Calf Reduction by Botox Injections

Calf reduction by Botox injection uses controlled atrophy to temporarily create a smoother contour in the calves. Over time, Botox can help individuals with naturally large calves who desire a more defined curve to their lower legs without undergoing surgery.

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The Skinny

avg. recovery: 0 days
permanence: Temporary
Type: Injected
surgical: No
cost: $700 - $2100

About the Procedure

Last Updated: 11.26.2020

Calf reduction is typically done as a way to feminize the legs, creating a smooth contour from the knees to the ankle. When calves lack a defined curve, the lower legs can appear shorter, more masculine, and can make wearing certain clothing items (like pant and boots) difficult. Botox injections, while less invasive than surgical muscle resection of the calf muscle, liposuction, or nerve ablation, can still create noticeable and lasting effects for patients who desire a slimmer lower leg. Using a series of syringes, 40-100 units of Botox will be carefully injected evenly across the gastrocnemius muscle. The gastrocnemius muscle is the most superficial calf muscle that is responsible for bulkiness and definition of the calf. This procedure can often be performed in under an hour but typically requires at least 2 treatment sessions to see noticeable results. Maintenance treatments are also necessary to see continued effects.

The goal of a calf reduction by Botox injection is to slim and contour the calf muscles.

What to Expect

Calf reduction by Botox injection uses controlled atrophy to temporarily create a smoother contour in the calves. Here is a quick guide for what to expect before, during, and after Botox injections for calf reduction.

Before Treatment

No special measures need to be taken before treatment.

During Treatment

Patient will be asked to flex calf muscles to help determine areas of injection
Patient will lay face down on a table
Skin will be cleansed
40-100 units of Botox will be administered into each calf muscle

Recovery Notes

There is no recovery time associated with this procedure and most patients are able to return to normal activity, including walking, almost immediately. It is recommended to wait 24-48 hours to resume intense physical activity.

Ideal Candidate

The ideal candidate for calf muscle reduction with Botox injections is unhappy with the contours of their lower legs.

Not Recommended For

Calf reduction by Botox injection is not recommended for patients who have a skin infection or other condition in the injection area or has any disease that affects the muscles or nerves.