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David Amron: With regard to thigh liposuction, generally we're either targeting the outer thighs, known as the saddlebag area, or the inner thighs. With regard to the outer thighs, it's also known as the saddlebag area of a woman, and it's an important area to do if a woman is genetically disproportionate because it defines their widest point, their contour and their silhouette. And by creating a proper contour, not only out of clothing, but also in clothing, it makes their body look more balanced. But even though it's a common area, it has to be done very, very precisely and with a great understanding of creating a natural-looking shape. I can't tell you how many times I see it done by surgeons where they're creating unnatural shape, either being too aggressive and inverting the buttock, or masculinizing a woman's shape. They're not respecting the proper balance and contours or they're trying to define that buttock gluteal crease in an unnatural way.
When I do this procedure, I strongly prefer local anesthesia in terms of positioning the patient and making sure that the leg is always in a proper orientation, so that as I'm creating my line with a contouring, it is really simulating the position that they're in when they're standing up. Otherwise, if you let the leg flop over and you liposuction the outer thigh area, the surgeon can run the risk of creating an indentation irregularity. So again, a common area that is done with liposuction, but it has to be very, very precisely done.
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