Thigh Lift after Massive Weight Loss

After major weight loss, excess skin on your thighs can sag, rub, and make you feel self-conscious about your body. 

Dr. Peter Fisher is a specialist in thigh lift after massive weight loss and uses advanced techniques at our San Antonio, TX, practice to create firm, toned legs.

Why should you consider a thigh lift?

close up of a woman with her hand on her upper thigh

Achieve a Body You Can Feel Proud of

Address Excess Skin

Excess skin can be heavy, uncomfortable, and even limit your ability to wear shorts or dresses. During a thigh lift, sagging skin is completely removed.

Contour Your Legs

Weight fluctuation can take a toll on the appearance of your legs. A thigh lift targets this area to tighten and contour the thighs for a more flattering figure.

Boost Self-Confidence

Feeling confident in your body by achieving the figure you desire can drastically improve your self-confidence which can also positively impact your overall quality of life.

How does a post-weight loss thigh lift work?

Are thigh lifts a common procedure?

Many Other Patients  Have Sought Revisions after Weight Loss

Is a thigh lift just for removing excess skin?

A Thigh Lift Can  Also Address:

Lost Muscle Definition

Muscle definition can be improved during a thigh lift by tightening the underlying muscle. This can improve the contour of your thigh. However, significant loss of muscle definition may require special techniques

Stretch Marks

Stretch marks can detract from your overall weight loss results, as well. When the skin is tightened, it can smooth out stretch marks for a more even appearance.

Remaining Fat

Remaining, unwanted fat can be removed after your thigh lift with liposuction, although this is usually only recommended for small pockets of tissue.

Not every patient is a candidate for a thigh lift...

Factors That Can Impact  Successful Surgery


As with any surgical procedure, smoking can heighten your risk of complications as it impedes your body's ability to heal properly. You will need to stop smoking until you have fully recovered.

Maintaining a Healthy Weight 

To make the surgery worthwhile, you should be dedicated to maintaining a stable weight. Establishing a healthy diet and exercise routine is critical to avoiding harmful weight fluctuations.


Because the weight gain associated with pregnancy can reverse some of your results, we usually recommend you avoid becoming pregnant after surgery. 

Are there other solutions for addressing excess skin?

Substantial Loose Skin Typically Requires Surgery

Over time, your skin loses its ability to contract and shrink when you lose weight. When you shed substantial weight in a short amount of time, this can leave you a large amount of loose skin. While non-surgical skin tightening treatments are available, they are usually not effective for massive weight loss patients. As a result, surgery is often the most reliable option for addressing loose skin. 

What happens during a thigh lift?

illustration of thigh lift procedure illustration of thigh lift procedure

Are there different types of thigh lifts available?

Thigh Lift Techniques 

Depending on the severity of sagging skin, one of three techniques may be used: 

Longitudinal Incision
This technique is recommended for patients with sagging skin down to or past the knees, as it can address both vertical and horizontal skin laxity. 
Spiral Thigh Lift
Recommended for patients with vertical laxity high up on the thigh, this technique can also help better define the buttocks. 
Oblique Thigh Lift
This technique is rarely used for post-massive weight loss patients because it is designed to exclusively address loose skin high up on the front of the thigh.

During your consultation, the doctor will determine which incision method can provide the best possible results.

Woman's thighs

What to Expect during Treatment

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You will need to meet with Dr. Fisher for a one-on-one discussion and examination before treatment. Based on your goals and medical history, he can determine whether or not this procedure is appropriate for you. 
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Prepping for Surgery

In the weeks leading up to surgery, you will need to avoid anti-inflammatory drugs and other medications, as advised by our team. We will also schedule a final counseling session to discuss prescriptions and other ways to prepare.
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Surgical Contouring

Once you are sedated, Dr. Fisher will use liposuction to remove areas of excess fat before eliminating loose skin. Depending on your goals for treatment, he may use a number of different incisions for the best effect. In many cases, he will combine the thigh lift with one or more upper body procedures, such as arm lift

Aftercare and Recovery

You will need to remain in the hospital for at least one night after surgery. Before you return home, we will provide you with post-operative instructions and walk you through how to care for your incisions and drains, if they were placed. If necessary, we may place a contouring garment to support your recovery, either immediately after surgery or just before you leave the hospital. Other than short walks around your house to encourage circulation, you will need to rest for at least two weeks after surgery, although full recovery will take several months. 

In addition to follow-up appointments, one of our nurses will also schedule phone calls to check in on your progress every two days. If you have any concerns or questions, you can call into the office, as well. 

Take a look at the results this patient achieved...

A Thigh Lift Can Allow You  to Enjoy Your Weight Loss

Loose, sagging skin on your thighs can prevent you from enjoying the healthy lifestyle you have worked so hard to reach. A thigh lift surgery can reduce discomfort and allow you to experience the full effects of massive weight loss. Many patients experience less rubbing of the inner thigh and a greater overall sense of well-being.

