Introduction

Thigh reduction surgery, also known as thighplasty or meroplasty, is a surgical procedure that removes excess skin, fat, and tissue from the thighs. It is commonly performed to address sagging skin and redefine the contours of the upper legs, resulting in a more streamlined and youthful appearance, particularly after massive weight loss.

Indications for Thigh Reduction Surgery

Thigh reduction surgery is primarily considered for individuals who:

• Have experienced significant weight loss, leaving behind excess skin and tissue on the thighs. This may cause physical symptoms like chaffing (the rash that can develop in the fold of skin is called “intetrigo”)
• Have achieved a stable weight and maintained it for at least 6 months
• Are bothered by the appearance of sagging or dimpled skin on their thighs
• Have realistic expectations about the outcome of the procedure

Types of Thigh Reduction Surgery

The specific type of thigh reduction surgery performed depends on the extent of skin laxity and the desired outcome. The two main types are:

• Inner Thigh Lift: This procedure focuses on the inner thighs, removing excess skin and tightening the underlying tissues to improve the overall contour and reduce the appearance of sagging skin. This is basically the removal of a wedge of skin of the upper inner thigh.
• Medial Thigh Lift: This technique addresses the medial thighs, the area between the inner and outer thighs. It removes excess skin and fat, tightens muscles, and creates a more defined inner thigh curve. This is a more powerful procedure at removing excess tissue and tightening the soft tissues of the thing. It does result in a more extensive scar that starts in the groin and goes down the inner thigh towards the knee
• Either of these procedures can be combined with liposuction

Procedure Overview

Thigh reduction surgery is performed under general anesthesia, allowing patients to remain asleep and comfortable during the procedure. A/Prof Damian Marucci will mark the incision lines on the thighs, and the specific incisions will depend on the type of thigh lift being performed.

During the procedure, excess skin and fat are carefully removed. The remaining skin is then tightened and reshaped, and the incisions are closed with dissolving sutures or skin adhesive. Drains are sometimes needed. A compression garment may be worn to support the treated areas and reduce swelling.

Recovery and Potential Complications

After thigh reduction surgery, patients can expect some bruising, swelling, and discomfort, which typically subside within a few weeks. They will need to wear a compression garment for several weeks to support the treated areas and promote healing. Strenuous activity should be avoided during the initial recovery period.

Potential complications of thigh reduction surgery include:

• Bleeding
• Infection
• Skin necrosis (tissue death)
• Fluid accumulation (seromas)
• Wound healing complications
• Scarring
• Numbness or altered sensation in treated areas
• Unsatisfactory results requiring revision surgery

For a more detailed list of potential complications, please click here.

Choosing a Qualified Surgeon

Selecting a fully qualifiedPlastic Surgeon with extensive experience in thighplasty is crucial for achieving optimal results and minimizing risks. Look for a surgeon who is a Fellow of the Royal Australasian College of Surgeons (FRACS) and is a member of the Australian Society of Plastic Surgeons (ASPS) as well as the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). A/Prof Marucci has a FRACS in Plastic and Reconstructive Surgery. He is on the Education Committee of ASPS and is on the Board of ASAPS. A/Prof Marucci is registered a Specialist in Plastic and Reconstructive surgery with AHPRA.

During consultations, patients should:

• Discuss their goals and expectations openly
• Ask about the surgeon’s experience and track record with thigh reduction surgery
• Inquire about the specific techniques involved in the procedure
• Understand post-operative care and recovery expectations
• Learn about potential risks and complications associated with the procedure

Conclusion

Thigh reduction surgery can be an effective way to address sagging skin and improve the contours of the thighs following massive weight loss. It can enhance self-confidence and improve body image for individuals who are bothered by the appearance of their upper legs after successfully losing weight. However, it is essential to have realistic expectations and understand the potential risks and complications associated with the procedure. Choosing a qualified Plastic Surgeon, like A/Prof Damian Marucci, and following the comprehensive pre and post-operative care plan are paramount for maximizing success and minimizing potential risks.