irregularities.

To solve this problem, instead of burning away the muscle again with medium/high-frequency treatment, it is necessary to replace it with non-incisional ultrasound-guided selective nerve block to naturally induce muscle atrophy.

If the nerve block causes overall uniform muscle atrophy, the contour can be softened.

Also, if there is excessive depression accompanied by fat necrosis, fat grafting can be performed after the muscle has completely atrophied to naturally fill in the sunken area.

3. In cases where the outer muscle becomes relatively more developed after medial neurectomy, resulting in O-shaped legs

■ O-shaped legs caused by outer muscle development

In cases of neurectomy performed at another hospital by making an incision in the popliteal area and removing the medial nerve, the outer muscle often develops compensatorily because it is not operated on.

In such cases, only the outside of the calf bulges out, resulting in very unattractive O-shaped legs.

Neurectomy is an aggressive surgery that causes complete muscle atrophy, so the lateral nerve is excluded from the surgical target out of concern for possible side effects, and this often leads to the problem of O-shaped legs.

If O-shaped legs occur, the lateral nerve can be treated with nerve block rather than surgery to restore balance to the leg, so nerve block should be considered in such cases.

4. Side effects of tiptoe walking caused by incorrect instructions after the procedure

■ Tiptoe walking where the heel does not touch the ground

The side effect of tiptoe walking, where the heel does not touch the ground, is caused by wearing high heels continuously immediately after the procedure.

It is absolutely not a side effect caused by a wrong procedure.

If tiptoe-walking side effects occur, you should walk back and forth in the room barefoot as much as possible so that the tightened muscles stretch and lengthen again.

Walking barefoot in the room or wearing shoes with almost no heel outside will naturally stretch and straighten the muscles.

If you take off your shoes after tiptoe-walking side effects occur, walking may become uncomfortable and you may end up having to keep wearing high heels.

However, this makes the symptoms worse.

In the early stage of tiptoe-walking problems, the best approach is to take off high heels quickly and switch to shoes with as little heel as possible, then keep practicing walking until the muscles stretch and straighten again.

In most cases, if you practice walking in shoes without heels within 6 months after the procedure, the tiptoe-walking problem can resolve on its own.

Non-incisional ultrasound selective nerve block

Using a nerve blocker, after identifying the pathway of the motor nerves that control the gastrocnemius muscle in the calf,

this method selectively blocks only the gastrocnemius motor nerves while minimizing damage to other tissues.

Non-incisional ultrasound selective nerve block procedure

Non-incisional ultrasound selective nerve block selectively blocks only the branches of motor nerves through local anesthesia and the use of special medical equipment (with functions to find, confirm, and block nerve branches).

Step 1 - Use ultrasound to identify the nerve location and mark it on the skin.
Step 2 - While lying face down, give a light local anesthetic at the site where the needle will enter.
Step 3 - While confirming with ultrasound, identify the nerve location and insert the needle into the nerve area.
Step 4 - Check with a nerve locator whether the needle is touching the gastrocnemius nerve.
Step 5 - Switch to nerve block mode and generate electrical heat at the needle tip to block nerve transmission and block the nerve. If blocking both the medial and lateral gastrocnemius, a total of four nerves on both sides are blocked.
Step 6 - Go home immediately after the procedure.

The nerve pathway is identified through an ultrasound examination in the examination room.

Since the pathway and depth of the nerves differ from person to person, identifying the exact nerve pathway is an essential step for a successful procedure.

After searching for the nerve, mark the area where the nerve block will be performed.

The nerve pathway is drawn with design ink on the marked area.

The nerves are divided into medial nerves and right nerves, and they extend out branching like tree limbs.

These small branches are also searched for and marked with ink.

In most cases, the nerves in both legs do not travel in exactly the same way.

Even in the same person's legs, the nerve pathways on the left and right sides are often different, and the number of branches is often different as well.

Accurate nerve identification can increase the success rate of the procedure and reduce the recurrence rate to a minimum.

In the operating room, after sedation and local anesthesia, the nerve block needle (search needle) is prepared in nerve-search mode.

Insert the nerve block needle into the locally anesthetized site.

After confirming that it has passed through the fascia, advance the needle tip to the area where the gastrocnemius motor nerve is located under ultrasound guidance.

