Thigh lift plastic surgery

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A thigh lift, also known as a thighplasty, is a plastic surgery procedure designed to remove large amounts of skin and fat from the thigh, hips, and buttock area. The sagging skin often found in these areas is usually caused by weight loss.

The need for surgery

For people who have succeeded in losing a significant amount of weight, having a thigh lift is the final reward in achieving their desired look. Those considering a thigh lift procedure have usually achieved successful and sustained weight loss.

Though reaching a goal weight is important for health and self-confidence, unfortunately it may lead to excessive skin in the inner and outer thigh areas, back of the thigh, and buttocks.

When the inner thigh folds rub together constantly, it may lead to skin irritation and/or infection, and may interfere with personal hygiene. After massive weight loss, it is also common for clothing to not fit properly, and despite successful weight loss efforts, patients may feel they have a disfigured appearance.

The thigh lift procedure drastically improves comfort and appearance, putting a crucial building block into place for boosting self-esteem and achieving long-term happiness.

Are you considering Thigh lift surgery?

Candidates for a thigh lift have experienced a loss of skin elasticity of the thigh, hip, or buttock areas. Often the skin in the thigh area is saggy, has a flabby and/or dimpled appearance, and generally when this saggy skin is lifted, the thigh appearance improves dramatically.

Those who are self-conscious about lower-body appearance should consider a thigh lift, as the procedure is intended to produce tighter, more attractive, thigh and buttock skin, and to decrease irregularities in the skin surface.

Thigh lift surgery

A thigh lift is performed under general anesthesia on an outpatient basis unless otherwise advised by the surgeon. Different types of incisions are possible to meet clothing or personal desires are possible, but all scars fade with time and are well hidden by bathing suits.

The surgeon will discuss all options in order to determine what specific procedure is best performed in order to solve the particular problem.

A thigh lift is usually performed on the inner surface of the thighs, but can include the outer thigh and buttock areas. Inner thigh lifts are done with short incisions over the inner thigh, hidden in the groin crease. Outer thigh and buttock lifts are done with incisions extending from the groin around the back.

During surgery elliptical segments of skin and underlying fat are removed from the thigh areas and the remaining skin and tissue are lifted to achieve a tightening and smoothing effect.

Although a thigh lift is often combined with liposuction, its primary purpose is to tighten skin and deep tissue. Liposuction sculpts the body by removing unwanted fat from specific areas, including the thighs. Liposuction, also known as lipoplasty or suction lipectomy, has been refined in order to ensure safety and optimal results.

New techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique, and the super-wet technique, are helping plastic surgeons to provide selected patients with more precise results and quicker recovery times.

Liposuction is not a substitute for dieting and exercise, however, it can remove stubborn areas of fat that do not respond to traditional weight loss methods.

Liposuction candidates must have realistic expectations about what the procedure provides. Yes, liposuction can enhance appearance and self-confidence, but it does not necessarily change appearance enough to match certain ideals. Those considering a thigh lift and liposuction should discuss things thoroughly with their surgeon and be sure to have clear expectations.

The best candidates for liposuction as part of a thigh lift are of average weight with firm, elastic skin, who have pockets of excess fat in the thigh area. Age is not a major consideration, though older patients may have less skin elasticity and may not achieve the same results as a younger patient with tighter skin.

During the liposuction procedure, a narrow tube or cannula is inserted through a tiny incision, and is used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed and pulled through the fat layer, breaking up the fat cells and suctioning them out, through a vacuum pump or large syringe, depending on the surgeon’s preference. Fluid is lost along with the fat, and it is crucial that this fluid be replaced during the procedure.

The time required to perform liposuction varies depending on the size of the area, the amount of fat being removed, the type of anesthesia and the technique used. There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome.

Fluid injection, is a commonly used liposuction technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid is a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) that helps remove the fat, reduces blood loss, and provides anesthesia during and after surgery. The fluid injection technique also helps reduce the amount of bruising after surgery.

The tumescent technique of liposuction involves injecting large amounts of fluid, up to three times the amount of fat to be removed. “Tumescent” refers to the swollen and firm (“tumesced”) state of the fatty tissues when they are filled with the fluid solution.

