What type of thigh lift would i need? (Photos)

Question

I lost a bunch of weight and now my thighs are wrinkly. I dont really have cellulite. I would prefer a medial lift because im scared of scars going down my leg and cutting off my inner thigh tattoo. Any help would be appreciated.

Luis Suarez, MD · Answer

The ideal thigh lift for you would be an extended thigh lift, which is an incision that would go from around the crease of your pubic area all the way down almost up until the knee in order to be able to remove all the excess skin. Some liposuction will be done in the inner part as well to loosen the skin, it gives an amazing result. You are a great candidate for that.

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your question regarding the type of thigh lift you need. I appreciate you sharing your history and photos, and congratulations on your weight loss! However, with weight loss often comes challenges like excess skin, and I understand your concerns.

From analyzing your photos, it appears you have excess skin and fat extending from your groin to at least halfway or two-thirds of the way down your inner thighs. As your thighs lost fat during your weight loss, the skin attempted to recoil, but it hasn’t fully tightened, leaving wrinkles on the inner thighs. It’s important to note that liposuction alone is not a suitable solution for this issue, as it would likely worsen the wrinkling by removing underlying fat without addressing the excess skin.

A thigh lift is the only reliable way to remove these wrinkles caused by excess skin. Based on your concerns, the two most suitable options would be a modified vertical medial thigh lift or a full thigh lift from the groin to the knee.

With a modified vertical medial thigh lift, the incision runs from the groin down the inner thigh, typically about halfway to two-thirds of the way down. This procedure could effectively eliminate most of the excess skin and wrinkles while partially preserving your inner thigh tattoo. However, for more significant improvement, many plastic surgeons would recommend a full thigh lift, which involves an incision from the groin all the way to the knee. While this approach would yield the best results for eliminating skin rolls and wrinkles, it may disrupt your tattoo.

You’ll need to decide whether you prioritize the optimal contour of your thighs, which might require tattoo revision, or if preserving the tattoo is your primary concern. In many cases, tattoo touch-ups or revisions can be done after the thigh lift to restore or modify the design.

Before moving forward, I recommend consulting with an experienced, board-certified plastic surgeon who has performed at least 100 thigh lifts. Be sure to review their before-and-after photos to confirm their expertise and to discuss your goals and preferences.

Good luck, and I hope this helps you decide on the best option for your thighs after weight loss.

Sincerely,
J. Timothy Katzen, MD

Chet Mays, MD · Answer

Thank you for your inquiry!  There are multiple approaches for thigh lift, meeting in person would help determine the best course of action for you.   We would love to meet with you to discuss your options. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Daniel Barrett, MD · Answer

Dear Thoughtful861921,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Andrade, MD · Answer

Hello, if the loose skin on your inner thighs is the main region of concern, then a bilateral inner thigh lift could be a d to improve this particular region.   You would need a proper assessment of the skin tone, contour, and general extremity exam to assess for normal blood and nerve supply, etc.  The surgeon would then explain the pros and cons of the various thigh lift procedures.  Thank you for your inquiry.

Guler Gamze Eren, MD · Answer

Thank you for your question.You have a saggy skin in both vertically and horizontally so you need a T scar inner thigh lifting to create a tighter and slimmer look.If you have an only short scar lifting which is located in the groin, you will still have excess skin horizontally, this will probably bother you.Best luck!

Mustafa Aydinol, MD · Answer

In your case you need to decide what kind of result you would like to get. Honestly in your case I don't think that a medial lift will work because it has a little effect. You might also combine skin tightening procedures but most of them require multiple sessions with unpredictable results meaning they cost money and time.If you are looking for a precise and definitive solution I would recommend a longitudinal and horizontal car (T shaped) for better control. Scar treatments after the surgery are easier than correcting an unfavorable outcome and if something happens to your tattoo, you can get it done again. Also it is possible to cover the scar with micro pigmentation techniques.

Zoran Potparic, MD · Answer

Medial thighs lift which will include vertical scar and horizontal component mostly hidden in groin-perineal crease would be my choice; possibly skin tightening procedure with radio frequency or J plasma. Good luck.

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 detailed and personalized plan please consult with a plastic surgeon in person.
it looks from the pictures that you have skin redundancy mainly in the medial upper part of your thighs , you will likely be ok with a groin incision , but I cannot say for sure without an exam , if you do also have redundancy on exam in the horizontal vector then you might end up ending a vertical incision.
I hope this helps, best of luck!

Camille Cash, MD · Answer

Congratulations on your weight loss!  The best approach for you would involve incisions around the groin crease and down the inner aspect of the thigh.  This would address the maximum amount of skin laxity.  The groin incision could be hidden under most undergarments.  See a board certified plastic surgeon near you to learn more.

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