Calf fat transfer in London
Fat transfer to calves also known as lipo filling or calf fat grafting is a minimally invasive surgical procedure for calf augmentation involving the liposuction of fat followed by fat injection into the calves. Fat transfer firstly involves liposuction to remove fat from areas of the body where it is found in excessive amounts, also known as the donor area. Common donor areas include the abdomen, hips and thighs. The harvested fat is then gently processed before being re-injected into the calves. Fat grafting is a highly effective method of calf augmentation and is an alternative to silicone calf implants. Many patients have underdeveloped calves often as a result of previous disease or injury. A common example being an old ruptured Achilles tendon leading to muscle atrophy in the calf. Other causes include weight loss and the ageing process. Fat grafting also carries beneficial rejuvenation effects including an improvement in vascular supply and improvement in the quality of the overlying skin which helps to enhance the final outcome.
View our fat transfer patient education video
Fat grafting also has applications in other areas including being used for scar revision and the treatment of a number of skin conditions including acne scars. The primary objective of any fat transfer procedure is to improve volume in the area where the fat is transferred.
Fat transfer has been performed for many decades and has been proven to be a very safe and effective treatment for permanent volume restoration. The chief advantage of fat transfer compared with other surgical and non-surgical techniques of calf augmentation such as implants or fillers are that it uses your own bodies tissue and therefore the risk of any immune reaction is eliminated. Fat transfer also results in a more natural looking appearance compared with implants. The percentage survival of fat that is transferred is between 60 to 70%. Patients who smoke or have a weakened immune system may have a lower percentage that graft survival rate.
Compared with calf implant surgery, fat transfer to calves is a minimally invasive surgical procedure with a shorter recovery period. The scars are barely noticeable following fat transfer and your surgeon will usually place any small incisions within the body’s natural skin folds. Centre for Surgery are one of the few clinics in the UK who specialise in calf augmentation using both fat transfer and implants. Our specialist plastic surgeon will be able to advise you on the most appropriate treatment option at your consultation.
Our clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
All our surgeons are on the GMC specialist register for plastic surgery. The Royal College of Surgeons of England has an excellent information resource on cosmetic surgery.
What is autologous fat transfer?
Autologous fat transfer is the medical term for fat transfer or fat grafting surgery. The term autologous fat transfer refers to the fact that the harvested fat comes from the same individual and is re-injected into the same person. It is therefore the case that all fat transfer procedures performed at Centre for Surgery are indeed autologous fat transfer surgical procedures.
Autologous fat is a highly effective solution for volume augmentation as it is easy to remove with liposuction and the fat Will not cause any immune reaction as it comes from the same person and this means that it is also non-toxic. The main prerequisite for successful fat transfer is for patients to have sufficient fat stalls for the adequate harvest off the correct volume of fat.
In recent years it has become evident that fat has beneficial uses beyond volume enhancement and is now used for improvement in the appearance of scars and also for facial rejuvenation and enhancement of skin quality. Patients who have previously had radiotherapy for breast cancer can benefit from the regenerative effects of fat grafting to the irradiated breast. These beneficial effects of transferred fat I thought to come from the mesenchymal cells present in high concentrations in fat.
Autologous fat can now be processed into micro fat and nano fat for rejuvenating applications beyond volume restoration.
Why choose Centre for Surgery for Calf Fat Transfer?
- Significant experience in all types of calf augmentation surgery – single implants, dual implants and custom made implants as well as fat transfer techniques
- We own and manage our own surgical facilities. Properly performed calf augmentation surgery takes time as it is technically challenging surgery and should not be rushed. Our surgeons perform a maximum of one calf implant procedure in a day. We do not cram 3-4 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform calf implant surgery to get the very best results.
Our clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
- Our surgeons live and work in London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise complications, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise. Calf augmentation surgery is not risk-free and our expert nursing team will therefore monitor you very closely under the expert supervision of your surgeon to make sure you are healing well and to minimise the risk of complications developing.
Centre for Surgery offers finance options in conjunction with our finance partner, Chrisalis Finance.
Top Surgeon for Calf Fat Transfer
Dr Omar Tillo is a specialist plastic surgeon with expertise in advanced body contouring procedures. He has significant experience in performing both aesthetic and reconstructive surgery of the calves.
Dr Omar Tillo is on the GMC specialist register for plastic surgery and is a full member of the UK Association of Aesthetic Plastic Surgeons.
Calf fat transfer expected results
Calf augmentation is a surgical procedure in which underdeveloped calves are enhanced to achieve a toned, well- proportioned leg. Calf augmentation can be performed using custom silicone calf implants or fat transfer.
Most would like to have a curvaceous, full, natural looking calves that look strong and at the same time, shapely. But despite a regular exercise and having a proper diet, it can be very difficult hard to achieve a well-toned leg. Even exercises that concentrate on developing the musculature of the lower legs do not assure you get the best looking calves. This is why a lot of people may request for calf augmentation using calf implants to either fill out those thin legs or to have their legs perfectly sculpted.
