Am I suitable for inner thigh and knee liposuction? (Photos)

Question

i am 5'5 and 109 lbs 21 year old female girl. I workout 6 days a week and I hope to get slim thighs with liposuction, but I dont know how much of my thighs is fat and how much is muscle

Gregory Lakin, MD · Answer

Thank you for your question. You likely have a lean body composition with a relatively high muscle-to-fat ratio. However, an in-person evaluation can determine how much your thigh volume comprises fat versus muscle. A skilled plastic surgeon will perform a visual and tactile exam to assess muscle tone and skin elasticity. They may also conduct a pinch test or use body composition tools such as calipers, ultrasound, or a DEXA scan. Liposuction may have a limited effect on reducing size if your thighs consist primarily of muscle with only a thin layer of fat. If there is enough pinchable fat, liposuction can effectively slim the area, particularly on the inner thighs, outer thighs (often referred to as ""saddlebags""), and sometimes the knees.
It’s advisable to schedule a consultation with a board-certified surgeon specializing in body contouring. They can provide realistic expectations and determine whether liposuction alone or combined with lifestyle adjustments is the best approach to achieving your goals.

Warren Schutte, MD · Answer

Prior to moving forward with any liposuction, I strongly encourage you to be aware of risks of contour irregularities that can be a result of liposuction. You have, overall, very nice lower extremity aesthetics currently.

Eric Swanson, MD · Answer

Yes, liposuction is the correct treatment for trimmer inner thighs and knees. I think the models you showed look too skinny, but that's just my opinion. They may also have naturally longer legs. You are more muscular, so you would never have legs like the models (but that is a good thing I believe). You need an experienced surgeon. A common error is removing too much fat in the middle part of the inner thigh, giving a "scooped out" look, which is a telltale sign of liposuction and difficult to correct. Your inner thighs and knees should never look like you have had surgery. Check out the before and after photos of your surgeon. Also the only incisions should be hidden in the natural groin creases and the crease of your knees.

Zoran Potparic, MD · Answer

Based on this photo, you seem to be a reasonable candidate for improvement. In person consultation with a board plastic surgeon with excellent reputation in liposuction/body contouring is recommended. Good luck.

David Hansen, MD · Answer

You would do very well with liposculpting of the thighs and knees but be sure to get it done under local with iv sedation for complete comfort.  Make sure your doc uses the micro canulas and bodytite/morpheus/quantum for skin tightening.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the limited information and pictures provided for a more detailed and personalized plan please consult with your surgeon in person.It is hard to decide what is fat and what is muscle purely based on pictures , a physical exam will gelp make that decision . That being said , you seem to be half way there just by working out and eating healthy but I do see what you mean in terms of shape especially at the knees and inner thighs , limited liposuction will likely help you achieve that shape you are looking for but that determination is best done after a physical exam.I hope this helps, best of luck!

Jaeil Lee, MD · Answer

Based on photos alone, there are limitations in accurately distinguishing fat from muscle.
Inner thigh and knee liposuction may be possible if there is localized fat, but in yourcase, the amount of removable fat is often limited. Over-aggressive liposuction can lead to contour irregularities.
Whether you are a suitable candidate depends on fat thickness, muscle proportion, and skin quality, which can only be properly assessed during an in-person consultation.

Camille Cash, MD · Answer

From the submitted photos you do appear to be a candidate for liposuction.  An in person evaluation is needed to let you know what you can expect in terms of results.  The legs shown in your wish photo are very thin and may not be realistic, but you can expect improvement.

Steven Schuster, MD, FACS · Answer

Dear DW,
 thank you for your question in regard to liposuction.  Although you have a small amount of fat in the inner thighs and medial knees you certainly could have very conservative liposuction to thin these areas out if you find the really bothered.  And up with legs like the pictures you send, I think that is unrealistic and those might have been photo shop that as well.  I do think a conservative liposuction will benefit you in the area where you have the inner thigh and knee that you are concerned about and I would see a board-certified plastic surgeon who will appropriately assess you and give you an honest answer of what he or she can achieve.  Good luck with your decision

Mats Hagstrom, MD (license on probation) · Answer

If you came to my office, I would not offer Liposuction for your inner thigh.
The chance of you having contour irregularities or an undesirable outcome is high.
The chance of you liking the results is low.
I’d give it less than 5%. You’ll be happy with the outcome.
My absolute best recommendation is to not have liposuction of the inner thigh.
The area is difficult to treat and is prone to contour irregularities unless you’re working with somebody who is exceptionally talented. In my opinion, someone who is exceptionally talented should be telling you not to get liposuction of that area. 
You have very little subcutaneous fat so any imperfection will be clearly visible Afterwards.
If you absolutely insist on having the procedure, I would recommend you insist on asking any potential provider to show you at least 20 sets of before, and after pictures of previous patients who had similar body characteristics who had the same areas treated.
Highly experienced plastic surgeons should have access to more before and after pictures then you have time to look at during a consultation.
Any provider who can’t show you an impressive collection of before and after pictures should simply be crossed off the list.
Best,
Mats Hagstrom MD

Am I suitable for inner thigh and knee liposuction? (Photos)

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