Duhan Plastic Surgery Calf Surgery - Precautions Before and After Calf Surgery

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Care before and after the non-incisional ultrasound-guided selective nerve block procedure

Precautions before the non-incisional ultrasound-guided selective nerve block procedure

① Do not drink alcohol the day before the procedure. - It may make anesthesia less effective.
② Do not overeat on the day of the procedure.
③ On the day of the procedure, if possible, do not drive to the clinic and use public transportation instead. - Driving after sleep anesthesia can be dangerous.

Post-procedure progress and precautions after the non-incisional ultrasound-guided selective nerve block procedure

① After the procedure is finished, go home only after the sleep anesthesia has completely worn off.
② On the day of the procedure, your legs may feel weak and painful, so avoid walking too much and rest at home as much as possible.
③ Wear the calf band provided by the clinic for about one week only.
④ It is advisable not to do strenuous exercise for about 1 to 2 weeks after the procedure, and running exercises may be resumed after 2 weeks.
⑤ Because of the risk of side effects such as standing on tiptoe, avoid wearing high heels for about one month.
⑥ A pulling sensation in the calves is a normal part of the muscle degeneration process.
⑦ If the calf pulling sensation is somewhat severe, walk barefoot around the room to allow natural stretching.
⑧ Muscle degeneration occurs over 6 months, so watch carefully for any recurrence during that period.

Muscle recession surgery - non-incisional ultrasound-guided selective nerve block procedure

This method blocks only the motor nerves going to the gastrocnemius muscle, allowing the muscle to atrophy naturally without damaging the muscle itself.

At our clinic, we accurately locate the nerves with ultrasound and effectively block them, significantly reducing side effects and recurrence rates.

Advantages of muscle recession surgery - non-incisional ultrasound-guided selective nerve block procedure

♥ It can find nerve branches quickly and accurately, resulting in a high procedural effect.

♥ It shortens the procedure time significantly compared with using basic equipment alone.

♥ By accurately locating the nerve branches, it does not damage tissues in other areas, so it is safe.

♥ Because the procedure time is shortened, there is less pain after the procedure and recovery is faster.

♥ Precise nerve identification greatly lowers the recurrence rate.

Success requirements for muscle recession surgery - non-incisional ultrasound-guided selective nerve block procedure

The key to a successful nerve block procedure is how accurately and quickly the nerve branches can be found.

Because the procedure is performed without an incision, the invisible nerve branches must be found quickly and as many branches as possible should be blocked in order to achieve a satisfactory muscle recession effect.

The biggest weakness of nerve block procedures is that the exploratory needle of basic search equipment cannot find the nerves quickly.

Depending on the individual, some nerves may not respond properly to the exploratory needle, and some nerves do not run along their normal course, so if the nerve branches cannot be found properly, the procedure may not be performed correctly, reducing the effect or resulting in no visible effect.

To achieve the effect of muscle recession, as many nerve branches as possible must be found and coagulated within a short time, so the operator must have abundant experience and know-how.

In addition, ultrasound imaging equipment must be used at the same time to improve the procedure’s effectiveness.

Using a nerve blocking device, the course of the motor nerves that innervate the gastrocnemius muscle of the calf is identified, and then only the gastrocnemius motor nerves are selectively blocked while minimizing damage to other tissues.

Through local anesthesia for the non-incisional selective nerve block procedure, only the branches of the motor nerves are selectively blocked using a special medical device (with functions to find, identify, and block nerve branches), so no scar is left. There is only a slight pulling sensation due to muscle degeneration, with no swelling or pain, and the patient can return to daily life immediately after the procedure.

The effect immediately after the procedure can be visually confirmed by lifting the heel after the procedure and seeing that no tension appears in the calf muscle bulge.

With this surgical method, satisfactory results can be achieved with a single procedure, and because there is no scar or discomfort after the surgery, it is a procedure that patients greatly welcome.

Guide to comparing muscle recession surgery - non-incisional ultrasound-guided selective nerve block procedure with other calf surgery methods

Category	Incisional muscle resection	Incisional nerve block	Medium/high-frequency muscle recession	Nerve ablation	Non-incisional ultrasound-guided selective nerve block
Scar	3~4 cm on the back of the knee	3~4 cm on the back of the knee	No scar	No scar	No scar
Procedure time	1~2 hours	1~2 hours	40 minutes~1 hour	30 minutes~1 hour	30 minutes~1 hour
Effect and prognosis	Removal of irregular muscle tissue can leave the legs looking lumpy.	The effect is high. Only the inner side can be operated on, so the outer side thickens compensatorily. It may appear bow-legged.	The effect is low. There is little reduction in thickness.	The effect is inconsistent, and due to drug spread, the medication may affect unintended areas and cause side effects.	The effect is high. The calves become much slimmer. Both the inner and outer sides are treated, sufficiently reducing the muscle.
Discharge and function	Severe swelling, bruising, and pain require 1~2 weeks of rest. Walking is very inconvenient for about a month.	It is uncomfortable and difficult to walk for about 15 days. 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 pulling pain may last for 3~4 weeks.	Immediate return to daily life is possible, but pulling pain may last for 3~4 weeks.