Quickly search for nerve branches with ultrasound and block them.

To improve the effect of the procedure and prevent nerve regeneration and recurrence, nerve branches must be found accurately and coagulated firmly within a short time.

In addition, damage to other important tissues other than the nerves to be blocked can be prevented, allowing the procedure to be performed without side effects.

It is not that difficult to find blood vessels on ultrasound, but nerves can only be located with a lot of experience.

Because the nerve diameter is only about 1–2 mm, searching is difficult, and it is almost impossible to locate nerves with ordinary ultrasound.

It is possible with a high-frequency ultrasound of 7.5 MHz or higher, and the roots and all branches of the nerve must be identified accurately.

When the needle tip touches the gastrocnemius motor nerve, the gastrocnemius begins to contract repeatedly.

After confirming the muscle contraction, switch the nerve-search mode to nerve-block mode and perform electrical coagulation.

After the electrical coagulation is complete, switch back to nerve-search mode and confirm that the muscle no longer contracts.

If the muscle does not contract, the nerve has been blocked.

Because the blocking effect must be permanent, the proximal part of the nerve is checked again during the procedure.

Usually 7 to 8 points are blocked in one muscle, and the more nerve branches are blocked, the more effective the result.

If all four medial and lateral muscles in both calves are treated, about 30 nerve branches in total must be blocked to prevent recurrence and achieve a clear treatment effect.

Usually, when both the medial and lateral sides are treated on both legs, the procedure takes about 30 minutes to 1 hour.

If only the medial side is treated, the procedure is finished in about 30 minutes.

You can go home immediately after the procedure, and before going home, you should raise your heels to check whether the calf bulge has disappeared, then leave.

When leaving, wear a compression band.

Examples of non-incisional ultrasound selective nerve block for calf treatment

Comparison of our clinic's non-incisional ultrasound-guided selective nerve block with other procedures

Category	Incisional muscle resection	Incisional nerve block	Medium/high-frequency muscle reduction	Neurolysis	Non-incisional ultrasound-guided selective nerve block
Scar	3–4 cm near the popliteal area	3–4 cm near the popliteal area	No scar	No scar	No scar
Procedure time	1–2 hours	1–2 hours	40 minutes to 1 hour	30 minutes to 1 hour	30 minutes to 1 hour
Effect and prognosis	Uneven legs may result from the removal of irregular muscle.	The effect is high. Only the medial side is operated on, so the lateral side thickens compensatorily. It may appear bowed into an O-shape.	The effect is low. There is little reduction in thickness.	The effect is inconsistent, and the spread of the drug may affect unintended areas and cause side effects.	The effect is high. The calves become much thinner. Both medial and lateral sides are treated, sufficiently reducing the muscles.
Discharge and function	Severe swelling, bruising, and pain require 1–2 weeks of rest. Walking is very uncomfortable for about a month.	Uncomfortable for about 15 days, and walking is difficult. There is pulling pain for about a month.	Severe swelling and pain make walking uncomfortable for about a month.	Immediate return to daily life is possible, but there is pulling pain for about 3–4 weeks.	Immediate return to daily life is possible, but there is pulling pain for about 3–4 weeks.

Frequently asked questions and answers about calf reduction surgery

Question) Is calf muscle reduction surgery a procedure that anyone can do?

Answer) Calf procedures are absolutely not something anyone can perform.

As with all surgeries, the outcome varies depending on the surgeon's experience and know-how.

Having equipment alone does not mean everyone can perform the procedure well.

The same applies to calf reduction surgery; success or failure depends on how the procedure is performed.

If the nerve block is not done properly, there will be no effect or the nerves will regenerate and recur.

The key to nerve block is to find many nerve branches quickly and perform electrical coagulation firmly in order to reduce the recurrence rate.

Blocking one or two nerves does not reduce the calf.

Calf procedures are not something to take lightly.

Question) Is ultrasound-guided selective nerve block a procedure performed only at this clinic?

Answer) General nerve block procedures have a high recurrence rate, so ultrasound-guided selective nerve block was developed to improve this.

Even if another hospital introduces a nerve blocker and ultrasound at the same time and can perform the procedure, having equipment alone does not mean the procedure can be done.

The practitioner's experience and skill are important.

