Can 150ccs removed from each inner thigh (300cc total) cause loose skin/contour irregularities? (Photo)

Question

I'm in my late 20s & workout a lot. I plan to get inner thigh lipo but I m nervous about potential loose skin/contour irregularities in the thighs. My doctor plans to use my arm & thighs only for my 2nd bbl. He plans to take out only 150cc per each inner thigh. I wanted to know if that amount is enough to cause sagging skin (I never want a thigh lift due to thigh lipo). Also if I ever loose weight in the future, I do not want very skinny legs bc of the lipo. Current pic attached

Finny George, MD · Answer

Hi, thank you for sharing your question. It is unlikely that this procedure as described will leave you with loose skin or contour issues.

Gary M. Horndeski, MD · Answer

Contour irregularities can be created if too much is taken from one spot.  However, 150 cc is very small and being in your 20's, your skin should contract nicely.

Best Wishes,

Gary Horndeski, M.D.

John L. Burns Jr., MD · Answer

I'd suggest conservative volume and use an energy source lift VASER ultrasound.  If too much fat is removed the skin will be loose.  Based on the photo you sent you'd be a very good candidate.

Miguel Mota, MD · Answer

Hi! It can, but it most likely wont in your case! Patients bellow 35 have much more collagen and better skin elasticity. Because of your age and build your skin will react well to lipo. No need to worry. 
Best of luck,
Dr. Miguel Mota

Zoran Potparic, MD · Answer

This is very sensitive area for aggressive liposuction. However, limited liposuction may help to shape thighs and harvest fat for grafting. How much is safe is decision that surgeon makes based on direct evaluation. Good luck.

Connie Hiers, MD, FACS · Answer

The amount that your surgeon wants to remove is very reasonable for that area. Your skin should do well with that amount if you are faithful with wearing the garment.

Camille Cash, MD · Answer

There is no way to guarantee that you won't have loose skin after the procedure but based on the amount projected to be harvested it appears the risk is relatively low.  If you lose significant weight at some point there is a chance for loose skin regardless if you have liposuction or not.

David Janssen, MD, FACS · Answer

Of course there is the potential to have an irregularity after liposuction of any area of the body. The up close photo you submit makes it appear that you have volume to be successful, but an in person exam is of course better.

Darryl J. Blinski, MD · Answer

Based on the "11" posted only photo I recommend either decreasing amount from each inner thigh to 100 cc's per side or not doing them at all. Redo lipo/BBL in "skinny" patient is called a Redo SKINNY BBL. Fees from $5,000. Best to virtual consult with.....

Mats Hagstrom, MD (license on probation) · Answer

In the hands of a talented surgeon, it should be very easy to harvest at 150 mL of fat from H and her thigh without creating any contour, irregularity or skin disturbance. This is a very conservative amount of fat the harvest. That said inner thigh, Liposuction is technically difficult, and this is an area prone to contour irregularities when done by surgeons, lacking skill and experience.
While arms have the potential for much better results than inner thighs, arms also can be technically challenging for those who lack sufficient experience. I suggest all patients select surgeons very carefully through multiple in person, consultations before scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics. an experienced provider should have no difficulty showing you the before, and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually performed. if having liposuction of one anatomic area is the goal then you should see results of that area having been treated and patients who look similar to you multiple times with consistent quality outcomes. Highly experienced surgeons shit in fact have hundreds or preferably thousands of before, and after pictures to choose from. 
Poorly done liposuction can leave people disfigured and correcting poorly done work is very difficult, and sometimes not possible.
Being bored, certified in plastic surgery with years of experience does not necessarily mean somebody has mastered anyone single procedure especially not Liposuction or fat transfer.
I generally recommend patients have multiple consultations before choosing a provider. There’s no correct number of consultations needed to find the right provider. Considering how much variation there is in Liposuction skills among plastic surgeons, I think, having at least five consultations seems reasonable before selecting a provider.
In the hands of the right provider, they should be able to show you lots of before, and after pictures of previous patients who had the same procedure so you would know exactly what your results should look like.
Best,
Mats Hagstrom, MD

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