Examples of applications of muscle recession surgery - non-incisional ultrasound-guided selective nerve block procedure

Care before and after calf liposuction

Precautions before calf liposuction

1. Do not drink alcohol the day before the procedure. - It may make anesthesia less effective.
2. Do not overeat on the day of the procedure.
3. On the day of the procedure, if possible, do not drive to the clinic and use public transportation instead. - Driving after sleep anesthesia can be dangerous.

Post-procedure progress and precautions after calf liposuction

1. After the procedure is finished, go home only after the sleep anesthesia has completely worn off.
2. On the day of the procedure, your legs may feel weak and painful, so avoid walking too much and rest at home as much as possible.
3. Wear the calf band provided by the clinic for about one week only.
4. Return to the clinic on the 7th day after the procedure to remove the stitches.
5. It is advisable not to do strenuous exercise for about 1 to 2 weeks after the procedure, and running may be resumed after one month.
6. A pulling and stiff feeling in the calves is a normal part of the tissue healing process.
7. The results of calf liposuction appear over 3 months, so the calf volume will continue to decrease during that period.

Removal of excess subcutaneous fat - calf liposuction

This method reduces volume by suctioning fat between the calf muscles and the skin.

It is applied when there is a limit to reducing calf volume with muscle recession surgery, or when there is more fat than muscle.

Key points of removal of excess subcutaneous fat - calf liposuction

♥ It selects the areas that can benefit and treats only the necessary areas.

♥ It uses a microcannula to prevent residual sensory impairment.

♥ It suctiones precisely so that no contour irregularities occur in the legs.

♥ It is performed through minimal incisions to minimize scarring.

Points to note for removal of excess subcutaneous fat - calf liposuction

The calves are an area that requires a very delicate procedure compared with liposuction in other areas.

The overall calf thickness and the thickness of the fat layer must be assessed, and the procedure should be performed only when it is likely to be effective.

Because the calf area contains many sensory nerves, using a cannula that is too thick or suctioning excessively can cause contour irregularities or residual sensory impairment.

Therefore, effective results without side effects are possible only when suction is performed carefully with a thin cannula.

Side effects of removal of excess subcutaneous fat - calf liposuction

◆ If suction is performed with a cannula that is too thick, a large scar may remain.

◆ Excessive suction can cause contour irregularities or an awkward shape in the calves.

◆ Excessive suction can cause sensory impairment in the calves.

◆ If the ankles are suctioned too much, the pain can be severe.

As mentioned above, calf liposuction is an area that requires very precise work.

If too much suction is performed with a thick cannula, various side effects can occur.

Very delicate suction is needed to achieve satisfactory results without side effects.

As a rule, it should not be performed by a plastic surgery clinic without substantial experience.

Precautions for the calf obesity solution method - calf liposuction procedure

● Calf liposuction is the best procedure for reducing the volume of subcutaneous fat.

● Proper results cannot be obtained with methods other than liposuction.

● Because the calves are an area with many sensory nerves, suction should be done using a microcannula.

● Laser or ultrasound-assisted suction can cause sensory impairment or thermal skin injury.

● Manual microcannula suction is the safest and most effective method for calf liposuction.

Examples of applications of removal of excess subcutaneous fat - calf liposuction

Care before and after treatment for lower leg varicose veins

Pre-treatment care for lower leg varicose veins

1. Do not drink alcohol the day before the procedure. - It may make anesthesia less effective.
2. Do not overeat on the day of the procedure.
3. On the day of the procedure, if possible, do not drive to the clinic and use public transportation instead. - Driving after sleep anesthesia can be dangerous.

