Thigh reduction and Tightening

Thigh reduction surgery using high definition liposuction principles intends to improve thigh appearance optimally.

Fat excess must first be removed using VASER liposuction. When skin redundancy is minimal, VASER liposuction alone can tighten the skin because of the skin retraction that occurs following the comprehensive removal of fat as well as the natural heat production associated with ultrasound energy.

When there is minimal to moderate skin redundancy, then Renuvion® subdermal coagulation technology is utilized to tighten the skin. This modality utilized helium activated radiofrequency energy that literally cooks the underlying deep skin surface causing a shrink-wrap effect. When moderate to severe skin redundancy is present, then a tucking procedure such as a medial thigh tuck or lateral thigh tuck can be performed synchronously to remove all skin redundancy.

Differences in the lateral thigh and medial thigh skin quality must be taken into account. In general, the lateral skin has increased elasticity and will snap following fat removal with VASER liposuction. However, the medial thigh skin routinely loses its elasticity early in life as depicted by its crepe looking appearance, especially over the upper inner thigh region. Furthermore, differences in contour nuances should be recognized between the medial and lateral thighs. The lateral thigh fat should be conservatively removed as there needs to be a smooth transition between the more generous mid buttocks and the narrower lower leg. In contrast, the medial thigh fat should be aggressively removed to create the aesthetically pleasing thigh gap; however, aggressive fat removal must be balanced with the management of increased skin redundancy and poor skin texture as discussed above.

Thigh reduction surgery requires an intimate balance of excess fat and redundant skin. When contoured appropriately, dramatic improvements can be appreciated in the lower buttocks and thigh region.

A 29-year-old female following VASER Liposuction of the medial thighs, lateral thighs, back, flanks, as-well-as a Brazilian Buttocks Lift and Reuvion skin tightening. The patient demonstrates a jump from 6 to 9-10 points.

Thigh lifts require liposuction and skin removal. The postoperative care should involve complete wrapping of the legs individually to keep them separated so that they can't shear against each other. otherwise, you should walk early to avoid leg clots. While resting try to keep them separated especially at the groin level to avoid too much moisture which can lead to maceration. Finally, did you know that you can now get a thigh tuck without cutting?
What you need is precise limited incision medial thigh tuck as well as revision Vaser lipo and use of the Renuvion skin tightening to improve overall contour.

TT and thigh tuck are safe to be done at the same time; the thigh tuck incision and the scar can be unsightly and thus we now utilize scarless thigh tuck procedure using the Cool Helium Plasma skin tightening tool. Consider this modality as an alternative.

 You can get better results than a thigh lift with VASER high definition liposuction and Cool Helium Plasma skin tightening. With VASER there will be no scar down your leg. It will also be safer. The Cool Helium Plasma will tighten your skin back up and you will have incredible legs. 

Yes, these two surgeries can be combined into a single surgery safely with a great doctor. We can also do these procedures without scarring using VASER liposuction and Cool Helium Plasma skin tightening. You will have no scar and your skin will look like it has always been tight to your toned legs and arms.

Medial thigh skin and soft tissues are not as uniform as other areas in the body; as such, there will often be dents/irregularities; the extra incision is likely from your surgeon deciding that there was another area that required further liposuction following the closure of your thigh incision. These should all heal well but you must be patient.
Tightening the outer thighs will correct your inner thighs.
If you have redundant skin and underlying fibrous tissue that is not amenable to liposuction; your best surgical treatment is determined by figuring out where to tailor your skin trimming. Several trimming techniques are available which can be combined in a total body lift.
For incision line separation and drainage; this is not normal, but easily remedied with;
a)culture of your drainage
b)local dressing changes
c)antibiotics that are guided by the above culture.
Please contact your plastic surgeon for more instructions and obtaining of culture.
Your options depend on how picky you are. If you are willing to settle for slightly tighter inner skin you can try a non-invasive RF tightening procedure, such as Viora or Pelleve, that includes a six intro session followed by a maintenance session twice a year maintenance. If you want to have legs as you had as a teenager, sleek and tight, and without maintenance, you will have to deal with a vertical incision line. This can be kept high on your legs and above shorts for example. this line should also be placed so that it is not visible with your standing straight.
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