Is this labia spreading fixable 9 months after thigh lift? (Photo)

Question

9 months post op my labia is spreadi Due to where my scars where put. Is this fixable anchoring the new scars to the bones?

J. Timothy Katzen, MD, FACS · Answer

Hello,
Thank you for your question about addressing labial spread and scar migration following a crescent medial thigh lift. Your concern is understandable, as these issues can impact the aesthetic outcome and your comfort.
Labial Spread and Scar Migration: It's common to experience changes like labial spread and scar migration after a thigh lift, particularly when the incisions are near the groin area. This can occur due to the natural tension and movement in this area of the body.
Importance of Anchoring: As you've mentioned, one key aspect of this type of surgery is anchoring the incision properly. Ideally, the incision should be anchored to a stable structure like the pubic bone or deep fascia. This helps prevent the scar's downward migration and related issues like labial spread.
Revision Surgery: Addressing these issues usually involves revision surgery. The surgeon would reposition the scar and ensure it is securely anchored during this procedure. However, revision surgeries can be more challenging than the initial procedure, so it's crucial to consult with a surgeon who specializes in this area and has experience with similar revisions.
Consultation and Evaluation: Before proceeding, a thorough evaluation by a qualified plastic surgeon is essential. They can assess the extent of the spread and migration and develop a surgical plan tailored to your specific needs and anatomy.
Setting Expectations: It's important to have realistic expectations about the outcomes of revision surgery. While improvements are certainly possible, achieving perfection can be challenging, especially in such a complex and dynamic area of the body.
Recovery and Care: Post-surgery care and recovery will also be crucial to ensure the best possible outcome. This might include specific instructions on activity limitations, garment support, and follow-up care.
In summary, while labial spread and scar migration post-crescent medial thigh lift are fixable, it requires a carefully planned and executed revision surgery. I recommend consulting with a skilled and experienced plastic surgeon who can offer a personalized approach to your revision surgery.
Sincerely,
Dr. Katzen

Mats Hagstrom, MD (license on probation) · Answer

Overall, patient satisfaction from thigh lift surgery is not as high as some other procedures.
Doing a quality thigh lift without a vertical incision has its drawbacks.
In order to get a sufficient result some tension points are required.
Your surgeon may already have anchored incisions appropriately to the fascia ie Lockwood technique.
Labial spread should probably be expected with legs fully abducted to some degree from this procedure it it’s done with sufficient aggressiveness to give a quality outcome. 
I think your situation is sufficiently complex that to assess if revision surgery is indicated, will definitely require an in person consultation.
For second opinion, consultations scheduled those in person consultations with other providers in your community.
Come prepared bring with you a complete set of proper before and after pictures and a copy of your operative report.
The operative report would be key since it would explain How the suturing was done.
I think most plastic surgeons are familiar with incorporating some version of the Lockwood technique.
Best,
Mats hagstrom, MD

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