Which Thigh Lift For best result? Groin/buttock incision or vertical incision? (photo)

I went for a thigh lift consult today and the procedure suggested was a groin/buttock incision. I think I need a vertical incision also to deal with the excess skin. I am NOT concerned with scars, I want the best result possible. I am 45 years old, 5'6" and 160 lbs. I was an obese child at 220 lbs and have been carrying around this extra skin for a very long time.

Doctor Answers 4

A Vertical Thigh Lift will likely give you the best outcome

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Thank you for the question.  It is always best to see a patient to be able to make a recommendation.  From your images, it does appear that you have significant skin excess that would be optimally improved with a vertical thighplasty.

Perhaps seek the opinion of another PS in your area that has a lot of experience in treating patients that have lost a great deal of weight.  The key is surgical technique / skin tension and meticulous care during the surgery.  

Properly managed with silicone sheeting and sunscreen post-op, the incisions usually heal exceptionally well and are not a concern for patents.  

All the best with your decision.

Scott K. M. Barr, MD, FRCSC


Sudbury Plastic Surgeon

What kind of thigh lift?

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Hello and thank you for your question . I agree with you. a spiral thigh lift which has been suggested to you is probably not enough .  From what I can see on your photos , You may get away with a vertical alone or in combination with a spiral or oblique type thigh lift.

Peter Fisher M.D 

Medial thigh lift

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A medial vertical thigh lift would give you a very nice result as it appears you have laxity of the skin of your inner thigh (both horizontal and vertical laxity). The incision would be in the groin crease but then extends down the inner portion of your thigh to the knee. You'll have a very good contour and scar will heal fairly well over 6-12 months.  Consult with a few other plastic surgeons in person to confirm this if you are not comfortable with your initial recommendation.

Best wishes,


Which Thigh Lift For best result? Groin/buttock incision or vertical incision?

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If you really do not care about scars at all, then I think that a vertical incision always has the potential to remove more skin.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.