A medial thigh lift is a surgical procedure to remove excess skin and fat from the inside of the thighs. It is not a surgical treatment for being overweight, but rather a way of dealing with a stubborn area that has not responded adequately to diet and exercise.
I will discuss your areas of concern during our consultation and indicate the length of the scar needed to address it. Often the scar is T-shaped, passing forwards and backwards in the thigh crease as well as down the inside of the thigh.
Surgery is carried out with you asleep and there is an overnight stay. First fluid is injected into the affected area and fat is removed both from it and the surrounding thigh by liposuction. Then loose skin is removed from the inside of the thigh and the wound is ‘tailor tacked’ (loosely closed) to allow an assessment of symmetry. Adjustments are made at this stage before definitve closure. One drain is used on each side, usually removed the following morning. Patients are given tight garments to wear immediately from the operating theatre.
A medial thigh lift is a surgical procedure. Alternative forms of management include no treatment, diet and exercise, and liposuction. The latter is helpful if you have good skin tone but may otherwise leave loose hanging skin.
Any surgical procedure involves a certain amount of risk. For medial thigh lift these include visible scars, scar stretch, prolonged wound healing, bleeding or a collection of blood (a haematoma), seroma (a collection of tissue fluid, either allowed to resorb by itself or requiring drainage), asymmetry and fullness at the ends of the scars. Less commonly there can be altered sensation to areas of your thighs that settles slowly or incompletely, and uncommonly there can be damage to deeper structures, including nerves, blood vessels or lymphatics.
Spend time explaining what you hope to achieve from surgery and particularly the extent of the scar that you will accept. Some patients are happy to improve thigh contour in clothes whereas others want their scars to be hidden by shorts. There may need to be a compromise between a scar length that is acceptable to you and the final result that can be obtained – take the time to work this out with your surgeon. As with any cosmetic procedure, make sure you have the opportunity to ask all your questions before surgery.
Procedure Length: 1.5-2 hours
Time in Hospital: 1 night
Reasonably Mobile: next day
Off work: 2-3 weeks
Garments: 4-6 weeks
Driving: 2-4 weeks