Thigh Lift

A thigh lift is a procedure that is usually reserved for patients who have lost a lot of weight and have lost skin laxity

There are different ways of performing a medial thigh lift depending on the amount of skin laxity.

The outer thigh responds well to liposuction, but it is the inner thigh (also referred to as the medial thigh) where there is frequently redundant skin which needs to be removed and tightened. This is called a medial thigh lift.

If you are troubled by excess skin on your inner thighs, particularly if you have lost a lot of weight, then please call us for a no obligation consultation with Mr Staiano and we can talk through your options.

Medial Thigh Lift for Moderate Skin Laxity

The less skin there is to remove, the smaller and more discrete the scarring. We are always aiming to give minimal scarring but this is only possible when there is a modest amount of skin to be removed. If large areas of skin need to be removed and tightened, then larger scars will be left.

In order to improve the cosmetic outcome, the scar can be hidden high in the groin, so it is not visible when wearing underwear or a bikini. The problem with this scar placement is that it is a naturally moist environment and an area of constant movement, so the wound is prone to breakdown and delayed healing. The other problem with placing the scar here is that it only allows the skin to be tightened in an upward direction, whereas often there is laxity in a side to side direction as well. In order to tighten the skin in the side to side direction, then a more extensive procedure is required (see below).

Medial Thigh Lift for Severe Skin Laxity

Where there is a lot of loose skin, it is not possible to gather it all up and only leave a scar in the groin. The best way to deal with severe skin laxity is with a scar that runs straight up and down the medial thigh from the inner aspect of the knee up to the pubic area. This scar is more visible than the groin scar but it allows more skin to be removed and gives important tightening to the circumference of the thigh. It is a trade-off between the size of scar and the extent of skin reduction.

Before considering thigh reduction, or any other body contouring procedure, it is important that you are in the best physical condition. This means that you must be a non-smoker and your BMI (body mass index) must be stable and below 30.

  • Why do I need to be a non-smoker?

    Thigh lift surgery involves removing large pieces of skin and tightening the thigh, which inevitably means closing the wounds under some degree of tension. One of the most common complications following this surgery is wound breakdown and delayed wound healing. As well as all of the benefits of stopping smoking on your general health and decreasing the anaesthetic risks, stopping smoking will also dramatically increase your chances of having adequate wound healing. Every time you smoke, the blood supply to the skin is reduced, and if there is an area that is already compromised, such as a surgical wound that has been closed under tension, then this will significantly increase the risk of poor wound healing and wound breakdown. It is absolutely essential that you stop smoking prior to your thigh lift to maximise your chances of having a good result.
  • Why does my BMI have to be below 30 and stable?

    First of all, the risk of complications is increased when your BMI is above 30 and so if you can get your weight below this, your complication rate will be less. This figure is not written in stone, but it acts as a guide to the sort of weight you should be aiming to achieve.

    Secondly, it is important that your weight is stable and you are comfortable with your weight before having surgery as you would ideally avoid any weight fluctuations after the surgery.

    If you were to have a thigh lift and then lose a significant amount of weight afterwards, it may remove some of the heaviness from your inner thighs and cause some lax skin, which would have been tightened if you had lost the weight first.

    If you were to have a thigh lift and then put on a significant amount of weight, then it may leave you with a less than perfect result. Furthermore, if you were to lose that weight again, the skin may not recoil and you may be left with more redundant skin.

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