Here's what I learned at my consult about it (sorry it's not more scientific!)
I notice some patients underwent hypertrophy in their calves after this surgery. Have you ever had this happen and why does it happen?
That's because of a procedure called Facsiotomy. It's done to relieve tension in the tibiae when performing the surgery. Think of it like cutting a piece of chicken meat- first you have the membrane that surrounds the chicken meat. Once you cut that membrane, the chicken starts expanding and spilling out of it, as if it were being trapped in there. That's kind of what this procedure does, and causes your calves to look girthier. Eventually the membrane heals and prevent your calves from getting any thicker, but the girthiness will stay permanently. We have no problem doing this on guys (which made me excited, I really want to have thicker calves!) But we do not do this procedure on women ever, since they really do not want to have thicker calves (good news for you ladies out there!)