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The thigh lift can generally be broken up into two main separate areas, the outer thigh lift/ buttock lift or the medial or inner thigh lift or thighplasty. Skin of the inner thigh is much like the skin of the upper arm. It is very thin without good elasticity in many women. Because of this laxity, liposuction is not the best procedure for many patients.

Liposuction will address the excess adiposity or fatty tissue, but it may make the skin more lax or saggy. This may be acceptable to some patients however. Others may desire a more tightened or firm appearance. If this is the case, then a medial thigh lift is the procedure of choice.

A medial thigh lift or inner thigh lift will address laxity or sagginess of the top one-third of the inner thigh. A more extensive thighplasty will address excess skin laxity from the top of the thigh down to the knee; however, this procedure is much more extensive and will require a scar the entire length of the inner thigh.

The medial thigh lift or inner thigh lift will only require a scar along the inguinal or groin crease, extending back into the buttocks crease. This incision is well hidden by undergarments and many bathing suits.

Some patients undergoing a thigh lift may require two separate procedures depending on the circumstances, one to debulk the area of excess fat with liposuction, and the second to address the excess, lax skin. These procedures are generally performed under general anesthesia. They may take between 3 and 5 hours. There can be a moderate amount of post operative discomfort following this type of procedure as the tissues are “anchored” to deeper tissues to prevent widening of the scar or spreading of the outer labia. Patients will be walking the following day, however, it is not advisable to separate or spread ones legs much for several weeks.

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