Thigh Lift (Thighplasty / Leg Contouring Surgery)

Definition

A thigh lift, also known as thighplasty, is a surgical procedure performed to remove excess skin and fat from the inner, outer, or upper thigh regions, resulting in firmer, smoother, and more proportionate legs.
This procedure is commonly sought after significant weight loss, aging, or due to genetic predisposition, which may cause skin laxity, sagging, and stubborn fat deposits in the thigh area.

Thigh lift surgery not only improves aesthetic appearance but can also relieve physical discomfort caused by skin friction and excess tissue. It may be combined with liposuction for optimal contouring.

Indications

Thigh lift surgery is recommended for patients who present with:

Sagging skin on the thighs due to weight loss, aging, or genetics.
Excess fat accumulation on the inner or outer thighs causing disproportion.
Persistent laxity unresponsive to diet and exercise.
Desire for body contouring, achieving smoother and more balanced leg proportions.

Candidates should be in good general health, non-smokers, close to their ideal weight, and have realistic expectations. Importantly, thigh lift surgery is a body-contouring operation, not a weight-loss procedure.

Preoperative Considerations

Comprehensive medical evaluation to assess overall health, current medications, and surgical risks.
Individualized surgical planning tailored to leg anatomy, skin elasticity, and fat distribution.
Lifestyle adjustments: Smoking cessation at least two weeks before surgery and discontinuation of blood-thinning medications to minimize bleeding risk.

Surgical Technique

Thigh lift surgery is performed under general anesthesia and typically lasts 2–4 hours, depending on the extent of correction.

Surgical steps include:

Incisions: Usually along the inner thigh from the groin to the knee; additional incisions may be required for outer thigh or circumferential tightening.
Liposuction (if indicated): Removal of stubborn fat deposits to enhance contour and refine results.
Excision of excess skin: Loose or sagging tissue is removed, and the remaining skin is tightened for a smoother leg contour.
Closure: Incisions are closed with fine sutures; scars are strategically placed to remain as discreet as possible.

After surgery, patients wear a compression garment to minimize swelling and support healing.

Postoperative Recovery

Swelling and bruising: Common in the first weeks; typically subsides within 2–4 weeks.
Compression garment: Worn for 4–6 weeks to help maintain contour and reduce edema.
Mobility: Short walks are encouraged early to support circulation; strenuous exercise should be avoided for at least 6 weeks.
Return to activities: Most patients resume daily activities within 2–3 weeks; full recovery may take 4–6 weeks.
Follow-ups: Regular check-ups with the surgeon ensure smooth recovery and early detection of complications.

Risks and Complications

Although generally safe, thigh lift surgery carries potential risks, including:

Infection
Bleeding or hematoma
Delayed wound healing
Scarring
Asymmetry between thighs
Fluid accumulation (seroma)

Choosing an experienced surgeon and carefully following postoperative care instructions reduces these risks significantly.

Outcomes

Immediate improvement in leg contour and firmness.
Smoother, tighter skin and more proportional thighs.
Enhanced mobility and comfort by reducing excess tissue.
Long-lasting results, provided patients maintain a stable weight and healthy lifestyle.

While results are permanent, natural aging and weight fluctuations may affect the long-term appearance.

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