Losing weight is an eternal topic for women, and the calf is the center of the topic. The reason is probably that although the calf does not represent the main part of women's beauty or sexy, it is the part that women often expose. Although the waist, abdomen, buttocks, thighs and arms are easy to get fat and easy to hide, thick calves mean that you can only wear long skirts and pants are too fat.

Clinically, the thick calf can be roughly divided into three situations: gastrocnemius hypertrophy and fat accumulation, and both.

In view of these situations, there are two main shaping methods for stovepipe calves: surgery and non-surgery. Surgical methods include liposuction, gastrocnemius resection, calf neurotomy and so on. The non-surgical method is mainly to use botulinum toxin injection to shape the leg.

Liposuction (liposuction)

Schematic diagram of liposuction

Liposuction is only effective for patients with subcutaneous adipose tissue exceeding 1.5cm, which can reduce the thickness of subcutaneous adipose tissue by about 1.0cm. Because the calf tissue is dense, liposuction is easy to cause bleeding and local unevenness, so it is impossible to remove fat excessively, otherwise it will easily lead to complications such as edema, hematocele and skin necrosis, so it often fails to achieve satisfactory results. Moreover, it takes a long time to wear a corset after operation, and the technology is not good.

Is the calf thick because of the high body fat rate? Just measure the thickness of subcutaneous fat pinch. Sebum pliers and vernier calipers can be used, and ordinary rulers can also deal with them. The specific measurement method is to directly measure the thickness of the meat and then divide it by two, which is your fat+skin thickness. It is worth noting that, due to the error in self-test, it is best to measure it three times and take the average.

Gastrocnemius resection

Postoperative effect

Gastrocnemius resection directly removes calf muscles, which is very harmful. After gastrocnemius resection, the average circumference of the calf was reduced by nearly 6_7cm, but the cosmetic effect was greatly reduced because of the obvious scar left in the popliteal fossa. At present, there have been reports on the application of endoscope-assisted gastrocnemius resection, but the operation is complicated and scar can not be completely avoided. At the same time, there are some complications such as sural nerve injury, hematoma and fatigue after exercise.

Of course, I know that many girls can die for beauty, and they dare to take risks no matter how big they are. However, although the operation seems obvious, because the risks and complications are relatively large, there are basically no hospitals to carry out this kind of operation.

Neurectomy of leg

Leg neurotomy usually involves cutting the medial cephalic branch of sural nerve through popliteal incision. This kind of operation requires the surgeon to have a solid foundation of local anatomy, and there are still scars at the popliteal fossa. At the same time, if the operation is improper or the nerve resection is wrong, it will cause serious complications and even medical accidents. This kind of operation can stovepipe once and for all, but remember that this operation is irreversible.

Left: gastrocnemius, right: soleus.

Gastrocnemius and soleus are the same as Achilles tendon. Gastrocnemius denervation atrophy will affect the strength of lifting heels and kicking, and may also affect ankle flexion. So doing this kind of surgery may not affect your usual walking, but it will affect your performance in dancing, running and other sports with running and jumping movements.

Botulinum toxin type a injection

Botulinum toxin type A (commonly known as face-lifting needle and leg-lifting needle) acts on cholinergic nerve endings as a neurotoxin, which has the functions of blocking the transmission of nerve media, interfering with the release of acetylcholine to motor nerve endings, antagonizing calcium ions, etc., thus making muscle fibers unable to contract, reducing muscle tension and leading to muscle relaxation and paralysis. The triceps surae is mainly composed of the medial head and lateral head of gastrocnemius and soleus, in which soleus is the main exercise muscle, and gastrocnemius is the muscle that mainly provides posterior ankle strength, and only participates in running, jumping and other sports. Therefore, the injection of botulinum toxin A into gastrocnemius muscle can relax, paralyze and atrophy gastrocnemius muscle, and achieve the purpose of shaping, without affecting normal activities such as standing and walking after operation.

However, the injection of botulinum toxin is not once and for all, and the retention time depends on the amount of exercise of the calf after operation. If you still run regularly, the exercise will rebound soon. But if you keep it well, it is entirely possible for a year or two.

Liposuction combined with botulinum toxin A injection

Simple fat accumulation is rare in clinical beauty seekers, and most of them are accompanied by gastrocnemius hypertrophy. Simple liposuction may not be effective. For patients with gastrocnemius hypertrophy, it is sometimes necessary to partially remove gastrocnemius to achieve satisfactory plastic effect. However, because of its long incision and great trauma, it is often not accepted by beauty seekers. Therefore, liposuction combined with botulinum toxin A injection is an effective method for calf shaping.

This method also pays attention to postoperative maintenance. If you still skip around every day, eat and drink and don't pay attention to stretching, even the gods can't save your leg.