• Calf augmentation (enlargement)


Calf implants and fat grafting are a safe and effective way to increase the size and shape of your calves.

This plastic surgery, also called calf enlargement and calf enhancement can be performed in both men and women.

Calf augmentation surgery using  implants or with fat transfer is indicated for patients with:

  • Physical or birth defects. Calf implants can correct muscle imbalance.
  • Legs mismatched at a musculature level. People who despite having no kind of disease specific can neither increase the size of the muscle of this zone nor obtain the desired curvature.
  • Some kind of congenital malformation in their leg.
  • Neurological illnesses; poliomyelitis or who have suffered injuries in the zone.

However, due to its complexity, calf augmentation surgery requires a plastic surgeon with wide experience.


The day of surgery, you are given under local anaesthetic and sedation, epidural or general anaesthetic depending on the case.

During calf implant procedure you will be placed in the prone position (lying face down) on the operating table.

The operation consists of placing one or two silicone implants between the calf muscle and the skin. Semisolid, fusiform (spindle-shaped) and non-rigid implants are usually used.

The incision is made in the fold on the back part of the knee.

Calf implants are placed on top of or below the muscle, depending on the characteristics of the leg and on what we want to achieve. The most natural result is achieved using the submuscular implant. It is completely hidden and what it does is push the existing muscle out so that it is more prominent. The best position to place it in will be evaluated at the consultation depending on the anatomical features of the legs and on the desired results.

Calf implants are made of cohesive gel, which are denser than those used in breast augmentation. The objective is that they support the strain of the calf muscles in the legs. It is not necessary to change calf implants although they must be monitored periodically. Once the initial 5 or 6 week period has passed there are no physical restrictions.

The size of the calf implant is chosen depending on the wishes of the patient with regard to shape but the volume is determined by the stiffness of the tissue in the zone, the degree of muscle wasting and the length of the leg. Putting two implants in each leg 4-5cm more circumference can be gained.


The calf implant doesn’t give volume to the area above the ankle. In this area fat grafting can be used to increase the diameter of the area and achieve a more natural transition.

The fat is obtained by liposuction from other parts of the patient’s own body. It generally comes from the abdomen, thighs, hips and double chin.

Calf enlargement with fat transfer is a technique that prevents any possible rejection or incompatibility. As it is the patient’s own fat, the final result is less harmful for the body.

Antiaging Group Barcelona is a pioneering centre in Spain by introducing Dr. Coleman’s technique which guarantees the greatest survival of the grafted fat and minimizes the incidence of cysts.

It is obvious that calf augmentation surgery with fat transfer is contraindicated in thin patients who don’t have body fat.

Fat grafting will give less projection than with implants. For that reason, fat tissue grafts are used above all as a supplement to calf enlargement with implants, to sculpt the zone and make it look more natural.


While all surgical procedures offer a certain degree of risk, calf implant surgery is safe and effective when performed by a board-certified plastic surgeon with experience in muscle augmentation.

Complications are rare. Patient may notice alterations in the sensitivity of the treated zone, as well as the appearance of bruises and swelling of the legs and feet, which will disappear in a couple of days.

If you are interested in having this surgery, you can consult with the surgeon in order to learn more about the process and what kind of results you can expect. Based on your characteristics, we will offer the best solution for your calf augmentation.


After calf augmentation surgery, it is common to spend one night in the hospital, although at times this is not necessary (day case).

It is necessary to rest for a couple of days and start work again after a week has passed.

It is important not to do gymnastics or any other strenuous exercise which involves intense calf activity for the first four to six weeks after the intervention. During the recovery period, the calf implant should be fixed in place and not move around.

The post-operative period with two calf implants in each leg is slower than with just one as the space is limited and it takes the leg longer to get used to the extra volume.

The scars are in the hollow of the knee, the popliteal fossa (knee pit). Initially they are visible and they take a few months to lighten.


Calf augmentation surgery cost depends on the physical features of the patient and of the technique used in the surgery (calf implants or fat grafting).

Without meeting the patient we don’t offer approximate prices as each patient is a different case. But we know that the economic factor is important when it comes to making a decision.

Therefore, we offer the possibility for the patient to come to our facilities for a first, free, no-obligation visit. You can consult with the surgeon in order to answer any questions. Based on your characteristics, we will offer the best solution and the best price for your calf augmentation.


Doctor Jesús Benito has developed several calf augmentation techniques in Spain with excellent results.

It is possible to combine calf implants with fat transfer. Fat transfer is an excellent supplement to increase the diameter of the muscle and provide more natural results.

With more than 20 years of experience, Doctor Benito is a recognised authority in Spain in plastic, reconstructive and cosmetic surgery.

Doctor Jesús Benito: Publications:


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    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

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    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
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