Is it possible to undergo a high lateral tension tummy tuck and a medial thigh lift with only a vertical incision at the same time. A surgeon advised me that both could be performed together as there would not be an incision in the groin that would oppose the pulling of the tummy tuck suturing. Will a horizontal lift with no vertical lift (i.e groin incision) address my loose thigh problem?
Will a Vertical Incision Work For Tummy Tuck and Medial Thigh Lift
Doctor Answers 10
Receiving a vertical tummy tuck and medial thigh lift at the same time
A high lateral tension tummy tuck is an excellent procedure to contour the abdomen and create a very pleasing figure. We commonly performed the surgery in conjunction with other body contouring procedures. Depending on your tissues and your overall medical status, it may be possible to perform this surgery with a medial thigh lift at the same setting. Keep in mind that this can be a challenging combination and so that is incredibly important that you only work with a board-certified plastic surgeon who is very experienced in both of these procedures. Such a surgeon will be able to assess your tissue and determine if you are a candidate for these two procedures. Be sure that you have an in-depth conversation with your surgeon about your expectations, if it is possible to reach your expectations, the scarring involved, and the significant recovery process after surgery.
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Vertical Incision thigh lift
I am interpreting your question as a combination of an abdominoplasty with a transverse lower abdominal incision and a thigh tightening with only a vertical incision along the inside of your thigh to the knee without an extension into the groin. I have not performed this combination and have not been pleased with performing a full medial thigh lift and abdominoplasty at the same time due to excessive tension in the groin and a tough recovery. I think that staging things is likely to give your best result with both areas.
Combination Thigh Lift and Tummy Tuck considerations
Tummy Tuck and Medial Thigh lift - Which approach is best for Thigh lift?
Different Plastic Surgeons with great experience and results often argue the answer to your question. The most important choice is finding the best surgeon (see link). My own preference is to do a tummy tuck and medial thigh lift at the same time. It is true that there may be some labial widening caused by the scar drifting downward, but this is easier to hide than a vertical scar often extending below most shorts. My choice as to whether a vertical scar is needed is on the basis of my exam and where the most excess skin is located. For example if a roll of skin high up on the inside of the thigh then a groin scar incision is preferred, where as if there is circumferential excess from the knee to the groin then a vertical incision is best in my hands
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Combining a tummy tuck with a thigh lift
Performing both procedures at the same time may be okay, but it's hard to say without actually examining you. If you're in doubt, seek a second opinion in person or split the two procedures into two operations.
Tummy tuck with thigh lift
A tummy tuck (or body lift) can be done with a vertical thigh lift (even if an extension into the groin crease is needed).
Tummy Tuck at the same time as Thigh Lift
I routinely perform Tummy Tuck procedures on the same day as Thigh Lifts. I don't see a problem with doing both together. The transverse incisions in my thigh lifts do not go far enough lateral to interfere in a significant way with a tummy tuck incision. I can't comment on the results with a vertical incision only thigh lift, I've not seen or done one that way. The high lateral tension Tummy Tuck should eliminate the need for a long transverse scar with your Thigh Lift.
Vertical Scar Tummy Tuck
If a vertical abdominal scar can tighten thigh skin, it's news to me!
Typically we reserve the vertical abdominal scar for patients who have lost significant weight and have severe skin excess of their abdomen in the horizontal direction. This vertical scar will pull the skin of your abdomen and waistline to the midline of your abdomen and remove it. In my experience, it will not provide any significant of noticeable lifting of the thigh skin. It is the Horizontal scar along the groin crease and extending around your waistline that tightens your droopy abdominal skin as well as droopy thigh and buttocks skin. If a vertical abdominal scar can tighten thigh skin, it's news to me!
Incisions and tummy tuck and thigh lift
Withotu seeing photos or performing an exam it is difficult to say, but I do not perform tummy tuck's usually with a vertical incision. They rare transverse and then if the patient has massive weight loss I sometimes combine a vertical incision.