Thigh Lift

A thigh lift reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body.  It may be indicated in patients who have lost a significant amount of weight or in those that have lose skin elasticity with time and now have a sagging appearance to the inner thigh region.  Although some patients may achieve a toning of the thigh muscles with conventional weight training and exercise, excess skin may be resistant to such activities and requires surgical removal.  Thighs that have significant fatty deposits may require liposuction to better contour the area.  This can be done in a staged manner and sometimes at the same time.   Dr. Chugay will go over your options during a face to face consultation and examination.

*INDIVIDUAL RESULTS WILL VARY.

Techniques for thigh lift surgery

There are two primary types of thigh lifts. A medial thigh lift is commonly used to tighten the skin and reduce excess fat from the inner thigh region. The incision is made it the inner crease of the leg and hides well.  However, the risks with this procedure are greater and can include infection, scar widening or migration, sensory alteration and possible distortion of the labia in women.  On larger legs or those with more significant skin excess, a vertical incision thigh lift, along the medial thigh, may be an option to perform the thigh lift procedure.

Recovery following Thigh Lift surgery

Temporary changes in the sensation of the thigh skin are normal after surgery, but in some cases can take much longer. We will discuss with you what you can expect as far as skin shrinkage and pigmentation changes. This will depend on your skin tone and quality as well as your preoperative proportions.

The human body is normally asymmetrical. It is not possible to create perfect symmetry in the thighs through surgery. We will review what are reasonable expectations as far as symmetry at the time of your consultation.

Some bruising is normal after surgery. This usually goes away in the first few weeks. Your incisions will be noticeable immediately following surgery but they will gradually fade and flatten for up to a year after surgery. You will also have some puckering around the incision after surgery. This will smooth out over a month or two. If your skin has lots of stretch marks or is extremely thin, this is a sign of poor skin elasticity. Patients with poor skin elasticity may be more prone to widening of the scar after surgery. Your skin will also be firm and numb at the outset.  It will soften and normal sensation will return gradually.

Post operative Course

Expected recovery after a thigh lift is between one to two weeks. It is important to begin walking the day after surgery to prevent blood clots from forming in the deep veins of the leg. You can resume light exercise after two weeks and more vigorous exercise after four to six weeks.

Following your surgery, dressings or bandages will be applied to your incisions, and your thighs will be wrapped in an elastic bandage or a compression garment to minimize swelling. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

The procedure is performed in our AAAHC outpatient surgery center and you may go home after surgery. We will see you the next day to review after care instructions and ensure that healing is proceeding normally.

Patients are encouraged to light exercise after 14 days.  More vigorous activities such as jogging, aerobics or weight training can be resumed approximately four to six weeks after treatment.

Anesthesia

Dr. Chugay utilizes IV sedation in conjunction with local anesthetic. You will be comfortably asleep during the procedure. Dr Chugay is pleased to offer Goldilocks Anesthesia.

IV sedation:

  • Is Less Risky
  • Assures Quicker Recovery
  • Causes Less Nausea and Vomiting

Many surgeons still utilize general anesthesia. After all, the patient is completely paralyzed and is easier to work on. However, surgeon’s ease does not translate to the patient’s advantage. Another reason why so many surgeons choose general anesthesia over IV sedation is the experience of their anesthesiologist. It takes more experience to administer IV sedation. Many anesthesiologists and nurses anesthetists do not know how to handle it properly. Many anesthesiologists have little practical experience with sedation. It takes a lot of skill to make certain that patients are comfortably asleep and do not wake up during surgery.