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Calf Reduction Surgery
 
1. Will severing the calf nerve cause future weakness when walking or feelings of numbness?
   

No. During the surgery we find and sever the motor nerve that controls the gastrocnemius muscle, all other nerves will not be affected, so the problems you refer to will not happen. The gastrocnemius muscle is a supporting muscle but not the main muscle, so even after it shrinks, it will not cause weakness when walking and the temporary soreness will also disappear and improve after 2 weeks.

2. Is there a possibility that there will be no improvement after surgery, or that my legs will become stick legs?
   
I have heard about not very obvious improvements after surgery, but we find that root of the problem is usually because the gastrocnemius nerve is not correctly separated, and the main nerve is not severed. So our clinic uses the most reliable electric nerve stimulator to test directly during surgery, so it is almost impossible to make mistakes. Excess shrinkage may be caused by severing the soleus muscle (the main muscle), so taking more time to determine the correct nerve is very important.
3. Are there people not suitable for this surgery?
   
Basically, any patient that is evaluated before surgery to have stocky legs due to oversized muscles is eligible for this type of surgery. But if you are thinking about, or currently dancing or exercising for a living, this surgery is not for you, because this type of surgery may cause future problems in calf strength. Also if you have “O” shaped legs you also need to consider that after your calves are thinner, the inner curves of your legs may become even more obvious!
4. What happens if the calves are not thin enough? What if they are too thin? Is there any way to restore them?
   
This nerve severing surgery can only reduce the muscles in the inner calves, if your soleus muscle is also large, I would recommend you to use Botox injections as support to achieve the best results. The situation of the calves becoming too thin rarely happens, if that is the case, then fat transplant or muscle training can be used to adjust the results.
5. Will the muscles recover after shrinking?
   
Clinical testing shows that the muscle will rarely recover after the nerve is severed, unless your gastrocnemius muscle controls more then one nerve, but that situation is rarely seen. Which in other words mean that if you sever the controlling nerve, the chances of the muscle recovering is almost zero. A situation that occurs more often is the outer muscle becomes thick because of long term calf exercising, causing the appearance of stocky legs to return. This problem only takes a little Botox to resolve.
6. Are there any after-effects to calf muscle removal? Is it dangerous?
   
Inner calf muscle removal is a safe surgery, because there are no important nerves or blood vessels in this area. But if you wish to remove the outer muscle, then extra care needs to be taken because this area has nerves controlling the movement in the sole of the foot. So this type of surgery takes a lot of time separating the nerves. Also we use an endoscope to increase the surgery viewing range, to avoid the chances of hurting the wrong nerve.
 
 
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