Hello patsie860 in Lowell, MA, Thank you for your question regarding a 60-year-old female, 110 lbs, who had a mini thigh lift 5 months ago and if anyone can make suggestions on inner thigh scar placement. Thank you for your history and pictures. The mini (or, more accurately, the crescent thigh lift) has certain risks. The crescent thigh lift has known risks of labial spread, opening of the introitus (entry of the vagina), and scar migration. Labial spread means that the labia majora and minora can be pulled apart during the surgery and during the healing phase. Labial separation has to do with the pulling of the soft tissues. Similar to the labia, the introitus can also be pulled apart. Additionally, the scar can migrate down the inside of the thigh outside the panty line, thus becoming a more visible scar. Migration further compounds the issue by further pulling on the labia and introitus. I believe your plastic surgeon placed these incisions in such a way as to minimize the pull on your labia. Now, what to do about it? The best treatment may be the FRAXEL CO2 laser. This will take some time and several laser treatments. If you want a surgical revision, your prior crescent thighplasty scar needs to be anchored to something firm in the pelvis. This firm shelf is the pelvic periosteum; that's the thin, hard layer of tissue surrounding the pelvic bone. The crescent thigh scar needs to be anchored with permanent sutures. By anchoring the crescent thigh lift scar to the pelvic bone, if the crescent thigh scar tries to drift, it will pull on the pelvic periosteum and prevent drift. This is well described in the plastic surgery literature. Crescent thigh-lift revision surgery is performed under general anesthesia and would take about 3 to 4 hours to complete. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. 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, contact an experienced plastic surgeon. 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 certain 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, MD, MBA. (President of the American Society of Bariatric Surgeons; 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, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
