Lost 20kg - Am I a good candidate for a thigh lift? (Photos)

Question

I'm 33 years old and I have lost 20kg of weight from 80 to 60kg.I'm 165 cm. My weight has been stable for a year. I want to improve both the stretch marks and the crêpe-y skin they cause, but also the loose skin on my inner thighs. I do not know what would give best results, Morpheus 8, microneedling, thigh lift or something else entirely?

J. Timothy Katzen, MD, FACS · Answer

Hello Dazzling38452, 
Thank you for your questions regarding losing 20 kg and are you a good candidate for a thigh lift? Most plastic surgeons would agree that Morpheus 8 and microneedling do not change your thighs at all. Most plastic surgeons would suggest a thigh lift. You have cutis pleonasmus (excess skin) and dermatochalasis (loose, redundant skin) on your medial (inner) thighs. The most effective treatment for excess skin in this area is a thigh lift (thighplasty). Based on your anatomy and degree of skin laxity, the procedure that is most appropriate for you is a crescent thigh lift. During a crescent thigh lift, an incision is made within the infragluteal fold, where the buttock meets the back of the thigh. The incision is then extended forward into the groin, following the natural crease between the pubic region and the labia, and continuing along the inner thigh crease. This incision placement allows excess skin and soft tissue to be removed while positioning the scar within natural skin folds whenever possible. An important part of the procedure is securing the lifted tissues by anchoring the incision to the pelvic periosteum, the strong connective tissue layer that covers the pubic bone, using permanent sutures. This fixation provides additional support to the repair and helps reduce tension on the skin closure. Anchoring the tissues to the pelvic periosteum also helps minimize several recognized risks associated with a crescent thigh lift. Specifically, it reduces the likelihood of downward migration of the scar onto the inner thigh, decreases the risk of widening or spreading of the labia (labial spreading), and helps minimize enlargement or distortion of the vaginal opening (introitus). Although these permanent suspension sutures significantly reduce these risks, they cannot eliminate them entirely. The crescent thigh lift is performed under general anesthesia and takes about 3 to 4 hours to complete. Allow yourself a recovery period of 3 to 4 weeks. For the first 2 weeks you should avoid stairs. To obtain an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. 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, contact an experienced plastic surgeon. 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. Be certain 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, MD, MBA (President of  the American Society of Bariatric 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.)

Lost 20kg - Am I a good candidate for a thigh lift? (Photos)

Answers (1)

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