Thank you for your question regarding can a thigh lift affect your vagina. Not all thighplasty or thigh lifts affect the labia and vagina. There are six different thighplasties or thigh lifts. Of the six different thigh lifts, only the crescent or the spiral thigh lift can cause labial spread and increase the introitus or opening of the vagina. Any incision lateral to the labia can cause labial spread during the healing phase. During the crescent thigh lift, the labia can be spread laterally, and the hidden groin incision can migrate down the inner thigh. As the scar pulls, the labia minora and majora are spread laterally, and the vagina is exposed. Labial spread, introitus exposure, and scar migration are known complications of the crescent thigh lift. Therefore, when performing the crescent or spiral thigh lift, the inner thigh flap must be anchored to the pelvic periosteum, not just soft tissue. If the medial or inner thigh flap is just anchored to soft tissue, this can lead to labial spread. Therefore, most plastic surgeons skilled in performing the crescent thigh lift anchor the medial thigh flap to the pelvic bone. Thank you for your question regarding can a thigh lift affect your vagina. I hope that I have answered your questions regarding the thigh reduction. If you have any questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, please get in touch with a thigh lift expert. 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 150 thigh lifts. Make sure 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. (Plastic Surgeon, President of the American Society of Bariatric Plastic 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 and RealSelf Hall of Fame.)