Other than our clinic, there are no hospitals that perform ultrasound-guided selective nerve block.

We are the only hospital that performs non-incisional ultrasound-guided selective nerve block.

Question) For calf muscle reduction surgery, other hospitals do it under local anesthesia. Do you really need sedation?

Answer) Nerve block for muscle reduction requires sedation.

When the nerve locator coagulates the nerve electrically, heat of around 100°C is generated to block the nerve, and this heat causes pain.

Therefore, without sedation, the procedure is impossible because of the pain.

Local anesthesia is also used during calf procedures, but this only numbs the skin at the site where the needle enters; it does not numb the muscle, so it is not very meaningful.

If the muscle is anesthetized, the muscle will not respond to the nerve locator, so the procedure cannot be performed.

Some hospitals perform the procedure without sedation, and even so, there is little pain and the procedure can be tolerated.

The reason is that the heat used for electrical coagulation is weak and the procedure is done at a low temperature, so there is not much pain.

In such cases, the nerve is not properly electrically coagulated, so the procedure either has no effect from immediately after treatment or appears to have a temporary effect and then within a few months the calf bulge returns, resulting in recurrence.

Procedures done in a careless way with weak, low-temperature heat will recur 100%, so be careful.

Question) How much volume is reduced after calf muscle reduction surgery?

Answer) As the muscle volume decreases, the calf becomes slimmer, but the amount varies from person to person.

The greater the muscle volume, the larger the reduction; the smaller the volume, the smaller the reduction.

A simple example is the difference between how much a balloon changes when a lot of air is let out versus when only a little air is let out.

Question) Are calf reduction surgery and muscle reduction surgery different?

Answer) The meaning of calf reduction surgery is broad.

Since it means reducing the calf, it includes muscle reduction surgery and liposuction.

In a broader sense, it also includes calf plastic surgery.

This includes all types of plastic surgery such as muscle reduction surgery, liposuction, varicose vein surgery, and scar revision.

In other words, calf reduction surgery falls within the broader category of calf plastic surgery, and within calf reduction surgery are muscle reduction surgery and liposuction.

Question) Are calf muscle reduction surgery and nerve block procedure different?

Answer) They can be considered the same in meaning.

Muscle reduction surgery is a broad term.

Since muscle reduction surgery means reducing the calf muscles, the method for doing so is nerve block.

In other words, using the method of nerve block to reduce the muscles means the same thing.

Question) What is the most effective calf muscle reduction method?

Answer) Although many methods have been devised and performed so far, the most effective procedure is ultrasound-guided selective nerve block.

It is an advanced version of selective nerve block, addressing the biggest problems of the conventional method: difficulty finding the nerves and difficulty performing confirmation again on the same nerves during the procedure.

Therefore, the procedure had lower effectiveness and a very high recurrence rate.

Ultrasound-guided selective nerve block was developed to improve this.

Because the nerves are treated while directly viewing them on the ultrasound screen, they can be found more accurately and quickly, and the same area can be checked again during the procedure, which has the advantage of increasing the treatment effect close to 100% and significantly lowering the recurrence rate.

In addition, because there is almost no damage to other tissues, swelling and pain are minimized and recovery is fast.

Question) What are the problems with the conventional selective nerve block procedure?

Answer) The basis of selective nerve block is to reduce the muscles without causing scars or damaging muscle tissue.

The biggest problem with the conventional procedure was that, in order to find invisible nerves, the search needle had to be poked around repeatedly to find hidden nerves.

Therefore, finding the nerves was very difficult, took a lot of time, and if the nerves could not be found properly, the effect of the procedure dropped and recurrence occurred easily.

Selective nerve block is theoretically an ideal method for reducing muscle with minimal scarring and minimal tissue damage, but the actual results do not meet expectations.

Therefore, ultrasound-guided selective nerve block can be said to be the best alternative.

Question) What is the difference between medium/high-frequency muscle reduction and selective nerve block?

Answer) Both procedures have the same purpose: to reduce the muscles.

There is a difference in method. Medium/high-frequency treatment directly burns and necrotizes the muscle to reduce muscle volume, while nerve block barely damages the muscle and blocks only the nerves leading to the muscle so that the muscle naturally atrophies.

