How it works
It all begins with a consultation. Your surgeon will review your general health, measure volume, and look at how balanced your two calves are. You will have the routine tests done before surgery, and an anaesthetist will see you for a pre-anaesthetic check to confirm whether the chosen method of anaesthesia is right for you.
Before the day of surgery, you will need to stop medicines containing aspirin for 10 days and fast for 6 hours. The implant used has a firm, elastic silicone shell, and inside it holds a soft, highly cohesive silicone gel; this gel does not spread into the surrounding tissue if the implant ever ruptures. Your surgeon will choose an implant with a clear origin, carrying a certificate that names the manufacturer and where it was made.
The surgery takes place in a hospital, under general or spinal anaesthesia, and usually lasts about an hour. The surgeon makes an incision about 3 cm long in the skin crease behind the knee (the back of the knee), opens a space beneath the deep fascia of the calf, controls any bleeding, and rinses the area.
Once that space is ready, the surgeon places the implant in position and closes the incision in two layers. Because the incision sits in a skin crease, it is less visible. You will usually stay in hospital for 1 to 2 days.