Post-procedure progress and precautions after high ligation, great saphenous vein stripping, and ambulatory phlebectomy

① After the procedure is finished, go home only after the sleep anesthesia has completely worn off.
② On the day of the procedure, your legs may feel weak and painful, so avoid walking too much and rest at home as much as possible.
③ Return to the clinic after 2 days to remove the bandage.
④ Showering is possible on the second day after the procedure, after the bandage is removed.
⑤ Return to the clinic on the 7th day after the procedure to remove the stitches.
⑥ Wear the compression stockings provided by the clinic for about 1 to 2 weeks.
⑦ It is advisable not to do strenuous exercise for about 1 to 2 weeks after the procedure, and running may be resumed after one month.
⑧ A pulling and stiff feeling in the calves is a normal part of the tissue healing process.
⑨ The scar at the site treated with ambulatory phlebectomy remains dark red for about 3 to 6 months, then gradually fades and becomes less noticeable.

Post-treatment progress and precautions after sclerotherapy

① After the procedure, walk for about 1 hour if possible so that the sclerosant does not remain in the blood vessels.
② Showering is possible starting the day after the procedure.
③ Compression stockings may be washed with soap, but do not wring them out by twisting or iron them.
④ Wear the stockings continuously for the prescribed period, usually about 1 to 3 months.
⑤ Put the stockings on in the morning after waking up and take them off before going to sleep.
⑥ After sclerotherapy, bruising that appears blue along the blood vessels and blood collecting as hematoma are understood as normal parts of the treatment process.
⑦ Bruising along the vessels varies in degree, and the time it takes to disappear also varies; it usually fades almost completely in about 2 to 3 weeks.
⑧ The period for sclerotherapy to be completed, with the vessels fully closed and gone, is about 1 month.

Follow-up schedule after sclerotherapy

1. After the first procedure, visits are usually made 3 to 4 times at intervals of 1 to 2 weeks.
2. Visit after 1 to 2 weeks, and for areas with thrombosis, the clot is removed with a needle before putting the compression stockings back on. - Additional treatment may also be performed in areas that were not sufficiently treated.
3. Second visit after the procedure - 1 to 2 weeks after the second treatment, hematoma in the treated area’s blood vessels can be removed and additional treatment may be performed in areas that were not sufficiently treated.
4. Third visit after the procedure - 1 to 2 weeks after the third treatment, the hematoma in the blood vessels of the treated area is removed. The number of hematoma removals varies by individual, usually about 2 to 4 times.

Leg vein removal - scar-free surgery and sclerotherapy

This is a method of effectively removing visible leg veins with minimal-incision surgery or sclerotherapy injections.

Treatment for varicose veins is broadly divided into surgery and sclerotherapy.

The cause-area itself is treated surgically, and the unsightly veins that appear enlarged are treated with surgery or sclerotherapy.

For thick veins, surgery leaves the fewest scars and allows the fastest recovery.

Our clinic follows the treatment methods used in Europe, the birthplace of varicose vein treatment, and has been performing sclerotherapy and scar-free surgery since 2000.

Examples of applications of leg vein removal - scar-free surgery and sclerotherapy

The four principles of calf plastic surgery

Re

currence must not happen.

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

Ef

fect must be certain.

The result of muscle recession should be certain, approaching 100%.

Si

des effects must not occur.

Other tissues must not be damaged, and side effects must not occur.

Im

mediate return to daily life must be possible.

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

Notes regarding calf procedures

For calf plastic surgery, the appropriate method is selected depending on the desired shape or the cause.

For muscle recession surgery, nerve block procedures are performed.

In cases of obesity, liposuction is performed.

For vascular dilation, scar-free surgery or sclerotherapy is performed.

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

Based on more than 20 years of abundant clinical experience and know-how, our clinic was the first in the world to perform ultrasound-guided non-incisional selective nerve block procedures. Its advantages are that it addresses the biggest problem of nerve block procedures—difficulty in properly locating the nerves—and improves procedural accuracy to minimize recurrence issues.

With ultrasound, nerve branches can be quickly identified for precise treatment.

Most clinics simply use a nerve blocker and perform the procedure by roughly locating the nerves, or they only use conventional methods such as radiofrequency or neurectomy.

Using a nerve blocking device, the course of the motor nerves that innervate the gastrocnemius muscle of the calf is identified, and then only the gastrocnemius motor nerves are selectively blocked while minimizing damage to other tissues.

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Through local anesthesia for the non-incisional selective nerve block procedure, only the branches of the motor nerves are selectively blocked using a special medical device (with functions to find, identify, and block nerve branches), so no scar is left. There is only a slight pulling sensation due to muscle degeneration, with no swelling or pain, and the patient can return to daily life immediately after the procedure.

The effect immediately after the procedure can be visually confirmed by lifting the heel after the procedure and seeing that no tension appears in the calf muscle bulge.

With this surgical method, satisfactory results can be achieved with a single procedure, and because there is no scar or discomfort after the surgery, it is a procedure that patients greatly welcome.

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