Calf implants are inserted to create the impression of greater definition and contour in the lower leg area. The procedure is usually performed under light sedation with localanesthetic or under general anesthetic. Incisions are made in the crease behind the knee and the surgeon creates pockets to hold the implants beneath the fascia.
In some cases balloon-like tissue expanders may be used temporarily to allow for gradual stretching of the tissue. After several weeks the expanders are replaced with the implant. If the degree of enlargement is not excessive, the permanent implants are placed immediately. Often, two implants are placed in each leg.
Compression stockings are placed on the calves after the procedure and these will be worn for about 2-3 weeks. There are generally no bandages.
It is suggested that a shoe with a 1 ½ to 2 inch heel (like cowboy boots) should be worn after surgery. Bed rest immediately following surgery is recommended but after 24hours, you can get up to eat or go to the bathroom, stairs are to be completely avoided, though. You will, however, need to be off their feet for about a week with the legs elevated. Keeping the legs elevated will reduce the swelling and therefore reduce pain. Some patients, usually male, experience pain for the first 48 hours after surgery. You can expect to feel as if you have had an intense calf work out that lasts for 2 weeks, although the pain medication prescribed by your doctor can help.

Recovering individual and varies from person to person. People with office jobs can usually get back to work in one or two weeks. As your legs adjust to the implants, there will be discomfort. Most patients find walking on their toes or in shoes with heels the most comfortable during this healing phase. Avoid strenuous use of the legs for at least six weeks to allow for healing and to make sure the implant has securely positioned itself. Upper body workouts can be resumed in a week; light leg workouts can begin in three weeks.