The thigh lift is a cosmetic surgery procedure designed to tighten the skin of the thigh and reduce sagging in the inner or outer thigh.
If your inner thighs are very big and have a lot of fatty tissue it might be best to do liposuction first to get rid of as much of the excess tissue as possible. After a few months we reevaluate the inner thigh to see if you will benefit from a thigh lift. In some cases, a thigh lift is recommended.
If the skin of the inner thigh sags or is droopy, a thigh lift is ideal as it will tighten up the skin and smoothen the contour of the inner thigh. Patients who have lost a lot of weight are also ideal candidates for an inner thigh lift, usually done in combination with other cosmetic surgery procedures.
Thigh lift surgery can be done under 'twilight' anesthesia or general anesthesia.
The procedure is performed as an out patient procedure at either GBMC or St. Joseph's Hospital here in Baltimore, Maryland. Thigh lift patients arrive at the hospital 1.5 hours prior to scheduled surgery.
Immediately before surgery Dr. Rodriguez will mark the patient's thighs while standing up. The skin is pinched and elevated towards the groin. An estimate is made of how much skin should be removed. Dr. Rodriguez designs the surgery so the final scar is hidden in the groin crease. Excess skin and fat are removed and the remaining thigh skin is elevated and tightened. Thigh lift surgery is generally well tolerated. Following your surgery, you are advised to rest as much as possible to avoid a lot of leg motion, which can affect the scar.
Is it right for me ?
Candidates for thigh lift plastic surgery are : -
People whose weight is relatively stable
Individuals with excess soft tissue along the inner or medial thigh region and/or the outer thigh
Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
Non-smokers
Individuals with a positive outlook and realistic goals for what thigh lift surgery can accomplish
Individuals committed to leading a healthy lifestyle including proper nutrition and fitness
Before the Surgery
Since Thigh Lift is performed as an outpatient procedure, there is no need for hospitalization however, general anesthesia is used to minimize pain and discomfort from the procedure. Your doctor will ask you to sign a consent form to perform the procedure of Thigh Lift. Make sure that you wear loose clothing when going in for Thigh Lift. Be sure to make arrangement for someone to bring you home after the Thigh Lift procedure and also to help you around the house for the next couple of days.
Your thighs will be placed in a compression garment or dressing to minimize swelling and assist in the natural shrinking of the skin, following Thigh Lift procedure. There might be some bruising, swelling and pain that will subside in about a month after Thigh Lift surgery. Do not participate in any strenuous activity for the next 4 - 6 weeks following the Thigh Lift procedure. Do not sit for long periods of time as it will increase tension on the stitches. You will be able to resume your daily activities within 4 - 6 weeks after Thigh Lift surgery.
Without a doubt, you will be delighted with the results of Thigh Lift. This procedure is successful in most of the candidates with minimum chances of complications. Provided you do not gain a lot of weight and lose it again, Thigh Lift will give you well contoured and shapely thighs for the rest of your life, of course keeping in mind that aging changes in your body are inevitable.
The Surgery
Thigh lift surgery usually takes three to six hours to perform, depending on the severity of your condition and the amount of correction required. After you are properly anesthetized, Surgeon will make the incisions necessary for removal of excess skin and fat. Depending on the amount of improvement you desire, this incision may extend all the way around the thigh or only part of the way around the thigh in the groin crease between the trunk and the thigh.
After the incision has been made Surgeon gently elevates the skin and fat off of the underlying muscles of the thighs. Surgeon removes excess skin and fat and redrapes the skin over the underlying muscles. One or more drains may be placed beneath the incision. These slender, rubber tubes assist in draining any fluid that may accumulate beneath the incision and delay your healing.
The incisions are carefully closed in multiple layers of strong sutures to minimize your scar. Surgeon uses a technique in which all of the sutures are placed beneath the skin and are absorbed by your body. Not having to undergo suture removal has improved patient comfort and satisfaction.
A sterile dressing is applied to the incisions, and a compression garment is placed over your thighs. This compression garment helps support your legs during healing, decreases postoperative swelling, and helps decrease any bruising that may occur.
After the Surgery
Patients may spend their first night in an overnight care facility. Bruising and swelling are to be expected as well as a "tight" feeling in the thighs.
Thigh lift surgery must be performed as an inpatient procedure unless only a very minor lift is being performed. For anything more than just the simplest thigh lift, you must stay in the hospital at least one night following your surgery, and some patients choose to stay several nights.
This is because you do not want to place undue stress on your incisions during the initial postoperative period.
After our surgeons discharges you from the hospital, you will need to be taken home by a friend or family member. We also have a private duty nurse available to care for you in the comfort and privacy of your own home if you so choose.
The antibiotics that were prescribed during your preoperative visit (usually Augmentin) should be taken twice daily beginning on the evening prior to surgery. Continue this medication until it is gone. The pain medication prescribed by doctors during your preoperative visit (usually Lortab or Vicodin) should be taken fairly regularly, every four hours or so, during the first twenty-four hours (when you are not asleep, of course). Most patients find that they are able to transition to Tylenol after three or four days. It is not safe to drive a car within twenty-four hours of taking pain medication, as your reflexes and alertness may be altered.
You should plan to take it easy following your surgery. No strenuous activities, heavy lifting (over 20 pounds), aerobic exercises, swimming, contact sports, tennis, or golf should be planned for the first three weeks. As doctors monitors your recovery, he will advise you when it is safe to resume specific activities.
You should plan to wear the compression garment for three weeks following surgery. Doctors will remove the drainage tubes within several days following surgery.
Recovery after a Thigh Lift Procedure
Bruising and swelling are to be expected as well as a tight feeling in the thighs. Normally, your stitches will be removed within a week after surgery, though deeper sutures aren't removed until two or three weeks after. You may also wear a support garment for few weeks to reduce swelling and will need to take antibiotics to prevent infection. Most of the swelling will disappear after three weeks or so. You should avoid strenuous activity for a month or so.
Depending on the individual patient recovery times will vary. Most patients are able to go back to work two/three weeks after surgery. Four to five post-operative office visits are required.
Some Uncertainty and Risk
Major complications following Thigh Lift are rare. However, there is a possibility that the following minor post-operative complications may occur which do not affect the outcome (results) of Thigh Lift procedure:
Bruising
Swelling
Pain
Infection at the incision site
Bleeding
Delayed healing of scars
Allergic reaction to anesthesia
What can I expect from a Thigh Lift ?
Your expectations need to be realistic. Most patients are pleased with the outcome and find they have smaller and firmer thighs, therefore in most cases giving a new-found confidence.
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