Thigh Lift Revision to Reverse Scarring?

I had an inner Thigh lift for sagging skin. I had a severe reaction to the surgical stitches that were used and now causing a lot of difficulty. I now have an ugly scar that droops down and is very visible in a bathing suit.

Is there a revision that can be done to reverse the scarring or what else is recommended?

Doctor Answers 4

Medial Thigh Lift Scarring

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It's safe to say that it's impossible to perform a medial thigh lift without scarring. This operation trades stretch marks and loose skin for a scar that's hopefully well positioned. The patient's particular anatomy will have a profound impact on scar placement. In the vast majority of patients, the scar is positioned along the groin crease and then extended along the inner thigh towards the knee.

Even when extreme care is taken, wound healing problems may still occur. It's important to realize that wound healing is a dynamic process which varies from patient to patient. For these reasons, scars may take over a year to reach maturity. When scars are less than optimal, scar revision may be necessary and this usually results in a satisfied patient. With normal wound healing and a well-placed incision, most patients are ultimately happy with this procedure.        

Thigh lift revision

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Scar migration can occur.

During medial thigh lift we put two or three sutures from the deep skin to the pubic bone cover these sutures pucker the skin for a while BUT prevent the scar migration.

In your case these sutures may have pulled and thus the scar migrated. Thigh lift revision can be done and make sure these holding sutures are permanent and secure to prevent re migration. If your skin is of good quality it has a better chance of holding the scar from migration.

Samir Shureih, MD
Baltimore Plastic Surgeon

Scar revision from thigh lift

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It is quite possible that if your incision has fallen down you may need a revision to tuck it up into the crease once again. The scar itself can often be improved using a different type of suture that is not absorbable but removable. This should be discussed with your plastic surgeon to give you an improved result. The only concern would be if too much skin was removed and this caused the scar to migrate downward. This would again be something for your surgeon to determine and not me. I wish you good luck so you will feel comfortable again.

Steven Schuster MD FACS

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Thigh lift scars can be visible, depending on the incision

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Some thigh lifts place scars only within the crease in your groin area. Others have s scar that runs down the inside of the thigh down to the knee. I am assuming that your procedure was the first one with the scar in the groin crease. If you had a reaction and poor healing, then the scar will likely be wider than it was intended. It is quite possible that this scar is visible outside of a bathing suit. In order to correct this, you might require a scar revision.

However, it would be important to try and understand why you had the reaction in the first place. Do you have an allergy to one of the sutures used? Did you develop an infection? The only way to know is to look through the operative report and see what was done and what sutures were used. Then, seek out a good plastic surgeon who can assist with your revision. Good luck.

Sirish Maddali, MD
Portland Plastic Surgeon

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.