I Want to Have Liposuction Done on my Inner Thighs, but I Have Stretchmarks There.

I am in my early 20's. I've always been heavier on my legs, and got stretchmarks on my inner thighs and calves a couple years ago. I am looking into liposuction, and was wondering if my stretchmarks makes me a bad candidate. If so, is there an alternative to liposuction or liposculpture that would bring similar effects? Thanks!

Doctor Answers 13

Best Results with Liposuction

Stretch marks are a sign of weakened skin elasticity which can occur with rapid growth or weight changes.  The presence of stretch marks does not necessarily mean liposuction is not a good option for you.  Liposuction of your inner thighs can be a very successful procedure if there is not a lot of skin laxity or loose skin present.  This can only be determined from a physical examination.  If there is significant skin laxity present, a skin tightening procedure might be a better option.

Dallas Plastic Surgeon
5.0 out of 5 stars 7 reviews

Medial thigh liposuction with stretchmarks

Medial thigh liposuction is a very successful procedure that benefits many patients.

The caveats:  Liposuction won't tighten the skin, so if the skin is loose, say from massive weight loss, liposuction results may be disappointing.

Also, the patient's entire figure must be considered, not just the one area.  Would liposuction just in the medial thighs cause the leg to look blocky?  Often adjacent areas can be done as well to avoid this.

Stretchmarks usually respond somewhat to lasers, with repeated treatments of fractional lasers giving the best results.

Most doctors now use tumescent anesthesia in some form.  Depending on the tolerance of the patient, this can be performed under local anesthesia alone, local anesthesia with sedation, or a light general anesthesic.

For larger cases, or cases where the patient's tolerance for discomfort is low, sedation or a light general anesthesic are options.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Even with stretch marks, Liposuction will usually make a big improvement.

Stretchmarks don't prevent you from having liposuction.  Most times you are going to get a great improvement even with/without stretchmarks.  The skin tightens more if you don't have stretchmarks but still it is worth it. Just be sure to get the tumescent technique liposuction with the micro canulas under local (not general) when you are working on thighs and calves and ankles.  I also would avoid the problems that we are now seeing with laser liposuctions such as dimpling, puckering and burns.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 reviews

Liposuction for thighs

Liposuction can definitely get rid of the fat in your thighs, however if you have loose skin it will become more apparent, which would hide your results.  It will not improve your stretch marks, but that doesn't mean it's not appropriate for you. Please see an experienced board certified plastic surgeon for a physical examination to determine the most suitable treatment. You may need a thigh lift instead.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Thigh Liposuction and Stretchmarks

You are still a good candidate for liposuction, regardless of your stretch marks. The liposuction may not improve the appearance of your stretch marks, but you are still young so your skin may retract (tighten up).

German Newall, MD
Houston Plastic Surgeon
4.4 out of 5 stars 53 reviews

Inner thigh stretch marks

Thank you for your question. Without photos or an examination it is impossible to know whether your skin has the capacity to "snap back" after liposuction. Stretch marks are a sign of loss of elasticity of the skin.  See a plastic surgeon in your area to see if you are a good candidate. Best of luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Stretch marks

By themselves, stretch marks do not make you a good or poor candidate for liposuction. There are a sign of the loss of the elastic properties in the skin. Make sure you see a doctor who is qualified to surgically remove the skin as well as perform lipo

Michael Hueneke, MD
Nashville Plastic Surgeon
4.9 out of 5 stars 63 reviews

Liposuction and stretch marks

In my opinion liposuction is the best option for the inner thighs even if you have stretch marks. The only alternative is a thigh  lift which leaves a bad scar. Even in gastric bypass patients who have loose skin after weight loss I still do the liposuction in 80% of the patients and only do the lift in the patient's very bad skin.

Wendell Perry, MD
Miami Plastic Surgeon
4.8 out of 5 stars 229 reviews

Liposuction of the inner thighs should give you a very nice improvement.


1)  I would not worry about the stretch marks.  You are young and you haven't lost a huge amount of weight.  So your skin should contract to fit the new smaller size.

2)  As with everything, doing it right matters.  I think it is important to use tumescent liposuction, to suction superficially, and to use very small (2.4 mm) cannulas.  Tunneling under the skin at the end of the procedure helps to tighten the skin and to create a smooth contour.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Medial Thigh Liposuction

The bottom line is that you need to have a face to face consultation with a Plastic Surgeon to learn about the options based on the physical exam. It's reasonable to get a few opinions before you decide to have a procedure. Keep in mind that even with excellent skin quality there is still a risk for irregularities especially with liposuction of the medial thighs. 

Justin Yovino, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 91 reviews

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.