In other words, the difference is whether the muscle is directly burned down or whether only the nerves to the muscle are blocked.

Question) What are the problems with medium/high-frequency muscle reduction?

Answer) Medium/high-frequency treatment is a method that directly burns and necrotizes the muscle.

The tissue damage is severe, and side effects and sequelae occur frequently.

Severe swelling and pain, inflammation from tissue necrosis, contour irregularities in the legs, and depression due to concurrent necrosis of fat tissue may occur.

Also, the effect of volume reduction is not great, so it is not a recommended method for calf muscle reduction surgery.

Question) What are the side effects of selective nerve block?

Answer) These occur when the practitioner's experience and skill are insufficient.

Side effects include blocking the wrong nerve and weakening leg strength, damaging sensory nerves and causing sensory disturbances, severe pain caused by damage to tissues other than nerves, contour irregularities or asymmetry due to incomplete nerve block, and tiptoe-walking side effects caused by incorrect post-procedure instructions.

However, if the procedure is performed properly according to principles, there is no need to worry about such side effects.

Question) Will there be no scars after selective nerve block?

Answer) Because this is not an incision surgery with a scalpel and is performed using a blunt 1 mm search needle, scars are almost nonexistent.

There may be a 1 mm mark at the treatment site, but it is too small to be noticeable, so a 1 mm mark cannot really be called a scar.

Therefore, there is no need to worry about scars.

Question) I heard that after the procedure, there can be a tiptoe-walking side effect where the heel does not touch the ground. Why does this happen?

Answer) The tiptoe-walking side effect, in which the heel does not touch the ground, is caused by wearing high heels continuously immediately after the procedure.

It is not a side effect caused by performing the procedure incorrectly.

If tiptoe-walking side effects occur, you should walk back and forth barefoot as much as possible so that the tightened muscles stretch and lengthen again.

Walking barefoot in the room or wearing shoes with almost no heel outside will naturally stretch and straighten the muscles.

If you take off your shoes after the tiptoe-walking side effect occurs, walking may become uncomfortable, and you may end up having to keep wearing high heels.

However, this worsens the symptoms.

In the early stage of tiptoe-walking problems, the best thing to do is to remove high heels quickly and switch to shoes with no heel as much as possible, then keep practicing walking until the muscles stretch and straighten again.

Usually, if you practice walking in shoes without heels within 6 months after the procedure, the tiptoe-walking problem can resolve on its own in most cases.

In conclusion, if you do not wear high heels for about a month after the procedure, this side effect will not occur.

Question) Other hospitals say that even if you wear high heels immediately after the procedure, the tiptoe-walking side effect will not occur. Is that correct?

Answer) After the procedure, as the muscles atrophy and shorten, the tiptoe-walking side effect occurs, and high heels are the main cause of this.

When you wear high heels, the muscles contract and their length becomes shorter, which causes the tiptoe-walking side effect.

However, in most cases of people treated at other hospitals, even if they keep wearing high heels immediately after the procedure, the tiptoe-walking side effect does not occur.

The reason is that the procedure was not done properly, so the muscles did not atrophy, and therefore the tiptoe-walking side effect did not occur either.

In other words, it is like a person who was not treated continuing to wear high heels without developing the tiptoe-walking side effect.

If you wore high heels continuously from immediately after calf treatment and the tiptoe-walking side effect did not occur, that proves the procedure had almost no effect, and if you check your calves, the original bulge will still be there.

Question) When can you return to daily life after selective nerve block treatment?

Answer) After selective nerve block, daily life is possible from the next day.

On the day of the procedure, there is a little weakness in the legs and a dull aching pain.

However, from the next day, normal daily life is fully possible, and you should wear the compression band provided by the hospital for about a week.

Question) What happens if recurrence occurs after the procedure?

Answer) After general selective nerve block procedures, the recurrence rate is very high.

Hospitals with high recurrence rates are common, and some show recurrence rates above 80%.

In other words, if 10 people are treated, 8 to 9 will recur, and if the recurrence rate is that high, the procedure has no meaning at all.

The non-incisional ultrasound-guided selective nerve block at Duhan Plastic Surgery Clinic was designed to minimize the recurrence rate.

