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some patients are played by kind of this
proportion of their body where one part
of the body is actually much larger than
the rest and in asians some patients it
is concentrated in the cap region and
they may be extremely them but in the
cap region is mostly composed of muscle
so if the muscle there is kind of over
developed then their calf looks kind of
out of place so a very good procedure to
sort of reduce the size of the cap
because it's muscle is using your own
modulus so neuromodulators what they do
is they make the muscle weaker so that
it atrophies over here hi and for calf
muscles actually requires a substantial
amount of these neuromodulators but it
does work very well in terms of a more
permanent solution like surgery although
that there are some procedures that's
described and is currently being done in
asia it's kind of found upon here in the
west because some of the complication
that it actually has and they are
composed of either partial muscle
resection or actually disrupting the
nerves that innervate those muscles here
in the US a non-surgical way of reducing
the gap are utilizing
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