Indications

Among the most common conditions for the leg plastics procedure are:

  • Weak development of calf muscles.
  • Atrophy of calf muscles due to previous traumas or diseases.
  • False shin flexure – when there are no anatomic defects of the leg bones and a visual flexure is caused by lack of internal shin volume. This condition is called false shin deformation, while there is no leg bones flexure. Otherwise, an orthopedic surgeon must treat this problem.

Contra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

 Shin plastics procedure

Special calf implants or prostheses are used to change a shin shape. It’s a silicon prosthesis with a solid membrane and silicone gel inside being of the same density as the muscle tissue. Implants can be asymmetric (anatomic) and symmetric. In the first case, the thickest part of the prosthesis is in the upper third of the implant, in the second case – in the center. An implant is selected in accordance with anatomic characteristics of the patient’s shin and is individual for every case.

The surgery is performed under anesthesia. A small incision 3-4 cm long is made in the poples, then shin tissue and muscles are carefully separated with special instruments, some structures are excised to create a socket for the implant a little larger in size that the prosthesis. A doctor inserts the implant and closes the cut layer by layer. Finally, a sterile dressing is applied to the cut and compression stockings are put on the legs.

Post-op rehabilitation

Patients might experience some pains and swelling after the shin plastic surgery. These conditions will pass away over time. At first it’s recommended to wear shoes with heels about 5 cm high to reduce pain and also wear compression stockings for one month. Stiches are removed in about 2 weeks.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)
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