Ideal candidates for calf fat transfer
If you would like to improve your legs to achieve an aesthetically pleasing more balanced appearance of your calves then calf augmentation surgery is right for you. Calf augmentation surgery can correct deformities resulting from an injury or with which you were born or developed in adulthood.
You should be realistic as to what can be achieved by calf augmentation surgery and understand the risks and side effects of this surgery.
If you are considering calf augmentation, you may wish to look at our finance options.
Surgical techniques in calf fat transfer
Calf enhancement with fat transfer is performed under a general anaesthetic known as TIVA or total intravenous anaesthesia The procedure is performed as a day case and will take approximately two to three hours.
Fat first needs to be harvested from areas where you would like fat to be removed. The fat is then prepared prior to being injected into the calf to achieve the optimum size and shape.
The recovery process after calf fat transfer
After calf fat transfer, you should expect to experience mild pain or discomfort, which will last for five to seven days. During this time it is normal to have some bruising and swelling.
You should be back to your normal day-to-day life after around two weeks. However, you will have to avoid strenuous exercise for at least six weeks.
Calf fat transfer before and after
What happens after the calf fat transfer procedure?After the calf fat transfer procedure is complete you will be booked in for a follow-up appointment to see one of our expert post-operative nurses at the clinic usually between 7 to 14 days after your procedure. At this appointment your nurse will remove your dressings and assess your incisions to make sure they are healing well and will give further Post-operative instructions at this stage. Any sutures which need to be removed will be removed at this appointment and you will be given advice on when you can start showering.
At the six week mark you will be seen by your surgeon to assess the healing and results and to make sure you are having an optimised recovery. Post-operative photographs are usually taken at this appointment to compare with your preoperative photographs.
At all stages after your procedure in the recovery period you can get in contact with our clinical support team If you have any questions or concerns. By monitoring your care proactively in the post-operative period means your potential for a smooth recovery is maximised.
What can I expect to feel after fat transfer to calves?Once you have recovered from the effects of sedation or anaesthesia in our state of the art recovery facilities you will be assessed by one of our expert recovery nurses who will prepare you for a safe discharge. It is common to feel somewhat tired and drowsy but this is short lived and you will feel much better after 3 to 4 hours. Once you have spent a sufficient period of time in the recovery suite you will be given Something to eat and drink to build up your energy levels. Once your escort has arrived you will be allowed to leave the clinic and go home with your escort in a car or taxi.
It is not uncommon to experience mild discomfort immediately following the fat transfer procedure; however this will rapidly settle down with the taking of the prescribed oral painkillers by your surgeon. Our expert clinical support team is available to answer any question you may have and you will be called by one of our post-operative nurses at approximately 24 hours following your procedure.
Will I require someone to take me home following surgery?Yes. Calf fat transfer is carried out under sedation or anaesthesia and you will therefore be quite drowsy following the procedure. As per the national guidelines you will not be allowed to drive home yourself following the fat transfer surgery. You will need to have a responsible adult escort who will need to pick you up and to look after you for the first 24 hours following your procedure.
How much is recommended to take off after fat transfer surgery?In comparison with other types of surgery, fat transfer surgery is associated with a very rapid recovery and most patients are often back to their normal activity levels a matter of days following the procedure. It is still quite important to take things easy and build up activity levels in a gradual manner. Our surgeons recommend most patients can be at work within one week and undertaking moderate exercise after two weeks.
When commencing exercise we recommend that you begin with less strenuous activities like walking and cycling before returning to more strenuous forms of exercise such as the lifting of heavy weights or undertaking intense aerobic exercise such as running on a treadmill.
What is the length of the recovery period following calf fat transfer?Fat transfer is a minimally invasive surgery without the requirement for extensive incisions and can be easily performed as a day case procedure. With any fat grafting procedure the recovery time is usually quite rapid without any requirement for special restrictions or prolonged downtime.
After the procedure is complete you will be transferred to our day surgery recovery room for 2 to 3 hours where you will rapidly return to normal consciousness and where you can eat and drink something light. Once you have met the recovery and discharge criteria you will be safely discharged into the care of a responsible adult.
Our surgeons usually recommend that you take one week off work and to avoid driving for a minimum of one week. Desk-based work can be resumed earlier. Most patients can expect to recover fully from their fat transfer procedure within two weeks.
There are a number of activities you should avoid following fat transfer surgery and your surgeon will be able to advise you in greater detail at your consultation.
Strenuous Physical activity Should generally be avoided for up to 2 weeks and this includes sexual activity. You may commence light physical activity Such as walking and cycling after two weeks building up to more strenuous exercise at the 4 to 6 week mark such as running and lifting weights.
Following a body contouring procedure involving liposuction and fat transfer, Virtually all patients will be required to wear a post-operative compression garment for a minimum of six weeks following the procedure.
