LBL & short scar medial thigh lift planned. Will these do the trick or do I need an FDL long scar thigh lift to knee? (Photos)

Question

80 lb loss/2 kids. I had a TT and BL in 11/15. Since then I have disliked excess skin leftover in my upper abdomen. Within the first few months postop I gained back the last 10 lbs I lost preop & have now maintained this same weight for a year. When I sit I have a BIG roll that hangs over my pants & hips/flanks are huge next to my flatter stomach. I also want an inner thigh lift but don't know if a short scar will do the trick and worry about the extra risks I've read about. Suggestions?

J. Timothy Katzen, MD, FACS · Answer

Hello WorkInProgress62555,

From the details and images you've provided, I can offer insights into the most suitable treatments for your upper abdomen and thighs following your weight loss journey.

Considering your abdominal area, a vertical incision from the sternum to the pubic region seems most apt. Given your unique circumstances, I don't believe a repeat of the horizontal abdominoplasty or a traditional tummy tuck is necessary. Solely opting for liposuction would likely result in excessive, loose abdominal skin, which may not yield the desired aesthetic outcome.

Turning to your thighs, two viable options come to mind: the Modified Longitudinal Medial Thigh Lift or the Crescent Thigh Lift.

Modified Longitudinal Medial Thigh Lift: This procedure entails liposuction of the thighs, followed by an incision beginning at the groin and partially extending down the inner thigh. An elliptical section of inner thigh skin and fat is excised. The scar resulting from this procedure would begin at the groin and stretch to the point where there's an indent in the upper third of your thigh.

Crescent Thigh Lift: Often referred to as the "hidden thigh lift" due to the concealment of the scar high within the groin or where the inner thigh intersects with the pubic area. During this procedure, a crescent-shaped segment of skin and fat is removed from the upper inner thigh. Subsequently, the inner thigh skin is lifted and repositioned high in the groin.

Both the Crescent Thigh Lift and the Modified Longitudinal Medial Thigh Lift are executed under general anesthesia and are outpatient procedures. It's commonplace for many plastic surgeons to monitor their thigh reduction patients in a specialized facility for approximately 48 hours post-operation.

Thank you for inquiring about the LTL vs. short scar thigh lift, and the considerations between a fleur-de-lis (FDL) abdominoplasty and various thigh lift options. I wish you all the best as you contemplate these procedures, and hope you achieve the desired results.

Sincerely,

Dr. Katzen

LBL & short scar medial thigh lift planned. Will these do the trick or do I need an FDL long scar thigh lift to knee? (Photos)

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LBL & short scar medial thigh lift planned. Will these do the trick or do I need an FDL long scar thigh lift to knee? (Photos)

Answers (1)

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Everything you need to know about Thigh Lift

Our mission is to create a world where every investment in modern beauty is Worth It.