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Thigh Lift and Surgery After Massive Weight Loss

  • Eric Swanson
Chapter

Abstract

Thigh lifts have become much more popular recently because of the large number of patients who lose weight by dieting or after bariatric surgery. In men, the abdomen and inner thighs are affected. Skin redundancy in women also affects the buttocks, outer thighs, arms, and scapular areas.

Surgery to treat these deformities has been fraught with wound healing complications, as high as 50%. Fortunately the results tend to be quite dramatic, and patient satisfaction is typically high in patients who understand and accept the scarring.

A major change in recent years is in the performance of medial thigh lifts. Traditionally an incision has been made in the groin crease. This scar tends to migrate and cause tension on the perineum. A vertical thighplasty is much more effective in correcting circumferential skin laxity and avoids perineal traction. Wound healing problems tend to occur at a T-point if a combined horizontal and vertical resection is used. The author prefers a J-shaped incision, which reduces the risk of wound dehiscence. Revisions may be needed proximally in patients who have severe skin laxity. Framing the mons pubis with scars is best avoided.

The outer thigh lift/buttock lift may be done on its own or combined with an abdominoplasty to provide a lower body lift. The incision is kept high so as to preserve the gluteal aesthetic unit. A near-circumferential incision avoids healing problems in the midline of the lower back.

Thigh lifts may be done on an outpatient basis provided that the surgeon understands how to limit blood loss, avoid hypothermia, and administer a safe anesthetic that allows a quick patient recovery. Prolonged operating times are avoided. It is much better to stage surgery than to risk excessive blood loss and patient morbidity. Blood transfusions should rarely be necessary.

Prolonged operating times are avoided. It is much better to stage surgery than to risk excessive blood loss and patient morbidity.

Keywords

Thigh Lift Body Buttock Thighplasty Medial Outer Massive weight loss 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Eric Swanson
    • 1
  1. 1.Swanson CenterLeawoodUSA

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