In the post-operative period, it is very important to follow all of the post-operative care instructions given to you by your surgeon and the clinical team to make sure you get the very best results from the procedure. Do try to avoid doing too much too soon as this could jeopardise the results of the surgery as transferred fat is very delicate.Your surgeon will give you comprehensive information on the dos and don’ts of fat transfer surgery at your consultation.
When will the final results following calf fat transfer appear?The healing time following fat transfer surgery is approximately 4 to 6 weeks and it takes time for final results to become apparent. It is important to be aware that newly transferred fat is very delicate and requires a period of time to establish blood supply to the fat cells. A proportion of fat will become non-viable and will be absorbed by the body. Swelling takes time to resolve but once it has done so you should be able to see the final results from the fat transfer and in some cases this can take up to 3 months to appear after fat transfer surgery.
You should begin to see incremental improvement as the days and weeks pass following the procedure and as your healing takes place. Once the Fat has successfully developed a fresh blood supply it can take a further 3 to 6 months for the fat to remodel.This process is highly variable between patients and depends on the areas where fat grafting was performed to.
Fat transfer unlike nonsurgical alternatives is a permanent procedure which means the volume enhancement will not reduce with time. However with ageing or changes in weight the proportion of fat may change in the body more generally and this will also affect the area where fat grafting was performed.
It is generally accepted that fat grafting results in fat survival rates off between 50 to 70%. The remaining fat is reabsorbed by the body. Fat survival rates vary depending on the body area treated. Patients who would like further increases in volume may wish to undertake a second stage Lipo filling procedure at between 3 to 6 months following the first procedure to achieve the expected result. Your surgeon will be able to advise you on the fat grafting survival rates after taking a full medical history and performing a thorough physical examination.
Can smoking and alcohol affect the results of the fat transfer?Smoking and alcohol are to lifestyle factors associated with an increased risk of potential complications both during and after fat transfer surgery. Other factors include a BMI over 30 and taking certain drugs which may affect the immune system as well as the taking off recreational drugs such as cannabis. Smoking is a particularly Undesirable lifestyle factor for fat transfer surgery as the constituents of tobacco smoke can affect the microcirculation to the body. This means there could be a potentially higher risk of infection as well as delayed healing. Our surgeons strongly recommend for all patients to stop smoking at least four weeks before their procedure and consider using nicotine replacement products. Excessive alcohol consumption is also a potential risk factor for adverse outcomes after surgery and it is strongly recommended to reduce alcohol intake before surgery. We recommend complete abstinence from alcohol for at least 72 hours before the procedure to avoid interference with the anaesthetic. The viability of fat transfer is adversely affected by smoking with fat survival rates as low as 30% in those who continue to smoke after the procedure. Your surgeon will Advise you to lose weight if your BMI is over 30 to reduce the risk of post-operative surgical complications.
Does calf augmentation require general anaesthetic or an overnight stay?Calf augmentation surgery is performed under anaesthesia or sedation as a day-case without the need for an overnight stay.
How long is the procedure?Calf augmentation surgery using fat transfer normally takes approximately one hour to perform depending on the complexity of the surgery.
Will I have scars?Fat transfer is a minimally invasive procedure with only very small incisions made for the insertion of the cannulas.
For the fat transfer, the incisions are placed in the crease behind the knees and are therefore barely noticeable. These incisions heal well in 10 – 14 days.
Will I be required to wear a special garment?Yes – post-surgery support stockings are fitted at the end of surgery to help control swelling and reduce movement post-operatively. This should be worn day and night for the first three weeks. They can then be worn at night only for the next three weeks.
What reassurance do I have with calf augmentation surgery?At Centre for Surgery, we understand that your decision to have Calf Augmentation surgery can be a daunting and anxious time for you. Our aim is to fully understand your concerns and desires and assess you accurately, before agreeing on a treatment plan which is in your best interest. We will provide you with all the information you need and support before, during and after your surgery.
We will also inform you about the risks of travelling overseas for surgery.
How long is recovery time?Mild pain/discomfort is expected for 5 – 7 days. Patients can go back to their normal daily activities after 1 week, but avoid strenuous exercise/activity for 6 weeks including any contact sports.
What results can I expect?The results are first and foremost natural. The goals of calf augmentation surgery are to restore an aesthetically pleasing shape which is in balance with body shape – i.e. looks natural and does not appear abnormal. It can take six weeks or more for the final result to be achieved.
What are the risks of calf augmentation surgery?Common to all surgical procedures there are always risks associated with surgery. However, complications are uncommon. Bruising can occur and may take two weeks to resolve, while major bleeding is rare. Infection is infrequent (less than 0.5%) and will require a course of appropriate antibiotics. Displacement of the implants can occur in the early postoperative course. This is prevented by avoiding pressure on the legs or excessive movement. Some altered sensation around the legs is expected and will commonly return to normal between 6 to 12 weeks after surgery.
How long do the results last?The results of calf augmentation surgery long-lasting, are but note that ageing changes will occur over the years.