I have had a inner thigh lift with scars in the groin area. What can be done to correct pulling on the labia?

Medial thigh Lift with incision in the groin area needs special suture technique to prevent pulling on the labia an an open vagina.If the pull on the labia causing open vagina, wait some time till complete healing and resolution of swelling. If this problem continues then the scar needs revision with suturing the deep skin to the deep tissue to prevent pulling on the labia.

The condition you are referring to sounds like "vulvar distortion". This and "scar migration" can occur after a medial thigh lift. This is usually due to the suturing of the bottom thigh flap to an incorrect layer up in the groin crease. To prevent these conditions, the stitches should be placed in a robust tissue called "Colles' fascia." To correct this you would need a revisional surgery.

If you are more than three months out from surgery, a revision may be the answer. Without seeing you in person, I could not comment on what would be appropriate. It is likely that the deeper tissues need to be anchored more securely to avoid this problem.