Woman close up of long tanned legs
Lower Body

Calf Augmentation

£7,900Starting price
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Acceptance subject to credit status.

Calf Augmentation at CREO Clinic

Calf augmentation, or calf enhancement, is a cosmetic surgery that adds volume to your calves through calf implants, fat transfer, or a combination of both. The surgery provides natural-looking results that aim to improve the proportion and symmetry of your legs. 

Dr Omar Tillo performs all types of calf augmentation procedures at the CREO Clinic. He is one of few plastic surgeons specialising in calf augmentation procedures, with advanced training in lower limb reconstruction alongside a range of other body contouring surgeries. As such, he has the expertise to design a bespoke surgery using standard implants, custom-made implants, or fat transfer that addresses the patient’s unique cosmetic needs.

If you’re interested in enhancing and defining your calves with a calf augmentation in London, book a consultation with Dr Tillo at the CREO Clinic to discuss the best treatment option for you.  

2-6 months
Sedation or General Anaesthesia
Surgery time
1-2 Hours
Hospital time
1 Day
1 Day
3 days
1-2 Weeks
4-8 Weeks
Full recovery
4-8 Weeks

Benefits of Calf Augmentation 

Some people lack muscle definition or have unequal calves due to genetics, birth defects, injury, or other ailments like muscle atrophy. In such cases, exercise alone is insufficient to obtain the results they desire. By adding volume to the calf, calf augmentation surgery can correct any asymmetries between your legs and improve the proportions of your lower body. Additionally, the surgery adds definition by creating a slight curve in the calf that highlights the ankles and knees.

As a result, the surgery aims to resolve insecurities that patients have about their calves by producing a natural-looking enhancement. After the surgery, many patients regain the confidence to wear clothes that reveal their calves and lead a more active lifestyle.

Calf Augmentation Before and After

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Calf Augmentation Treatment Options


Calf implants in the UK are made of medical-grade silicone and are available in two types:

  • Ready-made standard implants are made of soft silicone gel and are available in fixed shapes and sizes.
  • Custom-made implants are manufactured according to a specific shape and dimension to correct or augment each patient’s anatomical requirements.

Implants may be a more suitable option if you have a significant asymmetry or reduced musculature in one or both calves or don’t have sufficient body fat to qualify for fat transfer surgery.

The implants can improve the contours of your calf and enhance the muscles. To achieve a proportionate shape and volume, the surgeon will insert one or two implants of the appropriate size to achieve a natural result. Alternatively, if you wish to contour your calves rather than increase muscle mass, the surgeon can insert thinner implants to add curves without significantly changing the size of your calves.

Fat Transfer

Fat transfer, also known as fat grafting or lipo filling, is a surgery that extracts fat from areas of your body where it’s in excess and transfers the harvested fat to areas lacking volume, such as the calves. It is an ideal procedure for patients whose main aim is to get rid of fat from some areas while attaining a modest enhancement of the calves. 

Some patients prefer fat transfer as it uses their fat tissue rather than a foreign material. Furthermore, it’s less invasive than inserting implants and therefore has a shorter recovery period and leaves minimal scarring. However, a fat transfer doesn’t produce as dramatic an enhancement as implants.

Summarised below are the main differences between implants and fat transfer: 

Fat TransferImplants
ResultsProvides a modest enhancement to the calves while removing excess fat from other areasProvides a dramatic enhancement to the calves
AnaestheticSedation or general anaesthesiaSedation or general anaesthesia
ScarringInsignificant scarringHorizontal scar along the crease at the back of the knee
Recovery4-6 weeks8 weeks
PriceStarts from £8,000Starts from £7,900

Calf Augmentation Cost in London

At the CREO Clinic, calf augmentation typically costs around £7,900 for one standard calf implant; £10,500 for two standard calf implants; £12,500 for one custom-made calf implant; £16,900 for two custom-made calf implants.

Prices for calf augmentation via fat transfer start from £7,900. The cost of fat transfer varies depending on the size and number of liposuction treatment areas.

The above prices may vary from patient to patient, depending on the surgical complexity of your calf augmentation procedure. You will receive the exact cost of your treatment after a consultation with our plastic surgeon.

Calf Augmentation Procedure

To insert calf implants, the surgeon makes an incision along the folds at the back of the knee. Using the subfascial technique, the surgeon places the implants over the calf muscle and under the fascia (a thick and tough fibrous tissue surrounding the muscle). As a result, the muscle fibres are preserved for a comfortable and natural result. Finally, the surgeon closes the incision with dissolvable sutures after securing the implant(s) in place.

To perform a fat transfer procedure, the surgeon first performs liposuction on targeted areas of the body, which involves inserting a suction tube through tiny incisions to extract excess body fat. Afterwards, the fat cells are purified and prepared for injection. Finally, the surgeon injects the fat grafts into the calf to create the desired volume and shape.


After your surgery, you will experience swelling, soreness, and stiffness around your calves, which will significantly dissipate over the first two weeks. Most patients feel able to resume office work and light daily activities after this period. However, you should refrain from more strenuous activities for 4-6 weeks if you had a fat transfer and eight weeks for implant surgery. Additionally, your surgeon may advise you to wear compression stockings for a few weeks after surgery to protect the area and minimise swelling.


The results of your calf augmentation surgery will be immediately visible. However, it may take several weeks for the final volume and contouring effects to emerge. In general, it takes three months for the final results from calf implants and 3-6 months for the results from fat transfer to show. 

By this time, the skin will stretch to accommodate the implants or fat grafts, and the fat grafts will settle and connect to the blood supply in the area. Additionally, your body will absorb 30-50% of the fat grafts over this time. However, the surgeon accounts for this loss by injecting the maximum volume that the leg can take.

Calf Augmentation FAQ

What are calf implants made from?

Custom-made calf implants are made from semi-solid medical-grade silicone, a flexible rubber-like material that is safe and durable. Standard calf implants are made of soft jelly-like silicone contained within a strong and flexible shell. These implants are designed to mimic the shape of your calf muscle to provide a natural result.

Are calf implants permanent?

Calf implants do not have expiry dates. Therefore, they can remain permanently in place as long as they are not causing any problems. However, in some cases, implants can cause problems after a while. For example, implants can rupture after a prolonged period of time (10 years or more), or they can begin to feel tight, uncomfortable, or move excessively. In such circumstances, they would need adjustment, replacement or complete removal.

How often are calf implants removed or replaced?

From our experience, an estimated 20% (1 in 5) of patients get their implants adjusted, replaced or removed in the first 5 years post operatively, and 30% in 10 years.

How common is calf augmentation?

Calf implants are uncommon and are one of the least requested procedures  among other cosmetic body surgeries. Even though many men and women dislike the thin appearance of their calves, very few are aware that corrective surgery is possible. Implants continue to be more popular than fat transfer, as they provide a more predictable and dramatic result.

Do calf implants help skinny legs?

Yes, the purpose of calf implant surgery is to add volume and definition to skinny legs. With calf implant surgery, your lower legs will look thicker and more proportionate to the rest of your body.

Is calf augmentation worth it?

Having asymmetrical, skinny, or undefined calves is a source of insecurity for many people. In many cases, it restricts the type of clothing people wear and prevents them from partaking in sports and activities. Thus, a calf augmentation can be beneficial as it provides volume, definition and balance to the legs, which may lead to a better quality of life.

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