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Original Article Plastic and Aesthetic Research

Hyaluronic acid in calves defects correction

Lorenzo Rosset , Mario Goisis 2
1
1 School of Medicine, University of Turin, 10043 Orbassano, Italy.
2 Doctor’s Equipe, via Carducci 19, 20123 Milan, Italy.
Address for correspondence: Mr. Lorenzo Rosset, School of Medicine, University of Turin, San Luigi Gonzaga, Regione Gonzole 10,
10043 Orbassano, Italy. E-mail: lorenzo_rosset@yahoo.it

ABSTRACT
Aim: Since the advent of fillers, new techniques are continuously developed for different uses. In this
study, we evaluated the use of hyaluronic acid for calf augmentation. Methods: A total of 42 patients
were enrolled in this study. All of them underwent augmentation procedure in our centers under
local anesthesia, the operations were completed within 1 h with a prompt correction of the defects.
Results: Thirty-nine patients were satisfied with the treatment (93%), while three had complications,
local infection, and lumps, that were resolved quickly (7%). Conclusion: Macrofillers can be injected
into the calf to correct any defects. The advantages include short duration of treatment; the procedure
performed under local anesthesia and limited side-effects that resolve promptly. This study suggests
the use of biocompatible macrofillers for the augmentation of not only calves, but also for augmentation
of breast and buttocks.

Key words:
Acid, augmentation, calves, hyaluronic, remodeling

INTRODUCTION thicker gel) providing high resistance to deformation.
HA gel augments body tissue simply by occupying
The use of fillers to improve cosmesis started in space.
1899 when silicone was used to improve the esthetic Calf augmentation with HA is often performed in
outcome of orchiectomy. Since then, numerous implants patients who describe their calves as excessively tight (in
and filler substances have been used to reshape body extreme cases they may be described as “stork legs”).
defects. Permanent liquids and gels composed of These patients often have insufficient muscular mass, fat
silicone, paraffin, polyalkylimide, and polyacrylamide atrophy, illness such as clubfoot, spastic paralysis, spina
hydrogel have been used as fillers. [1,2] However, the bifida, or poliomyelitis.
incidence of chronic inflammatory reaction, palpable
nodule formation, granuloma formation, and migration
decreased the use of these materials. [1,3‑5] This led to METHODS
the advent of new materials that are biocompatible Duration of procedures ranged from 30 min to 60 min.
and nonpermanent. In 2009, a new formulation of Materials used include:
stabilized hyaluronic acid (HA)‑based gel (NASHA‑based
gel; Q‑Med AB, Uppsala, Sweden), was generated for • 20–120 mL of HA Blade number 15
restoring volume and contouring body surfaces. [3,6] • Sharp scissors
Since body augmentation requires a large volume of • Hudson forceps
filler this formulation has increased viscosity (i.e. the • Small Kleimer
• 2.5 × 150 mm, 12G, filling cannula
Access this article online • 3 × 10 mL syringes
Quick Response Code: • 1 × 100 mL bottle of physiologic solution
Website: Anesthetic solution was prepared by mixing 6.4 mL
www.parjournal.net
of physiologic solution and 3.6 mL of mepivacaine
(20 mg/mL) with adrenaline (1/100,000).
DOI: A total of 42 cases of calf augmentations were performed
10.4103/2347-9264.139702 at our office operating rooms under local anesthesia. The
study was approved by review board of University of Turin.

62 Plast Aesthet Res || Vol 1 || Issue 2 || Sep 2014