Thighplasty or thigh lift is a fairly common operation in Europe.
The skin of the inner thigh is thin, and its elastic fibers are brittle. Therefore, it wears out quickly due to natural aging or weight fluctuations.
This degeneration often requires recovery, sometimes even significant.
The problem of excess fat, which gathers in this place, is often added to the problem of excess skin. Its increased volume can cause inconvenience when walking due to friction.
The goal of the thigh lift is to reduce fat infiltration by means of liposuction and also to remove excess skin and firmly fix the remaining skin for its effective lifting.
Содержание статьи (Contents)
- 1 Contraindications for thigh lift
- 2 Absolute contraindications to thighplasty
- 3 Relative contraindications to thighplasty
- 4 When and why it is necessary to have recourse to a surgeon
- 5 Preparing for the operation
- 6 Type of anesthesia and hospitalization conditions
- 7 How is the thigh lift surgery performed?
- 8 Horizontal method:
- 9 Vertical method:
- 10 Mixed method:
- 11 Postoperative period
- 12 Results after the thigh lift surgery
- 13 Disadvantages after the surgery
- 14 Possible complications
- 15 Among such possible complications, it’s possible to name the following:
Contraindications for thigh lift
Like any other surgical intervention, thighplasty has a number of contraindications that a good specialist will take into account. In this case, contraindications can be both absolute that will result in refusal of surgery, and relative.
In identifying relative contraindications, the surgeon assesses the need for surgery. A good surgeon will try to convince you to cancel the procedure, since the risk may exceed the desired result.
Absolute contraindications to thighplasty
Among the factors that will surely cause the refusal of plastic surgery, it’s possible to name various pathologies of the heart and blood vessels because in this case, the risk for the patient is too high, any surgical intervention can result in a fatal outcome. The reason for this is anesthesia, without which a complex operation is impossible.
Absolute contraindications also include:
– problems with the immune system;
– revealed neoplasms;
– insufficient work of any internal organ or system;
– diseases of organs performing a hematopoietic function;
– other diseases that can cause complications incompatible with the patient’s life.
A good specialist will never allow a patient to risk his life in the struggle for beauty, so if you have absolute contraindications, do not look for another surgeon, try to find other solutions to the problem, without surgery. The best option is to learn how to accept yourself for who you are.
Relative contraindications to thighplasty
A doctor may refuse surgery if you are breastfeeding, as the lactation period is considered a contraindication to this type of surgery. Among other things, the risk/benefit ratio will be assessed if:
– you have a bacterial or mycotic infection;
– there are problems in the work of the hepatocellular system;
– the patient has an ENT pathology of the stage of exacerbation;
– legs are injured.
In case of chronic diseases, it is worth waiting for remission and only then go to the surgeon, since a self-respecting doctor will never risk your health and he will likely refuse to do a surgery. You shouldn’t throw tantrums in this regard: an operation performed during a period of exacerbation of a chronic illness can lead to the development of complications.
After thighplasty the patient needs time to recover. The duration of recovery is individual and depends on many factors. The patient’s state of health, the condition of his joints and blood vessels – all this affects the recovery time.
That’s why the doctor must take into account all aspects and nuances in order to reduce risks to you and your health to zero. It is important to trust the specialist and take for granted any decision, even if you receive a refusal.
When and why it is necessary to have recourse to a surgeon
A plastic surgeon specializing in thighplasty can correct caviar asymmetry, reduce or increase leg size, return the lost shape to the hips, eliminate atrophy and other disturbing manifestations.
Problems with the legs can be not only cosmetic. Thighplasty is also done in case of hypoplasia, leg curvature. Often, thigh lift is required for recovery after a failed work of a specialist of low qualification.
Thighplasty allows not only to get rid of age-related changes but also to eliminate congenital anomalies in the structure of the legs.
Preparing for the operation
The recommendations in preparation for the surgery are the same as for brachioplasty. In case of sagging skin on the inner side of the thighs, liposuction may not be enough, and only skin stretching will be able to correct this defect.
Type of anesthesia and hospitalization conditions
Type of anesthesia: thigh lift surgery can be performed under general anesthesia or under local anesthesia with intravenous administration of tranquilizers (“wakeful” anesthesia).
Hospitalization: 1-3 days in the hospital.
How is the thigh lift surgery performed?
Each plastic surgeon can use his own techniques. However, there are general basic principles:
Modern methods are less aggressive. They take into account the architecture of tissues and, in particular, the lymphatic and blood vessels. This allows reducing the incidence of complications.
Practically, the absence of post-operation isolation allows avoiding drainage, which is convenient.
Depending on the results of the preliminary examination of the patient’s skin, the doctor prescribes one of three types of surgery:
This method is used when excess in length prevails. It is carried out by stretching up the skin by the analogy of how we “put on the trousers”. The scar is at the groin fold. It continues in the fold between the crotch and the upper part of the inner side of the thigh and then goes up to the gluteus fold, where it ends.
In this method, the stretching is vertical. To avoid a situation where the scar can go down, the surgeon must fix the skin in the depth of the ligament located at the top of the inner side of the thigh.
