Calf Reduction by Muscle Resection

For patients that desire a permanent solution to large calf muscles, muscle resection removes a portion of the lower leg muscle for dramatic results. Muscle resection for calf reduction has shown promising results while not having a significant affect on ability to walk following recovery.

Calf Reduction by Muscle Resection Overview - Everything You Need to Know

The Skinny

Calf Reduction by Muscle Resection
avg. recovery
7 weeks
Is permanent
Surgical Procedure
$1700 - $12000

About the Procedure

Last Updated: 07.27.2021

Calf resection, although seemingly extreme, can be used to great success when contouring large or disproportionate lower legs. For patients that are unhappy with large calves and have not had success with other treatments first, such as Botox injections or selective nerve ablation, muscle resection can be used as a final option for permanent calf contouring. When performing a muscle resection for calf reduction, only a partial resection of the gastrocnemius will be removed. The gastrocnemius muscle makes up the bulk of the calf muscle along with the soleus muscle, which is underneath the gastrocnemius. When the gastrocnemius muscle becomes enlarged, it protrudes to both sides of the calf, widening the appearance of the lower leg. A small incision will be made behind the knee within the leg crease. Through this incision, muscle fibers will be removed, being mindful to not sever any nerves within the leg. Incisions will be closed and drains will be inserted to prevent collection of blood and fluids. The legs will then be wrapped in postoperative compressive garments and bandages. For patients who do experience complications during their surgery, leg numbness and difficulty walking will occur however will slowly resolve, with normal function returning within a year.

The goal of a calf reduction by muscle resection is to permanently slim and contour the lower legs.


Calf Reduction by Muscle Resection addresses concerns such as:

Recovery Notes

The most important aspects of recovery are to minimize swelling. Patients should wear compression stockings for 3 months and elevate legs for 1 month whenever possible.

Ideal Candidate

The ideal candidate for calf muscle reduction by muscle resection is unhappy with the contours of their lower legs and has either congenitally bulky or tubular legs, or has severe calf hypertrophy.

Not Recommended For

Calf muscle reduction by muscle resection is not recommended for patients who have a history of prolonged healing or has poor blood circulation to their extremities.

Side Effects

Side effects from calf reduction by muscle resection include hypertrophy, contour irregularities, asymmetries, prolonged periods of difficulty walking, and a lengthy recovery.


  • immediate results
  • permanent


  • hypertrophy
  • contour irregularities

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