Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Clinica Universidad de Navarra is a JCI-accredited hospital with expertise in orthopedic procedures. Dr. Mikel San Julian Aranguren, a specialist in Orthopedic Surgery and Traumatology, provides care for patients seeking calf implants. The clinic has treated over 700,000 patients from 70 countries and is recognized as a leading center for limb preservation.
Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
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","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":422,"alias":"hospital-hm-delfos","name":"Hospital HM Nou Delfos","short_description":"Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
Ocean Clinic specializes in aesthetic procedures like calf implants, with costs typically around $3,880. The facility holds accreditations from multiple international surgical societies, including the American Society of Plastic Surgeons and the German Society for Esthetic Surgery.
","text_type":"mt_wow_description","best_texts":{"techniques":"Calf implants","good_fit_for":"Aesthetic calf augmentation","why_its_ranked":"Specializes in aesthetic procedures with international accreditations. Offers calf implants at competitive prices compared to US clinics."},"procedure_prices":[{"prices":{"price_from":4000,"price_to":7000,"currency":"USD","id":23654},"operation":{"id":505,"name":"Calf implants","alias":"calf-implants"}}],"reviews":[],"clinic":{"id":523,"alias":"ocean-clinic","name":"Ocean Clinic","short_description":"Ocean Clinic holds accreditations from the American Society of Plastic Surgeons and IPRAS. It specializes in aesthetic medicine, dermatology, and plastic surgery. Patients from the US, Canada, and the UK choose this Marbella clinic for affordable procedures.
Antiaging Group Barcelona offers calf implants at around $5,700. The clinic specializes in aesthetic procedures and is accredited by multiple plastic surgery associations, including the American Society of Plastic Surgeons.
","text_type":"mt_wow_description","best_texts":{"techniques":"Calf implants","good_fit_for":"Aesthetic calf augmentation","why_its_ranked":"Specializes in aesthetic procedures with accreditation from multiple plastic surgery associations. Offers calf implants at competitive prices compared to US clinics."},"procedure_prices":[{"prices":{"price_from":4000,"price_to":7000,"currency":"USD","id":23820},"operation":{"id":505,"name":"Calf implants","alias":"calf-implants"}}],"reviews":[],"clinic":{"id":535,"alias":"antiaging-group-barcelona","name":"Antiaging Group Barcelona","short_description":"Antiaging Group Barcelona is an ASPS-accredited clinic in Barcelona, Spain. Its main specialties are aesthetic medicine, plastic surgery, dermatology, and ENT.
The doctor is a specialist in Orthopedic Surgery and Traumatology, with extensive experience in treating musculoskeletal injuries and disorders. The clinical focus includes joint replacement, sports injuries, and complex fracture management. The doctor has contributed significantly to advancing surgical techniques and has been involved in numerous research projects aimed at improving patient outcomes. Accredited by leading medical boards, the doctor is recognized for excellence in orthopedic care and has published multiple peer-reviewed articles in prestigious medical journals.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":339,"alias":"clinica-universidad-de-navarra-navarra-hospital","name":"Clinica Universidad de Navarra (Navarra Hospital)","short_description":"Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, 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"},"1255":{"operation":{"name":"Calf implant for men","alias":"calf-implant-for-men","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":4000,"max_amount":4300,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5000,"max_amount":7100,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4300,"max_amount":6300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"The operation enhances leg contour with insertion of silicone implants.
"},"1256":{"operation":{"name":"Calf implant for skinny legs","alias":"calf-implant-for-skinny-legs","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":4300,"max_amount":8700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4800,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"The procedure enhances leg contour by inserting implants, offering cosmetic improvement for thin calves.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":3329,"alias":"leyla-arvas","name":"Leyla Arvas","photo":"doctor/6197a70575e96","advisory_text":"Dr. Leyla Arvas is a renowned plastic, reconstructive, and aesthetic surgeon who specializes in rhinoplasty, facelifts, liposuction, and breast surgeries. She trained in Taiwan, Tokyo, and Barcelona, working with top experts in microsurgery and laser treatments. Dr. Arvas is experienced in VASER and LASER liposuction and high-definition liposculpture.","linkedin":"https://www.linkedin.com/in/leyla-arvas-m-d-9b7a28b2/?originalSubdomain=tr","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk-based work; standing or physically demanding work usually takes longer."},"complication_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Any complication (seroma, infection, wound problems, numbness, malposition) within first months; serious ones are rarer."},"contraindications":["Active infection in the leg or elsewhere","Untreated body dysmorphic disorder","Significant peripheral vascular disease or poor circulation","Poor skin or soft-tissue condition over the calf","Bleeding disorders","Pregnancy","Uncontrolled systemic illness making anesthesia unsafe","Active smoking (relative; impairs healing)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day-case or one overnight stay for primary bilateral calf implant placement."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; leg training and running gradually resumed after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling resolves and the implant settles within the fascial or submuscular pocket."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After wound check and surgeon clearance; shorter flights earlier, with DVT precautions such as compression, walking and hydration."