Submuscular calf implants.

Since the first report of calf augmentation in 1979, two kinds of implants have been used--silicone-gel filled implants and firm silicone rubber implants. Usually placed in the plane below the deep fascia of the calf, the first implants had problems with visible capsular contracture. In addition, the firm silicone rubber implants could be felt by the patients when they touched their calves. As a result, we looked for another plane in which to place the calf implants. In this paper we present our experience with the placement of the calf implants between the gastrocnemius muscle and the soleus in a series of six patients. Results and complications in these patients are presented over follow-up periods of six months to two years.