The procedure

The procedure is made  to bring harmony to the proportions of the body and give the legs a more balanced and defined appearance. Calf augmentation is a plastic surgical procedure. It is done to enhance the shape and contour of the lower leg which improves the proportions of the lower extremities. The two main methods are fat grafting by using a patient’s own adipose tissue, obtained through liposuction techniques and augmentation with implants.

Calf augmentation

At A Glance

Surgery Time

1 hours

Time off work

2 weeks

Hospital Stay

Day case

Washing

Shower after 1 week

Reasonably Mobile

1 day

Exercise Including Gym

6 weeks

Dressing & Garments

5 days Lower Leg Dressing

Anaesthetic

General

Full Recovery

6-12 weeks

Sleeping Position

Elevate Leg(s) on pillow for 2 weeks

Frequently Asked Questions

How is the procedure performed?

Calf augmentation using fat transfer technique/lipofilling

The procedure is performed by removing fat from specific areas with excessive adipose tissue, such as abdomen, back and/or thighs. The extracted fat is then processed and purified in order to be transferred to the lower leg area. The intervention is performed under general anesthesia and lasts about 2-3 hours. Some of the transferred fat will reabsorb within the next few months which requires an “overcorrection” to compensate for the resorption. The final result is visible on the 6th to the 7th month after. Due to the mentioned resorption processes, the procedure may need to be repeated in order to achieve optimal results.

Calf augmentation with implants

Implants are an option for achieving well defined calves. The procedure is especially suitable for patients with minimal deposits of subcutaneous adipose tissue on the body because insufficient subcutaneous fat is a clear contraindication for lipofilling. The placement of the silicone implants is made through incisions  which are made in the natural creases behind the knee. The intervention is performed under general anesthesia and lasts about 1.5-2 hours.

Before the procedure

Your surgeon will give you detailed information for the preoperative preparation a few weeks prior to your plastic surgery.

The most important advice for smokers is to stop smoking for at least 2 weeks (or 4 weeks and even more, if possible). Smoking prevents healing and increases the risk of complications. You should not smoke until the wounds heal well, at least two weeks after surgery.

 You should stop taking aspirin or medicine containing aspirin, anti inflammatory drugs and herbal supplements as they all increase the risk of bleeding. Your surgeon will advise you how long prior to the operation you should stop taking these medicines. 

High blood pressure also needs to be well controlled during surgery. So if your blood pressure is elevated, you should discuss it with your surgeon.

 It is extremely important to discuss your expectations with your plastic surgeon. This will allow him to assess whether they are achievable with the selected procedure. In some cases, two or three sessions may be needed to achieve the desired effect, and in others – it may be necessary to combine procedures for a better result. 

You will be accompanied by an employee of ours to the clinic and where you are staying before and after the operation.

Aftercare and recovery

Your surgeon will give you complete and detailed instructions about your post-surgical care and  recovery process. To prevent complications during recovery, it is necessary to follow the surgeon’s instructions precisely and consistently.

In the first week after the operation you may feel slight pain and discomfort. They can be easily controlled with medication.

During this first week you will have to wear a special compression bandage, which will then be replaced with special compression stockings. They should be worn for another 5 weeks.

You will be able to return to work in two weeks and  start training in the gym 6 weeks after the operation.

Any swelling and hematoma should disappear within 6 weeks after surgery and the final result will be present after 12 weeks.

What are the risks of the calf augmentation procedure?

All risks will be discussed with you during the consultation with your plastic surgeon. 

Scarring, for instance, is possible but only of a minimum degree and with great chances of fading over time and with the right treatment. Minimal bleeding, bruising and swelling, as well as allergic reactions are some of the potential complications of all surgeries. You can help minimize the risks by following the advice and instructions of your surgeon, both before and after your calf augmentation procedure.

How much does calf augmentation cost?

Prices are formed individually after an online consultation and depending on the patient’s personal needs. Once we know what you want, you will receive our offer within 24 hours. You also can check our PRICE LIST.

How do we work

Once you have made contact with us, we will organize a free video consultation with the surgeon we believe is best suited for your particular situation.

This consultation will be within 5 days of your request. Prior to the video consultation, we will ask you to fill out a questionnaire about your medical history and send photos of the problematic areas. 

If necessary during the video consultation your doctor will advise you to take additional photos of the problematic areas and suggestions for the angle from which to take photos.

This consultation will be combined with a detailed discussion about your wishes and the possibilities for achieving them.  We will discuss with you the expected results, possible risks and any other issues that you might be concerned about.

We advise you to make a list of all the questions you may want to ask concerning the procedure before the actual consultation. After the official request to us, and if you wish, we can arrange a meeting for you with our representative in London.

Within 24 hours of the video consultation, we will send you a costing describing the price of the procedure and the needed length of stay in Bulgaria. In the costing there will also be preferential prices offered for our partner hotels with which we work and for which we can guarantee the quality and comfort. 

You will then have 3-4 days of time to reflect, and give us your decision.

If you decide to proceed and agree with all terms and conditions , you will have 48 hours within which you must prepay 30% of the total amount of the procedure. This amount is paid directly to the clinic where your procedure will be performed and thereby you will have a reserved date and time for your procedure and a room in the hotel you have chosen. The remaining balance has to be paid by the day before the procedure itself after conducting the preliminary examination in the clinic.

If you decide or need to cancel the procedure, this must be done at least 30 days before the date of your flight in order to be able to trigger a process for returning your deposit.  

If you decide to cancel our services within the last 30 days before your flight, you must have a good reason for doing so (supported by evidence) in order to take your money back. If you cancel it within these 30 days and the reason is acceptable, your money will be returned, but you will be suspended 50 euro for an administrative fee. If you wish to change the date of the procedure, this can happen at least 30 days before.

If you wish, we can also arrange your travel from your home to the airport. We are partners with a transport company and you can use our preferential prices. This also applies to your return flight. To do this, you will need to send us the details of your flight one week in advance.

Upon arrival in Bulgaria, you will be greeted at the airport by one of our employees who will take you to your hotel.

On the day before the operation, you will have a preliminary examination, where some necessary tests will be performed (e.g. blood tests) and we will specify all the details related to the operation (treatment plan, proposal for some additional or adjacent procedures for a better outcome, recovery plan etc). Our employee will take you to the clinic and after that to the place where you are to be accommodated.

Before the surgery, you will need to sign an informed consent document (i.e. a document certifying that you have been informed by the doctor about all potential risks and complications and that you understand them) and agree to proceed with the procedure).

On the day of the operation our employee will bring you back to the clinic. Depending on the procedure, you may need to have one or several days of hospital stay. After the completion of the procedure and the hospital stay, our employee will take you back to your hotel.

During the entire stay, our employee will be at your service throughout. 

If you wish, and if the procedure allows, we can arrange your stay according to your requirements but this must be specified in advance.

On the day of departure, you will be accompanied by our employee back to the airport.

If you wish, we can arrange your stay according to your requirements. This must be specified in advance.

You will be provided with a detailed plan on the recovery process. 

Online consultations in the recovery period will be arranged with your surgeon, but if you have stayed in the hospital after your procedure, the doctor will give you post-operative examinations on the first and third days.

On the seventh and fourteenth days, preventive online consultations will be made to track how the recovery goes.  

Online consultation reviews are also done on the 1st, 2nd, 3rd and 6thmonths.You will be able to contact us at any time!