What procedure would you perform to revise this thigh lift? (Photo)
Doctor Answers 4
Thigh Lifts with Vertical Incisions
It's not unusual for massive weight loss patients who require thigh lift surgery to be apprehensive about the vertical incision that's commonly used with this procedure. In your case, you've elected to have a thigh lift through a transverse groin incision to avoid this vertical incision. This transverse incision is able to tighten skin in the vertical dimension, but has no impact upon skin in the transverse dimension.
Unfortunately, excess thigh skin is a multi-dimensional problem and this approach doesn't address excess skin in both directions. This excess skin is clearly demonstrated in your post-operative pictures.
Liposuction by itself wouldn't correct this problem and would ultimately result in additional skin sag. Under these circumstances, removal of residual excess skin in the transverse dimension will be necessary to provide an aesthetically attractive thigh contour. This will require conversion of your current thigh incision with an extension along the inner aspect of the thigh towards the knee.
It's important to remember that cosmetic surgery often involves trade-offs. In this case, the trade-off is between improved thigh contour and additional scarring. If you're considering this trade-off, it's important to discuss this issue with your plastic surgeon. Your surgeon should be able to help you with this difficult decision.
Revision thigh lift surgery
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Peter Fisher M.D.
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