When excess in width prevails. It is carried out by the analogy of how we «narrow the trousers”. The vertical scar is located along the inner surface of the thigh. It is more or less long (and, therefore, more or less noticeable), depending on the amount of excess skin.
The scar can be restricted in the upper third of the thigh, and in this case, it is almost invisible. When the amount of excess skin is significant, as, for example, after a sharp loss of weight, the scar can go down to the knee. There is no need to fix the skin on the ligament since the traction is horizontal.
Both methods are often mixed in case of two types of excess skin. Thus, the scar is in the form of an inverted L or in the form of T.
The duration of the operation averages 2 hours. It can vary depending on the surgeon and the scale of the planned improvements and can last up to 4 hours in case of massive weight loss.
At the end of the operation, a dressing is applied with an ace bandage or a special brace.
As a rule, the patient is released the next day or the day after the operation. Immediately after the surgery, swelling and bruising are possible, they usually disappear within 20 days. There may be a slight pain, twitching.
For several weeks, you will have to give up work, long walks, and sports. It is better to avoid any sudden movements that can result in stretching, such as when trying to sit. When walking, there will be some discomfort due to the relief of the areas where the operation was performed.
The scar is located at the bottom of a deep fold, in which there is high humidity. The healing will last a little longer than on dry skin areas. As a rule, the scar starts disappearing after three months and completely disappears in the period up to 3 years.
It’s necessary to avoid sunlight or UV radiation for 3 months.
Results after the thigh lift surgery
The result can be judged in half a year after the operation. It is necessary to wait some time, necessary for reducing the scar.
Most often, there is a good correction of fatty infiltration and skin flabbiness, which significantly improves the morphological features of the thigh.
Scars, as a rule, are quite noticeable, especially since they are mainly hidden in the natural fold and covered with underwear (except if a vertical scar was needed).
As for the scars, you should know that if the scars eventually tighten well, they, in any case, could not disappear completely. In this regard, we should not forget that if the surgeon sutures, the scar is a fact of the patient.
The goal of the thigh lift surgery is to achieve improvement, not perfection. If your wishes are realistic, then the result will satisfy you.
Nevertheless, we are talking about delicate surgery, where the absence of certain shortcomings or even complications cannot be guaranteed.
Disadvantages after the surgery
Thanks to the improvement of technology and the accumulated experience, the results of such operation, which for a long time had a bad reputation, have now been significantly improved. Described above and already implemented treatment really helps to achieve a good result.
Sometimes there are some local shortcomings that cannot be classified as complications:
- The scar can be visible (color, stretched or fused).
- With excessive tension on the seams, there may be an omission or even wandering of the scar down, which can lead to a risk of stretching the external female genitalia.
- Liposuction results (insufficient correction, slight residual asymmetry or small surface irregularities).
Such deficiencies are treated additionally with the help of local surgeries under local anesthesia (less often, local deep anesthesia). The doctor prescribes such treatment no earlier than six months after the operation.
Thigh lift surgery, although it is done mainly for aesthetic reasons, is, nevertheless, a real surgical operation that carries risks inherent in any other medical interventions, however minimal they may be.
There are several possible complications associated with anesthesia and the operation itself.
About all possible complications from anesthesia, you will be informed in detail by the anesthesiologist before the operation. Modern methods and drugs used for anesthesia provide optimal safety.
Choosing an experienced plastic surgeon specializing in this kind of surgery, you minimize possible risks from surgical intervention.
In a number of cases, there are some complications because this operation is one of the most delicate in plastic and aesthetic surgery.
Among such possible complications, it’s possible to name the following:
- Thromboembolic complications (phlebitis, pulmonary embolism) are quite rare, but they are among the most dangerous.
- Strict preventive measures should minimize the frequency of such diseases: you should wear anti-thrombotic stockings, get up early, be treated with anti-coagulants.
- The appearance of a hematoma is, in fact, a rare case, although it can justify its removal to avoid the risk of a secondary deterioration in the aesthetic quality of the result obtained.
- The occurrence of infection is favored by the proximity of natural orifices (microbial place). It can be avoided by complying with pre- and post-operative hygiene until complete healing.
- Treatment may include the administration of antibiotics and, depending on the situation, surgical intervention, as well as, perhaps, drainage. Sometimes there are unaesthetic consequences.
- Sometimes, on the 8th day after the surgery, you can observe the appearance of effusion associated with the release of lymph and leaking fat. Compression and rest are the best precautions. This effusion is sometimes pierced after which it completely dries up without any particular consequences.
- Slow healing is also possible: it increases the postoperative period.
- Sometimes there is necrosis of the skin, but it is limited and localized. Significant necrosis, in fact, is a rare case. It is much more common among smokers, especially if they continue to smoke.
- Prevention of necrosis lies in the rightly defined and rigorously observed treatment and avoidance of excessive pressure on the seams.
- There may be a change in sensitivity, including a decrease in sensitivity at the top of the inner thigh, however, normal sensitivity is most often restored in the period from 6 to 12 months.