Thigh lift

A thigh lift: thighplasty, is a surgical procedure that reshapes the thighs by excising excess skin and fat.

Thigh lift

A thigh lift, also known as thighplasty, is a cosmetic procedure that enhances the appearance of the thighs. It involves the removal of excess skin and fat to achieve a more streamlined look. 

About Thigh lift (Thighplasty)

Overview

A thigh lift, also known as thighplasty, is a surgical procedure that reshapes the thighs by removing excess skin and fat to create smoother skin and improved body contours. If diet and exercise have not delivered the firmer, more youthful appearance you desire, a thigh lift might be a suitable option.

This procedure is not solely focused on fat removal; liposuction may be effective for patients with good skin elasticity. However, for those with poor skin elasticity, a combination of thigh lift and liposuction may be recommended. Ideal candidates for this surgery are stable in their weight, have excess soft tissue in the thigh area, are generally healthy, do not smoke, have realistic expectations, and are committed to maintaining a healthy lifestyle.

Different types of thigh lifts

  • The mini thigh lift procedure addresses sagging in the upper and inner regions of the thigh, employing a discreet incision located in the groin area.
  • The inner (medial) thigh lift focuses on tightening the inner portion of the thigh and necessitates an incision that starts in the groin and extends around the back of the thigh, positioned below the buttocks. An alternative technique involves a vertical incision that runs from the groin to the knee.
  • The outer (bilateral) thigh lift aims to eliminate excess fat and skin around the waist and buttocks. This procedure involves an incision that begins at the upper groin, encircles the hip, and continues across the back at the waistline.
  • The spiral thigh lift is designed to sculpt the thigh comprehensively, utilizing an incision that extends from the buttocks to the groin, thereby targeting multiple areas of the thigh, including the front, back, inner, and outer regions.
Advantages

A thigh lift procedure can help reshape your thighs for a more contoured look while alleviating discomfort caused by friction. This treatment is particularly beneficial after significant weight loss, which can result in poor skin tone and reduced elasticity in the thigh area. Such changes may lead to issues like cellulite, rashes, and chafing.  Additionally, patients may experience bleeding and discoloration as well as sagging skin.

Overall, a thigh lift can address these concerns and improve both appearance and comfort.

Pros

– Enhanced smoothness of the thighs.
– Contoured thigh shape.
– Diminished visibility of stretch marks.
– Minimized occurrence of friction-related rashes.
– Increased muscle firmness.
– Reduced skin sagging.
– Heightened confidence in one’s appearance.

Cons

– Asymmetry in thigh shape 
– Hemorrhage
– Changes in skin sensation 
– Deep vein thrombosis (DVT)
– Fluid accumulation (seroma)
– Infection
– Numbness
– Impaired wound healing or closure (dehiscence)
– Swelling (edema)

What to Expect

Consultation

Prior to your surgical procedure, you will meet with your plastic surgeon, who will review the details of the operation and address any inquiries you may have. During this consultation, the surgeon will conduct an examination of your skin, discuss your objectives and anticipated outcomes, and inform you of potential side effects. Photographs of your thighs may be taken for comparative purposes to assess results before and after the surgery.

Your surgeon will provide you with specific preoperative instructions, which may include recommendations regarding the use of certain medications and the cessation of smoking.

A thigh lift is performed in a hospital, an accredited in-office surgical facility, or an ambulatory surgery center.

Thigh lift surgery may take two hours to complete. Your surgeon will go over the time estimate with you during your consultation.

On the day of your surgery, you can expect the following:

  • Prior to the procedure, your surgeon will mark the incision lines while you are standing. They may manipulate the sagging skin at various angles to aid in this process.
  • An anesthesiologist will administer anesthesia to ensure you are unconscious and do not experience any pain during the surgery.
  • Your surgeon will create an incision in the groin area. Depending on the specific type of thigh lift being performed, the incision may extend around the back of the thigh, down toward the knee, or around the hip and back.
  • The surgeon will remove excess fat, reposition tissue, and tighten the underlying muscles. Additionally, any surplus skin will be excised.
  • Sutures will be employed to secure the deeper tissues of your thigh, thereby supporting your new contour.
  • Before concluding the procedure, your surgeon will utilize sutures, clips, or a specialized skin adhesive to close the incision.
Recovery

After a thigh lift surgery, you’ll recover in a designated area until waking from anesthesia. Depending on your situation, you may stay in the hospital or go home the same day, so arrange for someone to drive you.

Your surgeon will provide post-surgery care instructions. Rest is essential, and avoid strenuous activities until cleared by your doctor. Expect soreness and mild swelling in your thighs for several days.

Rest your legs for up to 10 days and stay home from work or school until your plastic surgeon gives the go-ahead. You’ll need to wear compression garments for at least six weeks, and most people return to daily activities within that time.

The procedure involves large incisions that may be sensitive. Follow your surgeon’s care instructions closely. Temporary tubes may be placed under your skin to drain fluids, and medications can help with discomfort.

Complications like wound healing issues or fluid buildup can occur but are typically not serious and rarely require corrective surgery. Scars will fade over time, but may not disappear completely, and you might lose some thigh firmness as you age or gain weight.

A follow-up appointment will be scheduled a week later to check your healing progress.

Results

Your incision sites should heal after six weeks. The swelling should go away completely after six months. After six months, you’ll see the results of your thigh lift.

Safety Profile

Thigh lift surgery carries several potential risks, including complications from anesthesia, asymmetry, and bleeding. Patients may also experience deep vein thrombosis, cardiac or pulmonary issues, and fat necrosis, where fatty tissue under the skin dies. Other possible concerns are fluid accumulation (seroma), infection, major wound separation, and changes in skin sensation such as numbness. Additionally, there is a risk of persistent pain, poor wound healing, and the need for revisionary surgery, along with recurrent skin looseness and unfavorable scarring. It is crucial to discuss all these risks and any questions with your plastic surgeon before giving consent.

Cost

According to the most recent statistics from the American Society of Plastic Surgeons, the average cost of a thigh lift, also known as thighplasty, is $7,641. It is important to note that this average cost encompasses only a portion of the total expenses, as it excludes anesthesia, operating room facilities, and other associated costs. 

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