Outer thigh is deformed after liposuction - what can be done to fix it? (photos)

Question

I had liposuction from a surgeon earlier this year. I have a deep puckering on both sides but worse on my left. There is a lot of hanging skin. I have a fungal rash in the crease and below the overhang on the left. What can be done to fix this? I don’t care about scars I just want the rash and the skin wobble to go away.

Zoran Potparic, MD · Answer

Before and after photos would be needed to see how much of deformity was created with this procedure performed by someone without any knowledge of liposuction and body contouring. Your next step would require significantly more extensive surgery like lower body lift with liposuction. In person consultation with a board certified plastic surgeon, expert in body contouring surgery, is recommended. Good luck.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do about your outer thigh after liposuction. Thank you also for your pictures which reveal deep puckering on both sides, both on the left and right. In addition, I see a significant amount of hanging skin. Two excellent surgical procedures can be done to correct this deformity. However, I may suggest first that you try to lose more weight. You did not include your height, weight, BMI, or weight loss history. These would be important in your global assessment. Also, preoperative labs would be essential to determine if you are a surgical candidate.
Regarding the surgical treatment to these areas, I would suggest either a hip lift or posterior buttock lif tor 360 circumferential lower body lift. An incision is made over the hip during a hip lift, and excess skin and fat are lifted and removed. The hip is also lifted during a posterior buttock lift, and excess skin and fat are removed. However, the difference between a hip lift and a posterior buttock lift is that the buttock is also lifted and reduced. If you also want the abdomen addressed, the hip lift or posterior buttock lift can be combined with a 360 circumferential body lift. During a 360 circumferential body lift, the hip is lifted and reduced, the buttock is lifted and reduced, and the abdomen is reduced and removed. During a 360 circumferential body lift, it addresses your abdomen, hip, and buttock. These are the traditional ways to correct this problem. Another technique that I have used over the past twenty years is an oblique hip incision. This is done to correct the saddlebags. I call it a saddle bag deformity correction. During this procedure, an incision is made underneath the buttock fold and extended oblique or diagonal to the top of the anterior butt line. This follows the buttock crease and the crease created with your liposuction results. This creates an excellent result. All these procedures are done under general anesthesia under the guidance of a board-certified MD doctor anesthesiologist. These procedures are done on an outpatient basis. These procedures all require drains for about 2-3 weeks. Thank you for your question about fixing your outer thigh deformity after liposuction. 
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.)

Johanna D'Agostino, MD · Answer

Hi Nice834302,
I'm sorry about the results from your surgery. It seems that a significant deformity was created. At this point, you will require additional surgery with a combination of both additional liposuction and excision in the form of a lower body lift. I definitely recommend that you see a board-certified plastic surgeon and possibly consider more than one consultation.

Gianfranco Frojo, MD · Answer

I would recommend an excisional procedure to lift the thighs (thigh lift or lower body lift) potentially combined with liposuction and/or fat grafting. This is a tethered scar area due to excessive liposuctioning in one specific location.

Camille Cash, MD · Answer

Surgical revision will be needed in order to improve your results.  I encourage you to visit with a board certified plastic surgeon for a consultation.  After an examination and discussion of your goals recommendations can be advised.  A lower body lift may be helpful.

Outer thigh is deformed after liposuction - what can be done to fix it? (photos)

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