Keep in mind that the results of your procedure depend on many different factors, including the extent of surgery and the technique Dr. Fisher uses. We can give you a better sense of the results to expect after your procedure when you visit our San Antonio office for a consultation.

“I want the patient to feel like they've obtained the best possible result that they can get. You know it can actually be emotional. I've had quite a few patients tell me that I have changed their lives.”

Dr. Peter Fisher

How Much Does  a Thigh Lift Cost?

According to the 2018 statistics released by the American Society of Plastic Surgeons, the average cost of thigh lift surgery was $5,317. However, this can vary widely based on a range of factors, including the type of anesthesia you choose and prescriptions for medications.

Our team can discuss the cost of a thigh lift with you during your initial consultation at our San Antonio practice.

Woman speaking to doctor at office

Understanding the factors which affect cost can help you plan for surgery...

Your Goals and Needs Greatly  Affect the Price of Treatment

Anesthesia Fees

We recommend general anesthesia for most patients who undergo thigh lift surgery. While this type of sedation can increase your cost, it can also ensure you are as comfortable as possible during your procedure.

Hospital Costs

Dr. Fisher performs many of our body contouring procedures at the nearby Methodist Speciality and Transplant Hospital (MSTH), which may lead to additional fees.

Post-Surgery Garments

Often, Dr. Fisher will place a compression garment over your thighs after the procedure. This garment can reduce swelling and improve the results of your thigh lift surgery.


Depending on your needs, Dr. Fisher can prescribe medications for pain or other post-operative side effects. These medications may raise your overall cost of treatment. 

A thigh lift may be the solution you need to trim excess skin and tone your lower body after massive weight loss. The thigh lift actually takes a more comprehensive approach to the legs as a  whole,  and is often combined with other procedures to address the full scope of excess skin that usually follow massive weight loss.

More Information on Thigh Lift Surgery

This is the least commonly performed procedure following weight loss, typically because:

  1. Most potential patients have heard that the results are not favorable.
  2. The incisions and subsequent scars are very long.
  3. Many potential patients feel that this area is covered and therefore proceed with other procedures first and never get to do the thighs.

Results are unfavorable when the incorrect procedure is done and when the patient's anatomy is not ready for this. If the thigh contains too much fat, just excising skin can, although not always, give a poor result. Deflating the thigh by liposuction prior to the thigh lift can enhance the results.

When thigh lifts are performed, I usually will do them with an upper body procedure and not at the same time as an LBL. I will, however, do a spiral thigh lift at the same time as an LBL.

Pre-operative instructions.

Stop all anti-inflammatory drugs as well as vitamin E and any estrogen medications two weeks prior to surgery. The patient is seen in the office two to three days prior to surgery for final counseling, given their prescriptions, photos taken and markings applied. The patient is measured for a girdle which is then ordered. We suggest the patient rent a walker.


Numerous different incisions are used for this according to the severity and direction of skin laxity. A lot of patients will still retain a significant amount of fat in their thighs following weight loss. It is possible to “deflate” the thigh using liposuction at a surgical setting prior to the thigh lift. This allows for a better result, by being more aggressive with the skin removal, at a second surgical setting. This cannot be done when the thigh still has a lot of fat within.

When there is significant skin laxity, a vertical incision will always be needed. When this laxity is both in a vertical and transverse direction, an oblique incision in the groin, and sometimes in the buttock crease, is needed. When skin laxity is high on the thigh and vertically oriented, then an incision in the groin and buttock creases alone can be used. This is often termed a spiral thigh lift. This not only helps elevate loose posterior thigh skin, but also helps to better define and position the buttock crease and lower buttock contour. If skin laxity extends all the way down to the ankle, then the vertical incision can be taken all the way down to the ankle, keeping it on the inside of the leg.

The thigh lift is often done at the same time as one or more of the upper body procedures.

Post-operative course.

The patient is kept in the hospital at least one night and discharged when comfortable. When drains are used (for the longitudinal procedure only), they are taught how to empty, strip and record them. Our office supplies a measuring cup and recording sheet to you at the pre-operative visit. If appropriate, the girdle is placed now or immediately after the surgery. The nurse will call every two days to check on you, and you are encouraged to call with any concerns you may have.

View Gallery for Before and Afters

Why should I talk to Dr. Fisher?

Exceptional Cosmetic Care by  a Board-Certified Plastic Surgeon

Peter Fisher, MD

You can achieve superior results with Dr. Peter Fisher, who is:

  • Board-certified 
  • Trained in advanced techniques
  • Dedicated to providing superior results
  • An expert with nearly 30 years of experience 
  • An authority in the field 
  • Passionate about personalized care

To schedule your consultation, contact our practice online or call us at (210) 616-0798.

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Dr. Fisher has been available to answer all of my questions and provide me with not only professional medical expertise, but also a much appreciated level of personal empathy. I would 100% recommend Dr. Fisher to anyone who is considering plastic surgery.



San Antonio Office

7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229

Open Today 8:30am - 5:00pm


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