Currently, the recurrence rate at Duhan Plastic Surgery Clinic's calf plastic surgery clinic is below 3%, and we are continuously researching and working toward a 0% recurrence rate.

If recurrence occurs, we provide repeat treatment.

Question) If recurrence happened after selective nerve block at another hospital, can it be treated again here?

Answer) After nerve block at another hospital, the recurrence rate is high, and if recurrence occurs or the effect is not seen, many people give up, thinking it may be due to their constitution.

In cases of recurrence, constitutional causes are a minority.

Most problems are caused by the practitioner's lack of experience and skill, or insufficient equipment.

Once a procedure has been performed, the tissue becomes hard and less responsive, so nerves often do not respond to the nerve locator.

If the nerves do not respond, their location cannot be identified, and the procedure cannot be performed.

Therefore, for repeat treatment, good results cannot be achieved unless the nerves are directly found and treated through an ultrasound imaging device.

After recurrence, only ultrasound-guided selective nerve block can provide proper repeat treatment.

Question) I had medium/high-frequency treatment at another hospital and did not see any effect. Can I still receive nerve block treatment here?

Answer) Medium/high-frequency treatment is a method that directly burns and necrotizes the muscle with a cauterizing device, but in most cases the effect is weak or recurrence occurs.

Sometimes contour irregularities occur due to the height difference between treated and untreated areas.

In such cases, non-incisional ultrasound-guided selective nerve block is also possible.

Because nerve block hardly damages the muscles and only blocks the nerves, it induces natural muscle atrophy and can naturally shape the legs even in cases with recurrence or contour irregularities.

Question) I have tried every kind of treatment at other hospitals, such as nerve block and radiofrequency, but why is there still no effect?

Answer) As with all surgeries, the outcome depends on the surgeon's experience and know-how.

Without ultrasound equipment, repeat treatment with nerve block is almost impossible.

Medium/high-frequency treatment itself is not very effective for muscle reduction surgery.

The lack of effect is due to the wrong choice of procedure, insufficient equipment, insufficient experience, and insufficient skill.

Proper treatment can achieve permanent results with just one procedure.

Even if you have failed after many procedures at another hospital, in most cases you can see satisfactory results here with just one procedure.

Precautions regarding calf plastic surgery

♥ Calf plastic surgery selects the appropriate method depending on the desired shape or cause.

♥ For muscle reduction surgery, nerve block is performed.

♥ In cases of obesity, liposuction is performed.

♥ For vascular dilation, scarless surgery or sclerotherapy is performed.

♥ The procedure should be effective, free of side effects, and allow immediate return to daily life.

The success or failure of calf reduction surgery also depends on who performs it and how well it is done.

If nerve block is not done properly, the nerves regenerate and recurrence occurs.

The key to nerve block is to find many nerve branches quickly and perform electrical coagulation firmly in order to reduce the recurrence rate.

Blocking only one or two nerves carelessly does not reduce the calf.

Nerve block procedures are safe if they are performed properly and according to principles, so there is no need to worry about recurrence or sequelae.

not possible.

Based on more than 20 years of extensive clinical experience and know-how, our clinic is the first in the world to perform ultrasound-guided non-incisional selective nerve block. Its strengths are that it addresses the biggest problem of nerve block procedures—difficulty finding the nerves properly—and improves procedural accuracy, thereby minimizing recurrence.

Through ultrasound, nerve branches can be searched quickly and treated accurately.

Most hospitals either simply use a nerve blocker and poke around in a trial-and-error manner to find the nerves, or they only use conventional methods such as radiofrequency or neurectomy.

Using a nerve blocker, after identifying the path of the motor nerves that control the gastrocnemius in the calf, the method selectively blocks only the gastrocnemius motor nerves while minimizing damage to other tissues.

Non-incisional selective nerve block uses local anesthesia and special medical equipment (with functions to find, confirm, and block nerve branches) to selectively block only the branches of motor nerves, so no scars remain, and there is no swelling or pain except for a slight pulling sensation due to muscle atrophy. After the procedure, the patient can immediately return to daily life.

Immediately after the procedure, the effect can be visually confirmed by raising the heel and seeing that the bulging calf muscle does not tense up.

This surgical method can achieve satisfactory results with a single procedure and has no scars or post-surgical discomfort, so it is highly welcomed by patients.

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