Thigh augmentation: Submuscular placement of a silicone gel-filled prosthesis

The development of silicone prostheses for augmentation of the calf and buttocks has led a small number of our patients to consider the use of implants for aesthetic thigh augmentation. In this article, we report a new thigh augmentation technique using submuscular placement of silicone gel-filled implants. Fresh cadaver dissections were performed to measure the space between the gracilis muscle and adductor magnus and longus that defined the type and the size of the implant. The procedure was performed with the patient in a supine position, using a posterior approach through an incision in the gluteal fold. A space was dissected between the gracilis and the adductor magnus for placement of an asymmetric calf implant. Two patients received 180-cc implants; a third patient received a 140-cc implant. There were no complications and results were satisfactory.