What procedure would best alleviate my unsightly heavy thighs, a second lift, liposuction or perhaps both? (Photo)

Thank you for your question regarding what to do with your thighs after significant weight loss and after having undergone a thigh reduction. The good news is that there is still hope. The bad news is that I would suggest another thigh reduction. However, I would suggest that thigh liposuction be combined with your new thigh reduction. I would suggest that your thigh reduction have an incision from your groin down the inseam of your inner thigh. Depending on how far down the inner thigh the excess skin and fat bothers you, will determine the length of the inner thigh scar. If the excess skin and fat bothers you to the knee, then I would suggest the incision be carried to the knee. However, if the excess only bothers you a third or half way down the inner thigh, then that is only how far the incision needs to extend. Plan on a 3-4-hour procedure under general anesthesia. You will need to wear your compression garment for approximately 6-8 weeks or until the swelling subsides. These procedures are done under general anesthesia and are performed as an outpatient procedure. In the postoperative period, you will be monitored for at minimum 2 days after the surgery. I specialize in thigh lifts. I hope that I have answered your questions regarding the thigh reduction. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, please contact my office. 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 100 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. (“Verified” 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, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Hi seethenurse

The extended thigh lift surgery uses a horizontal incision in the groin as well as a second vertical incision that extends from the groin to the knees along the inner thigh. The horizontal incision is used to lift the thigh tissue upwards while the vertical incision is used to remove extra skin as well as to tighten the circumference of the thigh from side to side. It is hidden along the inner thigh. Liposuction is added if necessary.
Most patients can return to work in 10-14 days. Final results, however, are not apparent for 6 to 12 months. To learn more about this procedure, please visit our website.