WARNING: This is a medical blog intended ONLY for medical professionals!!! This blog contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! 

This petite woman in her early 30s comes to Dr Arthur Tjandra of Elixir de Vie for calves liposuction after she went to other plastic surgeons. She was informed that she had huge muscles and was offered more radical procedures of either removing some of her calves muscles (calves reduction surgery) or destroying the nerves to her calves muscles (neurectomy). When Dr Arthur Tjandra of Elixir de Vie examined her calves, he confidently advised her that the bulk of her calves mass was fat! It is unnecessary to remove part her calves muscles nor is it necessary to destroy the nerves in the hope that the muscles would shrink due to disuse atrophy.

This is not the first time a patient comes to Dr Arthur Tjandra of Elixir de Vie for calves liposuction after being advised by other plastic surgeons that their big calves are due to muscles and offered calves reduction surgery and/or neurectomy. One of our favorite cases is a woman who has had 2 sessions of calves liposuction done in the United States before coming to Dr Arthur Tjandra of Elixir de Vie in Medan! When she found her calves still huge after multiple sessions of liposuction performed by different plastic surgeons, she was advised by the last surgeon to have her calves muscles surgically removed instead! She was advised that it was the only solution for her to slim down her calves as there was no more fat to be aspirated from her still huge calves! Luckily she did not heed his advice. When she finally came to Dr Arthur Tjandra of Elixir de Vie, she learned that she still had so much fat left in her calves, which Dr Arthur Tjandra of Elixir de Vie gladly removed for her! This is Case 285 which has been published on our YouTube channel a few years ago.

There are 3 questions you should ask yourself if you would like to have slimmer calves:

  1. Are my calves big because of big muscles or thick layer of fat? If it is due to thick layer of fat, why not remove the fat first, which is a much simpler and harmless procedure before considering other more radical approach, such as calves reduction surgery and neurectomy? Having said that, unfortunately not many plastic surgeons are well-trained to perform calves liposuction. A lot actually have mistaken fat as muscles, hence advising patients a more radical approach of removing and paralyzing muscles, instead of removing fat! Ankles liposuction is almost unheard of! Besides Dr Arthur Tjandra of Elixir de Vie, who else in the world do you know who offers and can show you the result of ankles liposuction? You may watch many videos of calves and ankles liposuction here on our Vlog, as well as on our now defunct YouTube channel.
  2. If you really have no fat at all in your calves and it is all due to big muscles, have you really considered the long-term implication of removing your muscles and/or destroying the nerves supplying the muscles? Falls are very common in the elderly because of weak muscles and loss of balance. When you reach 70 years of age, you will realize that strong calves and feet are needed to support your weight and to prevent fall. Falls in the elderly often lead to prolonged immobility which eventually may lead to death because of other complications, such as pneumonia.
  3. Do you do sports at all? Almost any sports require calves muscles. If you cut away part of your muscles, or destroy the nerves supplying the muscles, this will definitely affect your performance. Even if you are not a professional athlete, would you trade vanity with diminished performance?

Most surgeons would not bother to explain to you about the long-term implications as long as you are willing to pay. But, it is your own body. You have the responsibility of doing your own research and make an informed decision. This patient made an informed decision not to heed the advice of the other surgeons. She chooses to come to Dr Arthur Tjandra of Elixir de Vie, who eventually removes 1.6 L of fat from her calves and ankles!

Video 1: Whole body assessment of a woman who appears slim (when she is fully-clothed!)






Video 2: Assessment of the calves and ankles.





Video 3: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra.


Video 4: Completion of left calf and ankle liposuction. Comparison between right and left, before and after liposuction.


Video 5: Completion of calves and ankles liposuction.



For more Liposuction Case Studies, please visit our website:

More liposuction before and after surgery photos can be see here:

Combination of liposuction and autologous fat grafting to breasts or/and buttocks can be seen here:

A list of our patients’ blogs:

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