Candidate for mini thigh lift or would I require the full medial thigh lift? (Photos)

Thank you for your question and congratulations on your impressive weight loss journey! Based on your history and photos, it seems you have excess skin and fat concentrated in the upper third to half of your inner thigh. This aligns with what I refer to as a "Katzen Grade 2 inner thigh," making you a less ideal candidate for a simple mini thigh lift or crescent thigh lift.

A crescent (or mini) thigh lift, which involves removing a small crescent of skin along the groin crease, is primarily suited for individuals with very minimal skin laxity and localized fat. However, this procedure comes with notable drawbacks, including the risk of scar migration outside the underwear line and labial distortion or spreading. To minimize these risks, the inner thigh and scar must be anchored to the pelvic periosteum—a step requiring expertise.

In your case, for more comprehensive results, a modified longitudinal thigh lift or medial thigh lift may be more suitable. This procedure involves an incision starting in the groin and extending down the inner thigh. Given your anatomy and concerns, the incision likely wouldn’t need to extend all the way to the knee but would address the loose skin and fat in the upper half of your thighs.

During the surgery, an elliptical area of excess skin and fat will be removed, and the remaining skin will be tightened to create a smoother contour. While the scar is longer than that of a mini thigh lift, it will be well-placed along the inner thigh for minimal visibility. Recovery typically requires about two to three weeks, with full results visible after swelling subsides.

If you prefer a shorter incision and are willing to accept some residual skin laxity, a crescent thigh lift may be an option. However, for more transformative results, the modified medial thigh lift is likely your best bet.

I hope this information helps you understand your options and set realistic expectations for your thigh contouring goals. When choosing a surgeon, be sure to consult with an experienced, board-certified plastic surgeon who specializes in body contouring procedures.

Sincerely,
Dr. Katzen

Hi - it is quite difficult to make this assessment based on the photographs, but it will depend on the degree of skin laxity, where the laxity is, and your goals & expectations. It is important to balance what you wish to achieve against the implications, for example more visible scars. Consult a plastic surgeon with a specialist interest in body contouring.