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound check and suture removal if non-dissolving sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Assessment of implant position, swelling and mobility."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of the settled result."}}],"indications":["Underdeveloped or thin calves despite training","Calf asymmetry","Calf atrophy or deformity from polio, clubfoot or trauma"],"main_risks":["Infection","Hematoma or seroma","Wound dehiscence or delayed healing","Implant displacement or malposition","Capsular contracture or visible contour irregularity","Nerve injury or numbness","Compartment syndrome (rare)","Deep vein thrombosis","Persistent pain or stiffness","Implant exposure or need for removal","Anesthesia-related risks"],"pain":"Moderate pain and tightness for the first 1–2 weeks, managed with prescribed analgesics; calf stiffness and cramping can last several weeks.","preparation":["Surgical consultation with leg examination and implant size planning","Preoperative blood tests and anesthesia assessment","Stop smoking in advance as advised","Review of current medications and supplements with the surgeon","Fasting before general anesthesia","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"First days","description":"Swelling, tightness and bruising; compression bandages or stockings and leg elevation; short assisted walks.","restrictions":["Limit walking to short distances","Avoid prolonged standing","Keep legs elevated when resting"]},{"phase":"Weeks 1–2","description":"Gradual increase in walking; wound check; swelling gradually decreases.","restrictions":["No driving while on strong analgesics","No strenuous activity","Avoid wetting wound until cleared"]},{"phase":"Weeks 3–6","description":"Return to normal daily activities with continued compression as advised; stiffness slowly eases.","restrictions":["No leg training, running or jumping"]},{"phase":"Weeks 6–12","description":"Gradual return to sports and leg exercise after surgeon clearance.","restrictions":["Increase load progressively"]},{"phase":"Months 3–6","description":"Swelling fully settles and the final calf contour becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to comfortable walking and daily activities; not a formal physiotherapy program."},"result_longevity":"Silicone implants are intended to be long-lasting and permanent, though removal or revision may occasionally be needed.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Implant removal, repositioning or replacement surgery within several years of primary placement."},"scars":"Usually one short incision (about 3–6 cm) in the crease behind the knee per leg, typically fading to a fine line; scar widening or thickening is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session, usually both calves together."},"stages":[{"code":"implant_placement","label":"Calf implant placement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with improved calf volume and contour","value":85,"unit":"percent of patients satisfied","horizon":"6 months after surgery","population":"Healthy adults with thin or asymmetric calves undergoing primary bilateral silicone calf implants","evidence_status":"limited"},"techniques":[{"name":"Submuscular/subfascial silicone calf implant via popliteal crease incision","suits_whom":"Most patients seeking calf augmentation with adequate muscle and fascia coverage.","recovery":"Typically 2–6 weeks to daily activities; full exercise at about 6–12 weeks."},{"name":"Custom-made silicone calf implant","suits_whom":"Patients with marked asymmetry or deformity needing tailored shape.","recovery":"Similar to standard implants; may take longer for swelling to settle."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"For bilateral primary calf implant placement under general anesthesia."},"initial_assessment_documents":["Front, side and back photos of lower legs","Photos of calves standing on tiptoes","List of blood thinners","Prior leg surgery records or photos, if any"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days for wound check and suture removal. Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have an implant placed in your calves","name":"Fat transfer","source":{"url":"https://www.plasticsurgery.org/news/articles/confident-contours-come-with-calf-augmentation","host":"plasticsurgery.org","quote":"Fat transfer is sometimes an option, though implants are overwhelmingly the most common and popular option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"submuscular","name":"Submuscular/subfascial silicone calf implant via popliteal crease incision","how_it_works":{"text":"An implant is placed through an incision behind the knee","source":{"url":"https://www.plasticsurgery.org/news/articles/confident-contours-come-with-calf-augmentation","host":"plasticsurgery.org","quote":"The approach is made by creating a small incision within a skin crease in the back of the knee.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"days","label":"2–3 days","source":{"url":"https://www.plasticsurgery.org/news/articles/confident-contours-come-with-calf-augmentation","host":"plasticsurgery.org","quote":"After two to three days, they pretty much go back to their normal activity.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"custom-made-silicone-calf","name":"Custom-made silicone calf implant","how_it_works":{"text":"A specialized silicone implant is inserted into the calf","source":{"url":"https://www.plasticsurgery.org/news/articles/confident-contours-come-with-calf-augmentation","host":"plasticsurgery.org","quote":"Calf augmentation with soft semi-solid anatomically (teardrop) shaped silicone rubber implants is a very specialized procedure performed by a rare and few board-certified plastic surgeons,","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"days","label":"2–3 days","source":{"url":"https://www.plasticsurgery.org/news/articles/confident-contours-come-with-calf-augmentation","host":"plasticsurgery.org","quote":"After two to three days, they pretty much go back to their normal activity.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/procedure=uvelicenie-goleni-implantami/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":19},"manualSeo":[],"updatedAt":"2026-11-14T19:20:12.087Z","activeCountries":["ES","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}