Thigh Lift Revision to Reverse Scarring?

Thank you for your question regarding whether you need a thigh lift revision to reverse scarring. A physical examination is in order; however, you can probably have a thigh lift scar revision. This can be done under local or general anesthesia; the scar can be excised and reapproximated using different sutures. Also, you could have a W plasty or a Z plasty to minimize the scarring further. It is possible that the scar can also be revised or improved with a Fraxel laser, v beam laser, steroid injections, 5fu injections, micro-needling dermabrasion, chemical peel, Morpheus8 treatment, silicone cream, and silicone compression garments. All of these modalities are known to help make the scar better. Please consult with an experienced board plastic surgeon.

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.        

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.

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

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.