Thank you for your question regarding a thigh lift. What is the patient positioning markup, and what is the patient positioning during surgery? Every plastic surgeon is different and has different marking techniques. Every plastic surgeon has different positions where they place the patient for their ideal thigh reduction procedures. The most common way to mark patients is in a standing position. Patients stand up, and a surgical marker is used to outline the anatomy of the inner thigh. Typically a large elliptical area is marked on the inner thigh. The anatomic structures, including tendon insertions and essential arteries and veins, are also marked This sizeable elliptical area of skin and fat extends from the groin to the knee. Liposuction is usually performed within the borders. Then the intervening excess skin and fat are directly removed. Your position in surgery is usually on your back with your legs spread and your knees bent. This is often called a frog leg position. Your surgeon typically stands outside your thigh and leans over to repair your inner thigh. The minority of surgeons put your legs in stirrups. If the legs are placed in stirrups like an OB-GYN, the surgeon stands between your legs and sutures. The difficulty here is that it does not give as good a result as if you were in a frog leg position. I hope this helps to answer your question regarding a thigh lift. What is the patient positioning markup, and what is the patient positioning during surgery. I specialize in thigh lifts. 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, please contact my office. 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. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic 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 and RealSelf Hall of Fame.)