Is at Advisable to Have a Tummy Tuck & Inner Thigh Lift at the Same Time?

Hi I am a 32 year old, fit, non smoking female who has lost about 56 pounds. I am in need of a tummy tuck and thigh lift (lower body lift basically), and my surgeon has suggested the idea of doing the tummy tuck and inner thigh lift together, followed by extending the tummy tuck scar and doing the rest at a later stage. I am concerned that these 2 big procedures combined will be too much, extending the recovery and will be risky. I'm thinking it best to address the tummy area alone, firstly?

Doctor Answers 14

I do not do a full tummy tuck and bilateral thigh lift together

Thank you for your question. It is not uncommon to do multiple different area plastic surgery procedures when the areas operated on are not in close proximity. I am just offering my opinion and respect that other plastic surgeons may feel differently. However in my opinion the abdominoplasty incision and the medial thigh lift incisions are close together and my concern has always been that these incisions in such close proximity could interfere with blood supply to the skin and result in skin loss and other complications.

Timing of surgery

I personally do the circumferential body lift to address the tummy and lateral thighs as stage one.  This is followed by a secondary medial thigh lift for stage two.  I find that patients do better with mobility by staging it as such.  Surgeons are like cooks; everyone has there own formula.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 35 reviews

Tummy tuck and thigh lift should be done separately

It is recommended to perform the tummy tuck (or body lift or circumferential body lift) first, followed several months later by the thigh lift. This causes fewer wound healing complications and allows the tissues to "relax" from the first surgery because combining the procedures can place undue tension on the scars. Basically the central portion of the body is addressed first, then you can have other areas treated (such as the arms, thighs or breasts).

I recommend consulting with a few board certified plastic surgeons who are experienced in body contouring before you have surgery.

Best wishes,

Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 304 reviews

Combination Tummy Tuck and Inner Thigh Lift

The problems with doing tummy tuck and inner thigh lift together are:

1) The bikini and groin incisions are in close proximity to one another and this can increase swelling in the pubic area.

2)  In weight loss patients with loose skin, lifting the pubic area and front of thigh can change the inner thigh skin, making the inner thigh lift harder to perform because the skin has moved.

3) Wearing a compression garment or girdle (which I feel really helps with swelling and support after a tummy tuck) is very uncomfirtable on the inner thigh lift incisions which do much better with a light, easily removable dressing.

I will consider doing them together under a few circumstances, such as:

1) The patient has correctable issues that require only one stage

2) The inner thigh skin and pubic laxity is minimal

Because it sounds like you may benefit from a lower body lift, I would first perform the tummy, pubic, outer thigh, buttock, and lower back lift (along with breast surgery if desired) at Stage Iand then do inner thighs, arms, and rouchups from Stage ! at Stage II.

 

The link below is of a patient (Case #2) who had a one stage tummy tuck and inner thigh lift.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 249 reviews

Combining Abdominoplasty and Thigh Lift

Hello,

ASPS strives to emphasize a culture of safety with it's members, and evidence points to a general increase in the risk of complications when abdominoplasty is combined with other procedures. The amount of increased risk is dependent on many variables, including the patients age, weight, smoking status, and medical condition.  Additional variables also include the length of time for the entire procedure and which additional procedures are being performed. 

In general, most surgeons perform additional procedures with abdominoplasty frequently, the most common being liposuction of the hips and waist.  'Mommy Makeovers', or the combination of breast surgery and abdominoplasty, is also common. I personally perform inner thigh lifts with abdominoplasty, but only the type with a limited incision in the groin, and not the type with the full length incision to the knee.

Given your situation, and without actually examining you,  I would opt for an abdominoplasty that doesn't extend too far around the back, because  you are planning on coming back to have the posterior portion of the body lift latter.  If you are a safe candidate based on previously discussed criteria, and you would also get a good result from a limited incision inner thigh lift, then move forward with both.  If you need a more extensive thighlift, I would caution against it.

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 77 reviews

Is at Advisable to Have a Tummy Tuck & Inner Thigh Lift at the Same Time?

It is hard to answer without some photos. I generally favor not doing that particular combination of procedures together, though many other combos I do with some frequency.

The tummy tuck causes more discomfort that most procedures done by plastic surgeons. If the closure is tight, patients sometimes get some tightening of the inner thighs, occasionally making the thigh lift "unnecessary"  or changing the nature of the procedure. An inner thigh lift with a horizontal incision often makes it extremely uncomfortable to sit, and doing that at the same time as a TT asks a lot of a recovering patient. 

There are diverse opinions on this, and no answer is right for all surgeons or all patients. 

Thanks for your question, and good luck.

It all depends on the patient

In certain situations I do perform abdominoplasty and thigh lift at the same time. In others it is prudent to wait because there is usually an improvement in the appearance of the medial thighs after an abdominoplasty.

Vijay K. Bindingnavele, MD
Corpus Christi Plastic Surgeon
5.0 out of 5 stars 13 reviews

Tummy Tuck & Inner Thigh Lift at the Same Time

Congratulations on the weight loss. Each surgeon has different preferences on body contouring based on experience and expertise. It is possible to combine procedures based on the scope of surgery depending on the scope of the surgery. Your surgeon has examined you and understands the specifics about you so you should trust your surgeon's guidance.  

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 33 reviews

Abdominoplasty with an inner thigh lift

Timing and planning of multiple surgical procedures is a common question and patient concern.  Combining an abdominoplasty and an inner thigh lift  is not an unusual request.  As long as you are in good physical health and have no overriding medical conditions you should be a good candidate. With this combination the highest priority has to be safety and the prevention of DVT and PE.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 15 reviews

Tummy tuck

There is. Itching wrong with combining the procedures.  However, if you would be most comfortable starting out with a tummy tuck and coming back later for further procedures, that is perfectly fine to do as well.  You can always come back ,for the thigh lift of to convert the tummy tuck into a body lift  if you want as a secondary procedure.  It is somewhat difficult to say in your particular case, however, because  you have not included photos.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 24 reviews

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.