Successful and sustained significant weight loss can lead to extensive inner thigh skin excess. Constant rubbing of this excess skin can predispose to skin irritation and infection.  These can interfere with personal hygiene and sexual relations. Clothing may be difficult to fit and there may be psychosocial concerns of a disfigured appearance. Comfort and appearance may be improved by a plastic surgery procedure known as the thigh lift.

A thigh lift involves resection of redundant thigh skin and fat. Redundant thigh tissues may extend to involve the buttocks and back of the thigh.  The amount of inner thigh skin and fat will determine which incisions are necessary.  Incisions range from a crescent incision that parallels the groin crease to a vertical incision that goes from the groin to the knee.  Outer thigh lifts are done with incisions extending from the groin around the back to the hip and is usually done with a body lift.  In certain cases liposuction is an adjunct procedure, but cannot replace a thigh lift if there is redundant skin.

As with all incisions, there is always a resulting scar.  With time, your scars will fade.  Typically scars are not readily noticeable.  Sometimes a pressure garment or elastic bandage is applied to promote healthy healing.  Dr. Katzen will discuss which procedure is right for you.  

This procedure can take about three to five hours and is done under general anesthesia.

If your surgery is needed for medical reasons, insurance may pay for a portion of the operation. Dr. Katzen will send your medical information to your insurance company for their determination.  His staff will spend a significant amount of time and effort to try to have your procedure covered by insurance.  In the end, however, the final decision is up to your insurance carrier.

Patients may spend their first night in a hospital or overnight care facility. Bruising and swelling are to be expected as well as a “tight” feeling in the thighs. Medication will control the pain and discomfort that patients usually experience. Usually drains are not used; however if drains are used, they are soft and comfortable.  Dressings and a light compression garment are used for several days.  You should plan on no driving or work for two weeks and no vigorous exercises for at least four weeks.

The end result is usually tightened, lifted and flattened thighs.  Patients are more confident and comfortable in clothing, especially sports wear and jeans.  The procedure will last the rest of your life and you will always look better than if you didn't do it.  So go ahead and ask Dr. Katzen about a medial thigh lift.