One of the most common complaints I hear from my patients during body contouring consultations is the appearance of loose or baggy skin along the inner thigh resulting from massive weight loss. It occurs, on average, because the skin of the inner thigh has less elasticity than other parts of the body, such as the face. As a result, patients who lose a large amount of weight, especially gastric bypass patients or gastric balloon patients, are likely to be left with this problem. It can also occur after large amounts of liposuction/liposculpture or as part of the normal process of ageing.
If you have developed this issue and it is making you too self-conscious to wear a swimming costume, for best results, you may want to consider a cosmetic Thigh Lift procedure. In Thigh Lift plastic surgery, the excess skin along the inner thigh, be it the upper or outer part, is measured with a pinch technique and removed. The scar may be confined to the groin crease alone, extending posteriorly under the buttock crease, but it may also extend to the inner thigh. A compression garment is worn for eight weeks after a lift, to control swelling and promote healing during recovery. Massage and manual lymphatic drainage is actively encouraged after thigh lift surgery. Light activity such as walking is encouraged.
A medial, laterial or bilateral Thigh Lift can be performed alone or in combination with other body contouring procedures, such as liposuction, breast lift (mastopexy) or breast reduction. However, it is not advisable to have a Thigh Lift and tummy tuck, or a mini tummy tuck together because the skin is being pulled in opposite directions for each procedure and delays in healing could occur. Combined surgeries are very long and do potentially increase the complication rate so the decision for much bigger surgeries needs to be considered very carefully.
In most cases, a curved horizontal scar can be used and placed in the groin crease after lifting. There tends to be a small amount of downward migration of the scar due to gravity, but it is usually not noticeable except in a very revealing bathing suit. If there is a very large amount of excess skin, such as the amount often seen after gastric bypass, a vertical scar along the inner thigh may be necessary as well.
Most patients are in fact good candidates for liposuction alone and will have a very satisfactory result. However, the quality of the final result depends on the ability of your skin to shrink after the fat has been removed, and in some cases there will be some residual loose skin. If you are not satisfied with the tightness of the inner thighs after liposuction, a Thigh Lift can be considered. If large amounts of loose skin are already present, then liposuction alone will probably not fulfil your needs.
Complications resulting from a Thigh Lift are very uncommon but they do occasionally occur and they must be considered before you have surgery. There are two categories of risks for a Thigh Lift: the general risks associated with all surgical procedures and the risks that are specific to a Thigh Lift.
The general risks include to the risks associated with a general anaesthesia, bleeding, infection, numbness, healing delay and scar formation. The scars may be visible in a swimming costume even if they are hidden in the groin crease because gravity causes a small amount of scar migration. Delays in healing may also occur because the closure has to be tight enough to get a good result. There may be some numbness of the thighs or legs if nerve branches are included in the skin removed. In rare instances, there may be compromise of the nerves, muscles or blood vessels because of compression due to excess swelling.
A Thigh Lift is a safe and predictable cosmetic surgery procedure, and it will also enhance the appearance of other body contouring procedures, such as Tummy Tuck and Liposuction.
The best candidate for a Thigh Lift is someone who has lost a large amount of weight and is left with loose, baggy skin along the inner thigh. Patients who have developed loose skin because of the ageing process or prior surgery such as Liposuction may also be excellent candidates. If there is an excess amount of fat in the lower part of the inner thigh or knee, it can be treated with Liposuction at the same time.
Please contact Mr Banwell's office on 01342 330302 or email firstname.lastname@example.org for further information.
PRE ADMISSION TESTS
Sleeping on back recommended for 4 weeks
Shower after 2 days. Bath after 2 weeks
Excercise including gym
6 - 8 weeks
Restricted Activity after 8 weeks
6 - 8 weeks
TIME OFF WORK