Lifting of the inner thigh

The skin on the inner thighs is thin and its elastic fibres fragile. It is therefore rapidly degraded by natural ageing or by weight variations.
This degradation is often poorly experienced and the demand for restoration is therefore high.
The problem of excess skin is often associated with the problem of excess fat located at this level. The increase in its volume can become annoying when walking because of friction.
When there is a sagging of the skin on the inner thigh, an isolated liposuction is not enough and only a re-tensioning of this skin is likely to correct this defect: it is the crural lifting or cruroplasty or lifting of the inner thigh.
The purpose of the operation is then to reduce fat infiltration by liposuction but also to remove excess skin and firmly suspend the remaining skin in order to tighten it effectively.

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A careful clinical examination will make it possible to define the most appropriate type of intervention for your case (choice of incision, opportunity or not of an associated liposuction…).
The consultation is very important because it allows the surgeon to specify what the patient's exact wishes are and especially what she is able to accept as a scar. Indeed, the same case can be treated by 2 different operations. For example, if the patient wants a perfect result, is not afraid of having visible scars and is known to heal well, a vertical scar surgery may be indicated. Otherwise, a more moderate result may be preferred, but with a scar well hidden in the furrow.
A regular preoperative check-up is carried out in accordance with the prescriptions.
The anaesthetist will be seen in consultation no later than 48 hours before the operation.
Stopping possible oral contraception may be required, particularly in cases of associated risk factors (obesity, poor venous condition, coagulation disorder).
No medication containing aspirin should be taken within 10 days of the procedure.
A skin preparation (such as antiseptic soap) is usually recommended the day before and the morning of the procedure.
It is important to fast (do not eat or drink anything) 6 to 7 hours before the procedure.
Type of anaesthesia: The lifting of the inner thigh can be performed under general anaesthesia or under deep local anaesthesia with tranquilizers administered intravenously ("vigilant" anaesthesia).
The choice between these different techniques will be the result of a discussion between you, the surgeon and the anesthesiologist.
Hospitalization conditions: The average length of hospitalization will be 1 to 3 days depending on the case.

Each surgeon adopts procedures that are specific to him/her and that he/she adapts to each case to selectively correct the defects present and obtain the best results. This makes it difficult to systematize the intervention. However, common basic principles can be retained:
Liposuction is associated whenever there is a fat infiltration of the area.
De l’examen de la peau découle 3 types d’opération :
Pure horizontal technique: It is used when excess length is predominant. It is treated by pulling the skin upwards "like pulling up a pair of pants". The scar starts from the fold of the groin. It then extends into the groove between the perineum and the top of the inner thigh and continues back to the buttock fold where it ends.
In this technique the traction is vertical. To prevent the scar from coming down, the surgeon must deeply attach skin to the ligament at the top of the inner thigh.
Pure vertical technique: Excess width is predominant and can be treated "as one shrinks a pair of pants". The vertical scar is located along the inside of the thigh. It is more or less long (and therefore more or less visible) depending on the amount of excess skin. It can therefore be limited to the upper third of the thigh and in this case it is very discreet. When the excess is significant, such as after a massive weight loss, for example, it can go down to the knee. There is no need to fix the skin to the ligament because the traction is horizontal.
Mixed technique: The two techniques are often combined when there is presence of both excess skin. This results in an inverted L-shaped or T-shaped scar.
The duration of the intervention is on average 2 hours. It varies according to the surgeon and the extent of the improvements to be made and can be up to 4 hours in massive weight loss.
At the end of the operation, a bandage is applied using adhesive elastic bands or a liposuction panty.

As a general rule, the discharge may take place the day after or two days after the operation.
Following surgery, bruises and edema (swelling) may appear. They will essentially decrease within 10 to 20 days of the intervention.
Pain is generally tolerable with treatment adapted to this type of aches, tightness or throbbing.
In any case, it is a slightly disabling surgery because there is difficulty walking simply because of the topography of the operated areas.
The scar is located at the bottom of a deep groove in which there is moisture. The healing time is therefore always a little longer than elsewhere in dry areas. During this period, it is advisable to avoid any sudden stretching movements such as sitting down.
A work interruption of 1 to 3 weeks should be provided for, depending on the nature of the professional activity.
The practice of a sport can be gradually resumed from the 6th post-operative week.
The scar is often pink during the first 3 months and then generally fades after the 3rd month and gradually for 1 to 3 years.
It should not be exposed to the sun or UV rays for 3 months.

About Lifting of the inner thigh

The result is only appreciated after a period of 6 to 12 months after the operation.
Good correction of fat infiltration and sagging of the skin is most often observed, which significantly improves the morphology of the thigh.
Scars are usually quite discreet, especially since they are largely hidden in a natural fold and can be hidden by underwear (unless it was necessary to combine them with a vertical scar). However, it should be noted that, while they generally fade well over time, scars cannot completely disappear. In this respect, it should not be forgotten that if it is the surgeon who performs the sutures, the scar is the responsibility of the patient.
This is a delicate surgery for which the greatest rigour in no way protects against a certain number of imperfections or even complications.
By choosing a qualified Plastic Surgeon ensures that he/she has the necessary training and competence to avoid these complications or to treat them effectively if necessary.
Potential risks:
Thromboembolic accidents (phlebitis, pulmonary embolism), hematoma, infection, delayed healing, skin necrosis.
MEDICAIM is looking for the best specialists for you and we will offer you several renowned doctors.
MEDICAIM organizes your entire stay for you: post-operative nursing care, biological follow-up, therapeutic, nutritional and psychological support.
Any additional questions? Ask your doctor about it: careteam@medicaim.com