Are these results normal and are they fixable? (Photos)

Question

A little over 3 months ago, I had a thigh lift and a scar revision. The scars from the thigh lift ended up being way lower on my legs, not along the panty line as promised. The scars seem to be very crooked and uneven, and bunch up in he back. Also, the c-section scar revision ended up being crooked on the left side. I’m curious to what might have gone wrong and are these results fixable?

Robert F. Centeno, MD, FACS · Answer

Thank you for your question and photos. I am sorry to hear about what you are experiencing. Your thighlift scars have migrated because of the tension of the skin on the closure. The best way to prevent this from occuring is to anchor the skin and underlying fibrous tissue to an anatomic structure called "Colle's Fascia."  This robust structure and deep sutures prevent this from happening.  I would recommend consulting with your surgeon to discuss a revision with Colle's Fascia anchoring. This may or may not be possible if there is already excessive tension on the skin.  With time, as the skin relaxes, it may become easier to perform.  The posterior excision would benefit from another revision. I hope this helps.  All the best.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding if your crescent thigh lift scars are routine and fixable. The crescent medial thigh lift is a complicated surgery to perform. The amount of skin removed is minimal, and if not anchored correctly, it can lead to complications like you are experiencing. The complications include scar migration, which you have, and even labial spread. The labial spread can lead to your vagina being exposed. The treatment lies in the placement of sutures that anchor the scar. The scar should be anchored to the bone of the pelvis or the periosteum, or the layer above the pubic bone. These should be done with permanent sutures. This minimizes the scar's drift and the pulling of the labia. It is difficult to tell if your skin is loose enough for a revision. If you can lift the scar in the desired area of the scar, you may be a good candidate for a scar revision. If it is still very tight, you may need to wait perhaps 6-12 months before a revision needs to be performed. For example, consider the scar on the back underneath the buttock. The scar must be continued further around your buttock to remove the pleating or indentations left from the suture. This is due to the high-tension lines. These crescent thigh lift revision procedures should be done under general anesthesia. Minimal activity post-operatively is encouraged. Please seek a board-certified plastic surgeon who specializes in crescent thigh lifts. I hope I've helped to answer your question regarding your crescent thigh lift results and the unfortunate migration of your scar down the inner thigh. Good luck.
Sincerely,
Dr. Katzen

Kenneth Hughes, MD · Answer

Thank you for submitting your photographs along with your concerns.I am really sorry you are experiencing such bad results. Based on your photographs I would suggest you consider a thigh lift revision. I would highly recommend you consult with a Board-certified plastic surgeon for best results. Best of luck.

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