BEFORE AND AFTER PHOTOS
SCHEDULE A CONSULTATION
Plastic surgeons consider the inner and outer thighs separately. The outer thighs may be lifted with the buttocks in an operation called an “outer thigh lift.” This may be done at the same time as an abdominoplasty. The combined procedure (outer thigh/buttock lift and abdominoplasty) is called a “lower body lift.” This operation is becoming more popular as more patients are losing large amounts of weight after gastric bypasses or lap-band procedures.
The inner thighs have been a source of frustration for patients and plastic surgeons. The traditional technique makes use of an incision that parallels the groin crease, on the skin of the upper inner thigh. Problems include limited effectiveness for the lower inner thigh (it only tightens the skin of the upper half of the inner thigh) and possible tension affecting the perineum, which may pull across the groin, even pulling on the vagina.
Recently, a different approach has been advocated—a longitudinal excision of excess skin from the inner thighs. This leaves a scar down the inseam of the thigh. It is very effective in removing extra unwanted skin which is distributed around the circumference of the thigh. For patients with very loose skin, particularly after massive weight loss, the trade-off is favorable. It has become my preferred technique in this situation.