Dermatochalasis correction or flaccidity of the thigh, secondary to tissue relaxation, due to chronological aging, to the loss of volume produced by a localized liposuction, even correctly performed, or to significant weight loss, mostly if it is produced in a short period of time (this happens, for example, in the treatment of morbid obesity).
The lifting or stretching of the inside area of the thighs is mainly performed to correct cutaneous flaccidity present in the lower or internal part of this region. In the cases in which localized adiposity is present simultaneously, a liposuction can be performed there as well. Isolated liposuction would only be used as an alternative treatment in the event of localized adiposity, the absence of separation and good skin elasticity in the region. Additionally, depending on the grade of flaccidity (separation), the stretching does not have to be limited to the inside part of the thigh, resulting necessary to perform the liposuction in all or almost all of the perimeter of the thigh. In the most habitual procedure, an incision should be made in the groin area,following the curvature of the interior part of the thigh. The level of prolongation will depend on the amount of flaccidity present. In this case, the incision, and thus the resulting scar, is made on a natural fold of skin, the inguinal fold. However, in some cases the amount of flaccidity can be so high that a vertical skin resection is required, which forms a small scar on the inside part of the thigh, varying in length, which can reach as far down as the knee. On occasion it can be necessary to combine both techniques. After separating the skin until the estimated level in order to be able to adequately stretch it, the excess skin is extirpated. The stitches are usually internal and reabsorbible, due to which they generally don’t need to be removed.
DURATION AND ANESTHESIA
The surgery is normally performed under general or regional anesthesia (peridural or similar); and lasts from two to four hours, depending on the case.
In normal conditions the patient can leave the hospital after 24 hours.
THIGH LIFT RECOVERY
After surgery there is normally a certain amount of tension and discomfort which are easily controllable with the adequate medication. The initial bandage usually consists of tights or the correct pressotherapy garment to maintain the compression. It is highly recommended to use compression/suspension garments for three months.
A compressive elastic bandage is usually used in the post-op care to control bleeding and inflammation. In this regard, it can be useful to administer manual lymphatic drains 48 hours after surgery. On occasion, a temporary decrease in sensitivity of the inside area of the thigh can be produced, due to the affectation of sensitive nerves; it’s usually temporary, on different levels, but could result in being permanent in rare cases.