Genu Varum Correction with HA Filler Volumisation of the Medial Gastrocnemius.

IF 2 3区 医学 Q2 SURGERY Aesthetic Plastic Surgery Pub Date : 2024-12-23 DOI:10.1007/s00266-024-04598-7
Jae Hun Hur, Jovian Wan, Song Eun Yoon, Daniella Spinato, Bianca Viscomi, Mariana Muniz, Kyu-Ho Yi
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Abstract

Background: Genu varum, or bow-legged deformity, involves an outward curvature of the lower limbs, often creating a visible gap between the knees when the ankles are together. Traditionally treated with invasive surgical methods like high tibial osteotomy, genu varum correction now includes less invasive options for patients with mild to moderate deformities. This commentary explores a novel approach using hyaluronic acid (HA) filler to volumise the medial gastrocnemius muscle, thereby improving calf contour and stability without surgery. HA filler injections support the retaining ligaments of the medial gastrocnemius, creating a balanced aesthetic while potentially rebalancing knee and ankle forces for enhanced stability. Two cases are presented: a 30-year-old female with moderate genu varum and a 26-year-old female with mild genu varum, both showing improved calf symmetry, reduced bow-legged appearance, and enhanced postural confidence post-treatment. Although not a replacement for surgical correction in severe cases, HA filler volumisation offers a promising option for aesthetic and functional improvement in mild to moderate genu varum cases. Further research may support the biomechanical benefits of this technique in non-surgical genu varum correction, highlighting the expanding role of fillers in lower limb aesthetics and stability.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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来源期刊
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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