| |
Botox |
Nerve blocking |
Radiofrequency
Muscle Ablation |
Partial Resection of
Gastrocnemius |
| Procedure |
Simple injection of
Botox to Gastrocnemius muscle |
Motor nerve to
Gastrocnemius block
by injection of toxin
(alcohol or pheonol)
or
radiofrequency ablation |
Burn muscle fiber
by radiofrequency
muscle ablation |
Remove muscle fiber
directly according to
the patient's calf shape |
| Candidate |
Thin calf with Gastrocnemius muscle bulge |
Thin calf with Gastrocnemius muscle bulge |
All the patients who want calf reduction |
All the patients who want calf reduction |
| Cost |
500-1,000 USD |
2,000 - 5,000 USD |
5,000 - 10,000 USD |
5,000 -10,000 USD |
| Scar |
None |
Spot |
Spot |
2 cm in popliteal fossa |
| Recovery |
No need |
1 week difficulty in walking |
2 weeks difficulty in walking |
2 weeks difficulty in walking |
| Effect |
Reduced muscle prominence for 4-6 months
No decrease in calf circumference |
Reduced muscle prominence and decrease in calf circumference 0-2 cm |
Reduced muscle prominence and decrease in calf circumference 0-4 cm |
Total reshaping of calf muscle and decrease in calf circumference 2-8
cm |
Possible
Complications |
|
Motor nerve to Soleus injury and gait disturbance
Tibial artery or vein injury
Incomplete result and asymmetry
Frequent recurrence
|
Hematoma
Irregularity and asymmetry
Unsatisfacotry result
Muscle fibrosis & scarring
Frequent recurrence
Major nerve or vessel injury |
Hematoma
Irregularity and asymmetry |
| Advantages |
Simple
Non-invasive |
Short recovery period
Simple and cheap
Spot scar |
Spot scar |
Predictable result
Prominent decrease in calf circumference
No risk of nerve or vessel injury
Reshaping of muscle in calf
No recurrence |
| Disadvantages |
No decrease in calf circumference
Need for frequent injection |
Unpredictable result
Unsatisfactory decrease in calf circumference
Compensatory hypertrophy of lateral Gastrocnemius and Soleus muscle
Frequent recurrence
Need repeated treatment
Frequent failure |
Unpredictable result
Unsatisfactory decrease in calf circumference
Long recovery period
Difficulty in secondary correction
Possible nerve or vessel injury
Unpredictable result |
Long recovery period
2 cm Scar
Necessity of experience and skill of doctor |
Comparison chart of various calf reduction methods 
