Arch Aesthetic Plast Surg.  2014 Jun;20(2):124-127. 10.14730/aaps.2014.20.2.124.

Correction of Severely Asymmetric Calf using Latissimus Dorsi Musculocutaneous Free Flap and Customized Silicone Implant

• Jung MS
• Jeong HS
• Lee BH
• Kim JH
• Park SH
• Ahn DK
• Suh IS

• KMID: 2134150
• DOI: http://doi.org/10.14730/aaps.2014.20.2.124

Abstract

Calves can be easily seen in daily life and are an important part of the body contour. Asymmetric calves can develop from unbalanced distribution and deposition of fat and muscles between the legs. Calf asymmetry may be due to congenital factors, disease (e.g., poliomyelitis, cerebral palsy, or infection), spinal cord injury, or the effects of surgical treatment and may have severe adverse psychological and social implications. Generally, an asymmetric calf is diagnosed when the difference of the longest circumference between both calves is more than 2 cm. Several surgical methods have been introduced for the correction of an asymmetric calf. Implant insertion or fat injection is used to augment a hypotrophic calf. Selective neurectomy, liposuction, muscle resection, radiofrequency, and botulinum toxin injection are used to treat a hypertrophic calf. With the development of microsurgery, the authors planned to use a latissimus dorsi musculocutaneous free flap (LDMC free flap) with silicone implant to add calf volume to obtain natural calf contour. The authors present the first successful case of correction of a severely asymmetric calf using an LDMC free flap and customized silicone implant.

Keyword

Asymmetry; Lower extremities; Silicones; Prosthesis and implant; Free flap

MeSH Terms

Botulinum Toxins
Cerebral Palsy
Free Tissue Flaps*
Leg
Lipectomy
Lower Extremity
Microsurgery
Muscles
Poliomyelitis
Silicones*
Spinal Cord Injuries
Superficial Back Muscles*
Botulinum Toxins
Silicones