Treatment guide

Calf Reduction

The calf muscle is often one of the most prominent on the human body, and when it is out of proportion to the rest of your legs, the aesthetic effects can be easy to spot. Calf reduction procedures address the problem of bulky calves, giving men and women the chance to harmonise their leg muscles, improving their overall appearance.

The content has been reviewed for quality and accuracy to the best of our knowledge by Qunomedical and its Medical Board of Experts.

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  • Individuals with overly muscular calf muscles and who wish to enhance the appearance of their legs.

  • People who enjoy good overall health and are able to handle both surgery and an extended healing period.


  • Surgical calf reduction techniques have a very high success rate, with very few cases requiring further interventions.

  • With botox-based techniques, multiple sessions may be required, and the effects wear off within one year, meaning further treatment is required.


  • For non-invasive methods like botox or radiofrequency ablation, recovery is immediate, but the effects may take a few weeks to show.

  • In cases where surgery is used, recovery will take a period of days (with a neurectomy) or weeks (with a resection).

  • With calf liposuction, patients can leave the clinic immediately, but practitioners suggest a recovery period of up to 6 months.


  • If botox injections are used, a series of 2-3 appointments will be necessary. The reduction is noticeable within two months.

  • If radiofrequency ablation is used, a series of appointments will be required, but the effects are immediate.

  • If a neurectomy is used, a 1-2 hour surgical procedure is required, followed by a short period of recovery.

  • If a partial resection is used, a 1-2 hour operation is followed by a recovery period of 3-4 weeks.

  • With calf liposuction, the procedure can be carried out at a single appointment.


  • Difficulties when walking in the first few weeks after the procedure

  • Permanent nerve damage and reduced mobility (very rare)

  • Bleeding and swelling

What Is Calf Reduction?

Calf reduction surgery is a cosmetic procedure which reduces the size of a patient's calf muscle by removing fat or muscle tissue from the area, reshaping the lower leg into a more aesthetically-pleasing form.

How Does Calf Reduction Work?

Reductions come in a variety of forms. However, all of them seek to remove tissue from the lower legs, either temporarily or permanently.

Calf Reduction with Botox

If patients choose a non-surgical method like Botox, the process begins with an initial appointment, where the patient discusses their options with a cosmetic surgeon. This is followed by a series of sessions in which Botox is administered to the calf area. Although more commonly associated with facial cosmetic procedures, Botox acts on any muscles in the human body, blocking the nerves that serve them and causing them to relax. In the case of calves, this causes the gastrocnemius muscle (the muscle located on the back portion of the lower leg) to relax and atrophy - slowly degrading the tissue until it reaches the desired size.

Botox is regarded as the best technique for removing muscle mass. But, undergoing a calf reduction with botox involves a long process with multiple sessions. In most cases, having just one session of botox will not give you a sufficient reduction in size.


If patients choose surgical options, the reduction process will be different although, again, it starts with a consultation with your cosmetic surgeon, where every option will be considered. After that, a hospital or clinic appointment will be booked for the neurectomy operation. This minimally invasive procedure only involves a local anaesthetic. Surgeons make a small lateral incision behind the knee, before cutting the nerves which supply the muscles to be reduced. Patients can return home almost immediately. As with Botox, neurectomies take time to show results, although unlike Botox, the results are much more permanent.

Are There Different Types of Calf Reduction?

Yes, there are many different ways to reduce the size of calf muscles, and every patient will have their own preference.

Non-Surgical Procedures

Botox is a common method, which requires no surgery and has excellent results. As noted above, it involves injecting small amounts of Botox into the calf muscles, which cut off the nerves linking them to the nervous system. Due to their reduced contraction, these muscles then begin to "atrophy", becoming smaller over a period of months. The nervous effects of Botox are not permanent, and this treatment may need to be renewed on an annual basis.

Radiofrequency ablation is another non-surgical option. Older ablation techniques involved making a series of tiny incisions before placing a device under the skin to "burn" away undesired tissue. More up-to-date methods require no incisions and use external devices to target specific nerves which supply calf muscles. They then burn these nerves, reducing their activity and encouraging the atrophy process.

Surgical Procedures

The most common surgical method of reducing calf muscle is a neurectomy. This involves physically severing specific nerves, cutting off the link between calf muscles and the central nervous system. When the muscles cannot contract, atrophy results, reducing muscle mass and reshaping the calf muscle. The procedure is quick and non-invasive, with only very short hospital or clinic stays required.

A partial resection is a more invasive way to reduce calf muscle. In this procedure, surgeons physically remove tissue from the gastrocnemius muscle until the calf has been resculpted into the desired shape. As with a neurectomy, the muscle is accessed via a lateral incision behind the knee. Unlike with neurectomies, a hospital stay of 1-2 days may be needed, and dressings or drain tubes may be required.

It's important to note that this surgical procedure will only be used in cases where it's medically necessary, due to the fact that the treatment can significantly impact mobility. It's not recommended for those looking to undergo a calf reduction for cosmetic purposes.

Calf liposuction is also classed as a reduction procedure, but it differs from the other methods as it targets fat deposits in the lower leg. It is a suitable procedure for those with excess fat around their calf muscles, allowing them to improve muscle definition, but it won't reduce the muscle mass into a pleasing form. In some cases, patients use both calf reduction and liposuction to achieve the results they desire.

What Should I Expect?

Calf reductions tend to be stress-free, simple cosmetic procedures and often won't even require a hospital stay. So patients can expect a smooth transition from the initial appointment to the treatment, recovery and the conclusion parts of the process. However, there will be pain and discomfort at some stages. This could be around the incision point if a surgical method is employed. Or, it could be following botox sessions, as the nerves react to the botox. Swelling around the ankle is common in cases where muscle or fat has been physically removed.

Lifestyle adjustments may be needed during the process. For instance, exercise should be avoided in the period immediately following any form of reduction, and mobility may be impaired by numbness in the lower leg. Compression socks may be needed, and patients will be advised to keep their legs elevated to promote healing. Physiotherapists may also be brought in to advise on therapeutic stretches. Finally, a scar is common where incisions are made and should fade within three months.

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