Tumescent liposuction is typically performed on patients who only need a local anesthetic and usually takes significantly longer than traditional liposuction (sometimes as long as 4-5 hours). Since the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary.

The super-wet technique of liposuction is similar to the tumescent technique, except lesser amounts of fluid are used. The amount of fluid injected is usually equal to the amount of fat to be removed. Super-wet liposuction often requires IV sedation or general anesthesia and generally takes 1-2 hours of surgery time.

Ultrasound-Assisted Lipoplasty (UAL) is a liposuction technique, requiring the use of a special cannula that produces ultrasonic energy. The energy explodes the walls of the fat cells as the cannula passes through the areas of fat, liquefying the fat, which is then removed with traditional liposuction. UAL may improve the ease and effectiveness of liposuction in fibrous areas of the body and is commonly used for enhanced precision. UAL generally takes longer to perform than traditional liposuction.

When deciding to have a thigh lift, it is important to make informed choices, and to be sure to ask questions and receive proper answers. Liposuction alone may be enough to achieve desired results, however, liposuction cannot replace a thigh lift if there is excess skin. As such, it is crucial to discuss all options, concerns, and expectations with a surgeon before undergoing a thigh lift procedure. Remember, thigh lifts are usually performed under a general anesthetic, which carries more risk than a local anesthetic.

After having made the decision to go ahead with a thigh lift, the actual procedure may take place in an outpatient surgical clinic, though most surgeons and patients prefer a hospital setting where you can recover overnight. A thigh lift usually takes around 2-3 hours, depending on the extent of work required, and whether any combined procedures such as liposuction are involved. This type of procedure does involve cuts and scars of the skin. The length of the scars depends on the amount of excess skin. Scars may extend across the outer and inner thighs, however, they are usually positioned so they can be hidden with a bathing suit bikini line.

The following points describe the thigh lift procedure:

  • A thigh lift is performed under general anesthetic on an outpatient basis, unless otherwise advised by the surgeon (common in more extensive procedures).
  • The surgeon will determine what technique is best for the individual situation. Variations in the design/placement of the incisions are possible in order to meet personal desires.
  • When lifting the inner thighs, only short incisions are required along the groin crease.
  • When lifting the entire thigh and buttock, much longer incisions are required starting in the buttock crease, and extending around the groin.

After surgery

After a thigh lift procedure, dressings are applied and temporary tubes may be inserted to drain excess fluid from the area of surgery. Firm elastic bandages are placed in order to support the area, reduce swelling, and assist with the natural shrinking and tightening of the skin.

With larger thigh lift procedures, it may be necessary to spend one or two nights in hospital in order to receive pain medications, IV fluids, and so on. For smaller thigh lift procedures, the discomfort is usually controlled with prescription pain medication.

Bruising and swelling of the thigh area may spread down the legs, but usually subsides within a month. Normally within 6 weeks it is possible to engage in strenuous activity, and all symptoms are typically gone within 4-6 months. Recovery is much faster for those who are in good shape at the time of the procedure.

After a thigh lift, be sure to follow the surgeon’s instructions carefully. Recovery instructions may include the following:

  • Someone must be there after the thigh lift to drive the patient home and look after them for at least a few days following the procedure.
  • Painkillers should be taken as required.
  • It is necessary to return to the hospital/operation center after 5-10 days in order for surgical drains, stitches, or staples to be removed.
  • A body garment must be worn for 3-4 weeks after the procedure to provide support and help with the re-positioning of the skin, especially in cases where liposuction was performed.
  • Light exercise helps with the healing process and reduces the chance of developing blood clots, however, strenuous exercise is not allowed until the surgeon advises.
  • Any signs of infection, bleeding, or a sudden increase in pain must be reported immediately to the surgeon.

A thigh lift does produce permanent scars that may appear to worsen during the first 3-6 months of recovery as they heal, but this is normal. Scars usually take 9 months to a year before they flatten out and lighten in color. Though the scars will never disappear completely, they can usually be hidden well.

