i had a liopscution in May and planning to do thigh lift as i have saggin in the inner thigh and little sagging from outer thigh. i heard is vertical scar is bad as it's get wide and it's visiable as the horizontal scar which will be in the bikini area so it's not visiable and usually its good scar. so what would you recommend ? and also am planning to do tatto on the scar. so how long i need to wait to get the tatto on the scar ?
Thigh Lift Scars: Vertical vs. Horizontal
Doctor Answers 19
Thigh lifts - vertical vs. horizontal
The vertical design thigh lift removes more skin, and gets more of a better improvement in the mid and lower thigh than the smaller horizontal design, but at the expense of a significantly longer scar. It's more commonly needed in people that have had MWL (massive weight loss), or significant previous liposuction of the inner thigh.
It's a trade-off of amount of improvement vs. amount of scar.
Hope that helps,
Best Thigh Lift Scars: Vertical vs. Horizontal
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 below link). 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
Vertical vs horizontal scar
Without looking at a picture it is hard to say in your case. In general if you have laxity to the mid-thigh you will need a vertical component to your lift. I place this scar in the middle of the medial thigh and the scar does fade with time. You are trading a scar for contour. Good luck.
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Thight lift scar issue
Depending upon a patients skin laxity, I will perform either a medial thigh lift with an incision in the groin crease, or will use an "L" shaped one extending down the inner thigh in a vertical fashion.
Thigh lift scar placement
The answer to your question depends on your anatomy. In other words, where is the excess skin and fat in your thighs? If the excess is localized to the upper thigh or upper medial thigh, then a horizontal scar hidden in your groin crease would suffice. However, if you have more excess skin and fat extending down your thigh to the knee area, depending on the severity of excess skin, you may need to the vertical (medial inseam) incision line.
Thigh lift scar options
Excess skin has to be surgically removed. Surgery results in scars.
Regarding vertical scars in a thigh-lift:
- This technique is largely reserved for patients who have had a large weight loss, like a post-bariatric surgery patient with an extreme amount of loose skin
- I have not personally experienced widening of the scars in my patients
- It HAS been my experience that the resultant scar is much less unsightly than the loose sagging skin the patient had before surgery.
Thigh lift scar placement
The type of incision will depend on the degree of laxity and how far this laxity extends down your thigh. Body contouring is really a trade off between skin and scar and you have to know in yourself what you will be able to tolerate. Horizontal scars are better hidden, but the tradeoff is that it really only corrects laxity in the superior portion of the thigh. Unfortunately it is not possible to get an adequate lift of the middle/lower thigh through this type of incision. Placing too much tension on a horizontal incision can lead to widening of the scar and distortion of the pubic region. Vertical scars can be well hidden on the inner thigh and often fade well. This is a more appropriate operation for patients with laxity of the middle and lower thighs. Regarding the tattoo, it takes the incisions/scars about one year to mature so I would wait at least that long before getting some new ink. Best of luck.
Thigh Lift Types Balance Scars vs Amount of Improvement
The type of thigh lift that is best for any patient, like most every other body tightening procedure, is about trading off scars for the amount of lift and tightening. There is no question that a combined horizontal and vertical inner thigh lift produces a better result than that of a horizontal lift only...but at the price of an unfavorable vertical inner thigh scar. You have to choose which one of those is more acceptable...residual loose thigh skin or a scar. As for scar tattooing, one should wait about a year until the scar is mature and one is certain that no further thigh work is going to be done.
Vertical or Horizontal Thigh Lift Scar? How about BOTH
In reality, for major thigh laxity following major weight loss, both a vertical AND horizontal incision for removal of vertical and horizontal excess are useful for removal of thigh cutaneous redundancy in 3 dimensions. However, you are correct about the cosmetic appearance with many individuals reporting satisfaction with correction of skin ecess but dissatisfaction with the visibily of the scar. Therfore many patients chose a compromise with the length of the vertical component.
Scar location for a thigh lift
There are two types of scars used for a thigh lift. A horizontal scar placed in the groin crease is best for patients who have significant vertical laxity(loose skin which can easily be pulled upward). A vertical incision along the inner aspect of the thigh from groin to knee is best used in you have significant horizontal skin laxity or looseness. The specific incision needs to be tailored to your specific anatomy.
I would add that the scars can migrate or widen from their original position; something patients should be made aware of before their surgery.
I recommend consulting with a board certified plastic surgeon who is experienced in this type of body contouring procedure.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.