BODYBUILDERS CRAVE CUT CALVES . . . LESS PAIN, MORE GAIN?
When It Comes to Perfect Calf Muscles, More And More Bodybuilders Seek The Help of A Medical Expert to Achieve Desired Results.
For years, bodybuilders who sought to improve the definition of their calves-or gastrocs as they're called-did it by tearing down the muscle groups in the lower leg through intensive workouts, then letting the tissue rebuild to improve mass and definition. There was nothing new about this methodology; it was considered the "accepted" routine for developing the type of calves that would put them at the top of their game. But, things have now changed when it comes to getting the perfectly shaped lower leg.
Today, a new generation of both professional bodybuilders and non-competing muscle aficionados are seeking help from modern medicine to help them with the cut many of them can't seem to achieve . . . even after years of intensive training and doing it by the book. And many of them are coming from around the world to see Dr. Nikolas Chugay, a prominent Beverly Hills cosmetic surgeon and leading expert in what is known as Calf Implant Augmentation. Speaking from his Beverly Hills office, Dr. Chugay said, "It's not that these people want to short-cut the hard work involved in getting bulkier, more shapely legs. It's just that in some people, genetics plays a big part. The fact is, many of these folks work out much harder than most to get great calves. But, no matter how much they work out, they'll simply never get the mass or cut that others attain."
In private practice for over 30 years, Dr. Chugay was one of the first surgeons to pioneer the procedure and has been credited for his expertise by having the calf implant device named in his honor by a large manufacturer of implants. Dr. Chugay has performed well over 1,000 calf implant procedures.
Many people don't realize that the two muscle groups that make up the lower leg region can't always be crafted into the desired shape by merely workouts alone. Even with years of training, some calves simply won't be where the person wants them to be. So, what's a bodybuilder to do? The answer lies in calf augmentation-using calf implants-a surgical procedure to improve the overall 'look' of the lower leg. Today, many of even the most traditional bodybuilders are getting calf implants to help them get what training has denied them for years.
Not All Calves Are Created Equal-
So, when it comes to calf anatomy, what are considered good anatomical proportions? And, how is this determined?
Lower leg, anatomical proportions considered to be aesthetically pleasing were calculated by Dr. R. M. Ricketts who determined these dimensions to be mathematical ratios of X, Y, Z (width, height, depth), as well as angular proportions of the human body, to define what is termed the "golden proportion" (1:1.618). For calves, the most aesthetically pleasing dimension is merely a matter of measurement. In simple terms, if one measures the distance from the knee to the widest inside point of the calf muscle, then multiples this distance by 1.6, the entire length of the gastrocnemius muscle (calf muscle) must be at least 1.6 times the length of this previous value, to create proper calf symmetry. Circumference varies, according to length of entire muscle, but generally it has been found to be approximately 12-13 inches in size for most people.
Calf Implants Are Used To Achieve Bodybuilding Goals-
From a bodybuilders perspective, the best result is one where there is no visible sign of the implant edge—so it must be placed deep enough to assure that it will be hidden by surrounding tissue—but also not too deep, or the best definition of the muscular shape will not be enhanced as much as it could.
There are really two ways to go. The first choice is subfascially, is a less surgically intensive procedure. The second method, sub-muscularly, involves placing the implant between the flat fibrous sheets of connective tissue that typically attach the muscles that make up the gastrocnemius and soleus muscles to the bone (subaponeurotically). "Usually, calf implants are placed subfascially," Dr. Chugay said, "however, in many cases the best results are obtained by placing the implant in the submuscular planne—deeply within the muscle. It all depends on the individual."
As it turns out, subfascial placement of the calf implant is generally performed more often because the procedure is less dissection-intensive, and results in generally faster recovery times with patients reporting less pain. "The thing to watch for is implant movement (drift or rotation), or being able to feel the perimeter edges of the implant because they are usually harder than the nearby muscle and not enough tissue covers the implant itself," Dr. Chugay explained. "As well, sometimes the desired effect isn't aesthetically as pleasing as the submuscular method because the implant itself sometimes can define the final shape of the calf region, rather than the muscle tissue. If you've done as many of these as I have, you can almost always get it right, without any problems."
Submuscular (subaponeurotically) placement is considered a more difficult procedure as the operation delves deeply into tissues. As well, this method of calf augmentation generally requires much more recovery time and involves more discomfort until the deep tissue trauma begins to heal. There is also a chance for more damage to nerves and vascular tissue, but this is infrequent if the surgery is performed by someone with vast experience, like Dr. Chugay. Some say, however, that the results are better because the implant is placed more securely and accurately within the gastrocnemius and soleus muscles (within deeper fascia tissues), allowing for more aesthetic placement of the implant. It's also been observed that submuscular implantation can result in a more natural calf shape and feel because the actual muscles of the calf cover the implant completely. "It all depends on what you begin with," Dr. Chugay noted.
What Are Your Choices For Shape and
Are The Results As Good As Touted?
Dr. Nikolas Chugay is a board-certified cosmetic surgeon licensed in California. He is a member of the American Board of Cosmetic Surgery, American Board of Cosmetic Breast Surgery, American Association of Osteopathic Physicians, Osteopathic Physicians and Surgeons of California and American Society of Liposuction.
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