Thank you for your question regarding whether your vagina will be different if you get a thigh lift or thigh reduction. Congratulations on your weight loss! Great job!! A 360 circumferential lower body lift includes a tummy tuck, mons lift, pubic reduction, hip lift, hip reduction, buttock lift, and buttock reduction. Often, I combine the 360 circumferential lower body lift with a thigh lift surgery. This is possible if the patient is deemed medically healthy. There are several different types of thigh lifts. In your case, I would suggest a modified, inner or medial thigh lift. The modified, inner or medial thigh lift would include thigh liposuction and an incision from the groin partially down the thigh. In your case, based on your pictures, I would make the incision to the point where the thigh skin starts to reattach to the inner thigh or where the “thigh sag stops”. I do not think I need to go to the knee with your thigh lift. Compared to the crescent or groin thigh lift, the vertical medial thigh lift minimizes any chances of altering the vaginal region. Compared to the crescent or groin thigh lift, with the vertical medial thigh lift, there is little tension applied to the vaginal area. However, if you are considering a crescent or horizontal thigh lift with an incision in the groin, this thigh lift approach can alter the vagina and labia. During the crescent or groin thigh lift, inner thigh tissue dissection is taken to the lateral borders of the labia. Then, the inner thigh is sutured to the structures underlying the labia. Labial spread can occur as a complication after the crescent thigh lift if not performed correctly. During the crescent thigh lift, tension can pull on the entrance to the vagina (introitus) and separate the labia. Therefore, if you are concerned about labial spread and the vaginal area during a thigh lift, please avoid the crescent or groin thigh lift. Indeed, also a crescent or groin thigh lift would not be optimal for you based on your thighs. Therefore, I would consider the limited incision or modified, vertical medial thigh lift. Thank you for your question regarding changes in the vagina and labial region with a thigh lift. 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, 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.)
