Is it possible to get an outer thigh lift without any scars down the inside of my thigh? (Photo)

Question

Hi I’m looking into getting a outer thigh lift due to lax skin after liposuction I don’t want any scars down the inside of my thigh just in the groin or hip or wait area is this possible? Also will this help with the lumpy and unevenness I don’t mind having some lumps but atm I have a lot it’s making me feel very self conscious also when I lift my outer thigh it makes it look a lot better all over. Thank You

J. Timothy Katzen, MD, FACS · Answer

Hi natty577,  thank you for your history and photos.  Thank you for your question regarding is it possible to get an outer thigh lift without any scars down the inside of my thigh. There are six distinct types of thigh lifts, which are referred to as crescent, modified vertical medial, longitudinal vertical medial, complete medial, horizontal hip lift, and outer thigh lift. These thigh lifts are typically performed in conjunction with thigh reduction. It is possible that a crescent thigh lift would be appropriate for you if you are concerned about your inner thighs up to the inner third of your thighs. If your knees are affected by the problem, you might want to think about getting a longitudinal vertical medial thigh lift. In the event that your concerns extend to your ankles, it may be necessary to perform a complete medial thigh lift. If you are concerned about the appearance of your outer thighs, particularly in the area around the saddlebags and the abdomen, you may consider having a horizontal hip lift performed as an extension of a tummy tuck. A vertical lateral thigh lift is the procedure recommended if the problem with your outer thighs extends all the way down to your knees. 
You have dermatocholosis (loose skin) and cutis pleonasmus (extra skin) on your medial (inner) thighs. A thigh lift is the most effective treatment for extra skin in the inner or medial thighs. A longitudinal (not a crescent) thigh lift would be the ideal thigh lift or thigh reduction for you. During a crescent thigh lift, an incision is made in the infra-gluteal fold, which is where the buttock and back of the thigh connect. The incision is made in the inner thigh crease and the groin crease between the pubic area and labia. It is crucial to use permanent sutures to secure the scar to the pelvic periosteum, which is the dense layer of connective tissue that covers the pubic bone. Using these permanent sutures to fix the scar from the crescent thigh lift, the likelihood of a significant known danger associated with the procedure is reduced. This method reduces the risk of labial spread and introitus (vaginal entrance) opening by attaching the scar to the bone. Additionally, it reduces the likelihood that the scar may travel down the inner thigh by anchoring it. A longitudinal vertical medial thigh reduction is an additional option to manage your extra inner thigh skin. This is the procedure you need for the best thigh results. This procedure involves making a vertical incision from your crotch down your thigh's inseam. The incision would reach your lowest skin fold around the knee. This method's drawback is that the scar it leaves behind is more noticeable than the previously discussed crescent thigh lift.  It takes three to four hours to complete the longitudinal vertical medial thigh lift/reduction while under general anesthesia. Give yourself three to four weeks to heal. You should stay away from stairs for the first two weeks. Drains are typically removed two to three weeks following the thigh lift.   
To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope that I have answered your questions regarding the thigh reduction. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience performing thigh lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 thigh lifts. Make sure they have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (President of  the American Society of Bariatric Surgeons; Certified by the American Board of Plastic Surgery; Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery; and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

John Michael Thomassen, MD · Answer

A lateral thigh lift can help even out the contour of the lateral thigh.  It involves an incision from the inguinal region across the hip to the buttocks on either side.  It is typically combined with excision of skin medially for best results.

Randal Haworth, MD, FACS · Answer

Hello !

An outer thigh lift can help with the excess lax skin on the outer thighs after liposuction. However, the exact placement of the incisions will depend on the extent of the correction needed and the specific technique used by your surgeon.

It is possible to have incisions in the groin or hip area for an outer thigh lift, but this will depend on the extent of the correction needed and the technique used by your surgeon. It's important to discuss your concerns and expectations with your surgeon during your consultation so they can develop a personalized treatment plan for you.

Regarding the lumpy and uneven appearance, an outer thigh lift may improve the appearance, but it may not completely eliminate all lumps and unevenness. You may need additional procedures such as fat grafting or further liposuction to achieve a smoother contour.

BodyTite or Collagen induction therapy (needling) can also help tremendously in this case.

Again, this will depend on your individual situation, and your surgeon will be able to advise you on the best course of action during your consultation.

I hope this helps,
best of luck !

Is it possible to get an outer thigh lift without any scars down the inside of my thigh? (Photo)

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