Curoplastics
(correction of lower leg shape)

DO YOU WANT TO HAVE A CRUPLASTY?

If the natural shape of the legs in the lower leg region is not ideal, it can be helped to correct the defects by a cruoplasty - a surgical procedure, a shin plasty, aimed at reducing, increasing or correcting the shape, eliminating asymmetry. Often doctors use silicone implants to correct the volume.

Plastic surgeries to correct the shape of the lower leg were first performed on patients who had undergone serious injuries or diseases, which led to serious cosmetic defects. Today plastic surgeries are performed according to the wishes of the patients, and the most modern implants are used, adjusted to the shape and size of the calves.

DESCRIPTION

Nowadays, in plastic surgery clinics, a crucoplasty is performed for both medical and aesthetic indications. Medical indications include:

• abnormal development of the calf muscles in one or both legs;
• muscle atrophy, which develops due to various reasons;
• Lower leg injuries that require removal of a large amount of soft tissue (lacerations, burns, muscle crushing in severe fractures);
• Infectious and inflammatory processes that led to soft tissue deformities (abscesses, phlegmon);
• asymmetry, curvature of the tibia, which are not associated with bone skeletal abnormalities;
• rapid weight loss with the formation of skin and subcutaneous tissue defects.

For aesthetic reasons, surgery is performed when patients complain of a discrepancy between the shape of their lower legs and recognized standards, or when they have defects that cause psychological discomfort and interfere with normal life.

CONTRAINDICATIONS

Plastic surgeons prescribe cruplasty only after ruling out all possible contraindications. This is important in order to reduce the risk of various complications during and after surgery. It is forbidden to perform the intervention if there are:

• skin abnormalities in the surgical area;
• Infectious diseases, febrile syndrome;
• autoimmune processes;
• any chronic pathologies in the acute stage;
• varicose veins in the lower leg area and any other vascular pathologies;
• clotting disorders (hypo- or hypercoagulation);
• Diabetes mellitus, thyroid gland abnormalities;
• Bronchial asthma, severe lesions of lung tissue, bronchi;
• any kind of cancer;
• swelling of the lower extremities;
• mental disorders, dysmorphophobia.

During the examination of the patient and the initial consultation, the doctor may determine additional contraindications for the intervention.

PREPARATION

The first step in preparing for surgery is a consultation with a plastic surgeon. The doctor evaluates the condition of the lower leg, determines the need for surgery, the type of implants, the volume of intervention. This determines the price of tibia cruplasty in the clinic in St. Petersburg. If necessary, an orthopedic traumatologist consultation is appointed, which excludes skeletal defects. Also, the anamnesis is clarified - diseases, operations, allergies and chronic pathologies, it is necessarily specified - what drugs the patient takes.

Next, a laboratory and instrumental examination is performed. The patient undergoes basic tests required before surgical intervention - blood tests (general examination, coagulogram, tests for HIV, RW, viral hepatitis, biochemistry, glucose test), and urine tests.

Doppler ultrasound is performed to evaluate the blood vessels of the lower extremities. In addition, an ECG is performed, a fluorography is performed, and a general practitioner examines the patient to obtain an opinion on his or her state of health. After all the examinations, the surgeon discusses the peculiarities of the operation with the patient, selects the appropriate implants or discusses tissue resection if the plasty involves reduction of the lower leg. The last step will be a consultation with an anesthesiologist to prepare for anesthesia (usually an epidural anesthesia with sedation is used).

Before the intervention it is necessary to cancel medications that affect clotting, avoid smoking and alcohol. 8-10 hours before the start of the intervention, avoidance of food is necessary.

PROCESS OF OPERATION

Surgery to correct the shins is performed in stages. The doctor preliminarily makes a mark in the places of future incisions, and evaluates the condition of the tissues. Then the patient is laid on the operating table in the stomach position and anesthesia is administered. The shins are treated with antiseptic solutions, separated with sterile sheets, and 3-4 cm incisions are made in the area of the fossa of the hamstring, forming pockets for placing implants. The doctor then places the implants under the fascia or muscles and corrects their position by modeling the operated area. Once the implants are placed and fixed in position, sutures are placed and sterile dressings are applied, and a special compression garment is put on the legs.

The operation lasts from 30 to 60 minutes, sometimes it is combined with other interventions.

RECOVERY

For two hours after surgery you need to lie on your stomach to allow the anesthesia to fully pass and restore sensitivity in your legs. Then you can get out of bed and take your first steps. During the day the patient stays in the clinic under medical supervision. After dressing and treating the stitches and evaluating the general condition, you can go home.

During the first week it is necessary to reduce the load on the legs as much as possible, because the incision area is painful and there is discomfort when walking. It is important to rest more, put your legs in an elevated position, and keep your compression garment on. Stitches are removed in the period from 7 to 10 days, after that you must for a month to wear a compression stocking, wear only shoes with a small heel (no more than 3-4 cm), to avoid putting loads on your legs, to refuse to visit saunas, swimming pools, the beach. You can return to professional sports not earlier than after 2 months.