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Leg aesthetics
An operation that has started to be performed a lot in recent years, but is still unknown among surgeons, is leg aesthetics with silicone implants. In this article, I will briefly convey my experience on this issue and tell you about some of the updates we have made in the application according to today’s conditions.
Silicone leg implants are silicone prostheses that are in the form of a small model of the calf muscle located at the back of the leg, in the under-knee muscle. These silicone implants (prostheses) are used to enlarge the muscle located in the posterior part of the leg, in the leg below the knee muscle. This muscle is actually a muscle consisting of 2 parts, but it is usually the weak muscle in the inner part of the leg that causes weakness in the leg and the appearance of a crooked leg. Therefore these prostheses are usually placed in the inner side muscle to correct the distorted leg image or to plump the muscle in the lower knee part of the legs. The goal is to bring the weak muscle to the size it should be. This surgery is performed on 4 groups of patients:
1- Ladies who have a crooked leg image, with an opening between two legs Decoupled
2- Ladies with very thin legs (bush leg deformity)
3- Patients whose legs are thin due to polio they had as a child (male-female)
4- Athletes who are interested in bodybuilding but cannot develop leg muscles (this muscle is resistant to sports, difficult to develop)
In order to get the most natural result in all these patients, the implants should be placed inside the calf muscle. This situation is similar to the traditional matryoshka dolls of the Russians. If you put an implant in the shape of a muscle right in the middle of the muscle, you will plump the leg in an extremely natural way. The implant is absolutely incomprehensible from the outside (just like the other matryoshka dolls inside a matryoshka doll cannot be seen from the outside). I call this “plumping”; I don’t call it “thickening”; because it’s not actually a “leg thickening”. Why? Silicone implants only enlarge the muscle because they are put inside the muscle. In the leg this muscle is located in the upper 2/3 of the leg between the knee and the ankle. The part of the muscle that continues downwards is in the ligament structure and the implant does not extend all the way here. So in short, these implants do not extend to the ankle, they remain above, When we put the implant into the muscle, we thicken the muscular, part of the leg (between the knee and the ankle), but the ankle remains the same. For women, this is already something that is desired. The female body is curvy, some areas are plump, some areas are thin (classic glass coke bottles are made in that form, inspired by the female body). Also on the leg, it is desirable that the fleshy part of the calf is plump and the ankle is thin for a feminine and attractive appearance. By placing silicone implants inside the muscle, patients can be given this feminine appearance, as it is impossible to muscle the implants from the outside.
In fact, the situation is actually the same for men, with only one difference.. In men, it is desirable that the leg have a pronounced muscular appearance, not a gentle curve. For this reason, asymmetric implants with one side thicker should be used in male patients. Thus, a muscular appearance is achieved while the calf is being plumped. In women, on the other hand, the use of symmetrical implants with gentler folds gives better results.
Leg aesthetics with a silicone implant is an operation performed behind the knee. A 3-4-centimeter incision is made to the inner part behind the knee and the calf muscle is reached from here. The gap where the implant will be placed is opened with one end of the idil calf dissector. The implant is placed inside with the other end of the dissector. These stages are completely bloodless, because no tissue is cut. Decapitation is done by placing the implant between the fibers of the muscle. That’s why there’s no bleeding. The operation of one leg is completed by suturing the muscle, subcutaneous tissues and skin. The surgery of both legs takes about 1 hour from start to finish. The suture mark behind the knee usually heals very well; the remaining mark is not very obvious. The patient is kept in the hospital for 1 night and discharged the next morning. The patient should rest at home for 3 days. Then at the first check (3. day) his bandages on the legs are opened and he is allowed to walk. He usually regains his normal walking at the end of 1 week. This operation has an important feature, the patient should be told about this situation from the very beginning; after the operation, the leg gains some more volume for about 3-6 months. This is because the inflexible muscle membrane loosens over time, allowing the leg to become thicker. The membrane of the muscle is not flexible, but the implant placed in the muscle forces this membrane from the inside. Over time (within 3-6 months), the leg becomes a little thicker. The surgeon needs to know this feature and adjust the volume of the implant to be placed accordingly.
An experienced surgeon calculates how thick the leg should be after 6 months and selects the implant accordingly. You see, the image you will see immediately after the operation is not the final state of the leg. You can only see the final version after 6 months. My advice to patients who want to see this situation with their own eyes is this: measure the thickest part of your leg (between knee and ankle) with a tape measure when the bandages are opened after surgery. After 3 months, take another measurement from the same place; and when the 6 months are up, take a measurement. You will notice that the leg gets a little thicker over the months..
We used to do this surgery with general anesthesia. The reason for this is that the operation is performed with the face in a sheep position. In fact, this operation can also be performed by numbing from the waist (with spinal anesthesia), but we thought that it was not comfortable for the awake patient to lie down with a clock face. Unfortunately, due to the pandemic that has been sweeping the world since January, performing surgery with general anesthesia has become risky – at least until the vaccine or treatment of the disease comes out. For this reason, we decided to perform this surgery with spinal anesthesia, numbing the patient from the waist without putting him to sleep until Covid-19 treatment is found. Spinal anesthesia seems to be safer at the moment because the patient is not given general anesthesia and his breathing is not connected to the machine. In addition, we now require a computed tomography of the lungs before surgery. If the patient has a covid-19 infection, computed tomography of the lungs helps us to understand it. These secret measures are essential for the beauty of our patients.
Of course, procedures may change according to current developments; we follow the current developments closely.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.