When recovering from a thigh lift, patients can expect the following:

  • To be placed in a compression garment (similar to an elastic support girdle) at the end of the procedure to reduce swelling and assist in the natural shrinking and tightening of the skin.
  • The discomfort experienced from smaller thigh lifts can be easily controlled with prescription pain medication.
  • Larger thigh lifts will require spending 1-2 nights in a health care facility in order to allow for pain injections, IV fluids, and so on.
  • Bruising and swelling will usually subside within a month, strenuous activities are possible within 6 weeks, and all symptoms should disappear within 4-6 months.

Possible complications are rare, but can include: infection, reaction to the anesthetic, blood or fluid collection underneath the skin, nerve damage, blood clots, and irregular or “lop-sided” appearance of the thighs after the operation.

Very occasionally, the superficial lymphatic system in the groin is interrupted during thigh lift surgery, causing excessive swelling for several weeks as the lymphatic channels form again. Liposuction carries greater risk for individuals with medical problems such as diabetes, heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured.

For those who are in good health and have realistic expectations of a thigh lift procedure, there are few reasons why not to have a thigh lift. However, people who have had phlebitis (inflamed blood vessels) in their legs, may not be a candidate for a thigh lift, and those who have healing problems or who are prone to keloid (red, raised) scars may not want to have a thigh lift as the scars could potentially be very visible.

Full risks and suitability of a thigh lift for each individual must be determined at the time of the initial consultation. Though all surgical procedures do have some degree of risk, major complications are unusual, and minor complications that do not affect the outcome of the procedure happen infrequently.

Important to remember is that a thigh lift is not an alternative to losing weight, and generally patients who are more than 15 percent over their ideal body weight are not suited for a thigh lift. Those who hope to lose weight should wait until after the goal weight is achieved before having a thigh lift, as it is possible that additional surgery would be required to remove the excess skin from weight loss, and any money spent on a previous thigh lift would be wasted.

Ideal candidates for thigh lifts are people with saggy skin around the thigh areas, due to poor skin tone related to aging, pregnancies, or significant weight loss.

Liposuction is often performed in conjunction with thigh lifts to enhance the results. The recovery time for a thigh lift is fairly lengthy and the scars may be a drawback, however, the results from this operation can be staggering and may drastically improve the appearance of sagging thighs. Most crucial for those considering a thigh lift is that they be sure to discuss expected results with an experienced surgeon so that they can properly assess the situation and recommend the best procedure in order to achieve optimal results.

Patients can expect to see a noticeable difference in the shape of the body quite soon after surgery. Improvement becomes even more apparent after 4-6 weeks, when most of the swelling has subsided. After about 3 months, any remaining mild swelling usually disappears and the final contour becomes visible. Eating a healthy diet and exercising will ensure that this new shape is easily maintained. Those with realistic expectations will be very pleased with the results of a thigh lift. Patients report feeling more comfortable in a wide variety of clothes, and being more at ease with their body.

The longevity of the results of a thigh lift depends upon maintaining good control over excessive weight fluctuation causing the skin to stretch. The surgeon will discuss predicted duration of results with each patient based on their own experience.

Ideal candidates for a thigh lift will have:

  • Experienced a loss of skin elasticity of the thigh, hip, or buttock areas.
  • Saggy skin with a flabby and/or dimpled appearance.
  • Thigh appearance that improves dramatically when the saggy skin is lifted.
  • Become self-conscious about lower body appearance.
  • A thigh lift procedure is designed to produce:
  • Tighter, more attractive thigh and buttock skin.
  • Improved contours.
  • Decreased irregularities in skin surface.


The first thigh lift procedures began in Brazil and France in the 1960s and 1970s. Thigh lifts were performed using the surgical techniques available at that time. The results of the surgery were often unpredictable and unsatisfactory. Patients were sometimes left with an odd shape, deep scars, and other complications, making doctors cautious about offering the procedure.

Since the late 1980s, doctors have gained a better understanding of skin and fat structure and how body shape changes with age. Surgeons have been able to redesign their surgery in order to perform operations with more consistent results and fewer complications.

Thigh lifts have gained popularity in recent years, and are on the rise as a desired plastic surgery procedure. Following thigh lift surgery, many patients experience an immediate improvement in their self-esteem and discover greater self-confidence. Patients also benefit from greater access to different clothing styles and fashions and are less self-conscious in most situations.

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