Can I Get Thigh and Calf Implants At The Same Time?

Q: Dr. Eppley, Please see pics of my legs. I would like both thigh and calf implants. The calf implants are to be long to give my lower leg thickness as my present calf muscle is very short

For the thighs it overall thickness 

My legs are too skinny . I am 5ft 6in.

Will implants with fat graft be the solution?

A: Thank you for your inquiry and sending your leg pictures. I think when it comes to the concept of increasing overall leg thickness that implants are really spot augmentations, or in the legs, a linear line of augmentation. They do not per se create overall thickness, although they can create the perception of a thicker or bigger leg, because of its linear line of augmentation.

When it comes to your calfs with the muscle, being short, or limited to the upper half of the leg, that implant augmentation needs to be longer than the muscle. The only way that can be done is to have an implant that is placed above the muscle on top of its fascia at the subcutaneous level. Fat grafting is not an option for you, since I doubt if you have enough fat reserves to harvest and fat survives very poorly in the lower half of the leg anyway. 

Although your thighs have not been included in your pictures, thigh implants are restricted to the rectus femoris and vastus lateralis muscle unit on the anterolateral thigh.

Dr Barry Eppley

World Renowned Plastic Surgeon