Is it possible to have inner thigh debulking followed by excess skin removal several months later?

Question

Despite having gastric bypass surgery years ago (lost over 130), I still have abnormally large inner thighs along with loose skin. It looks as though I have 2 giant globs of fat on my inner thighs. Is it possible to have an inner thigh debulking and then have the loose skin removed several months later? I'd rather deal with loose skin for a few months while I heal as opposed to deal with the excess weight on my thighs. Would this be something that a doctor would consider doing?

Kenneth Hughes, MD · Answer

You can certainly liposuction a larger area first, but I have found that in the vast majority of cases one excisional surgery can produce the same result.  I perform the many variants of thighs lifts, but pictures in a standing position or an exam would be very helpful to determine what may be appropriate for you.Kenneth Hughes, MDBeverly Hills, CA

Richard Zienowicz, MD · Answer

It is reasonable anytime to debulk an area that is disproportionately large with liposuction before doing a final dermatolipectomy. This will let the tissues consolidate and actually make the final operation a bit easier for your surgeon. Most patients do not ask for this preliminary step but it is both logical and smart for you to do so.

Owen Reid, MD · Answer

Congratulations on your weight loss. It's not uncommon to have stubborn fat deposits in the medial thigh area, and elsewhere, following massive weight loss. Adequate treatment of these areas often requires both liposuction to remove fat, as well as surgery to remove excess skin. Although liposuction and surgery can be combined safely in one procedure, it can be advantageous to stage these two treatments. The safe and practical limits of liposuction are higher when it is performed as a preliminary procedure, as you have suggested. Ultimately, you'll have to see a plastic surgeon in consultation to get a final opinion.

Tom J. Pousti, MD · Answer

Congratulations on your significant weight loss; you should be very proud of your accomplishment. What you propose is an excellent plan that I think increases the safety of the operation and will potentially improve the outcome as well. The medial thigh lifting operation is an operation that is relatively "high risk" when it comes to complication rates; make sure that your plastic surgeon is a board-certified plastic surgeon who can demonstrate lots of examples helping patients achieve the types of you will be pleased with. I hope this, and the attached link, helps. Best wishes.

Is it possible to have inner thigh debulking followed by excess skin removal several months later?

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