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 can use advanced techniques to create firm, toned legs.
Why should you consider a thigh lift?
How does a post-weight loss thigh lift work?
Are thigh lifts a common procedure?
Is a thigh lift just for removing excess skin?
A Thigh Lift Can Also Address:
Lost Muscle Definition
Not every patient is a candidate for a thigh lift...
Factors That Can Impact Successful Surgery
Maintaining a Healthy Weight
Are there other solutions for addressing excess skin?
Substantial Loose Skin Typically Requires Surgery
What happens during a thigh lift?
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.
What to Expect during Treatment
Prepping for Surgery
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.
“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.”
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:
- Most potential patients have heard that the results are not favorable.
- The incisions and subsequent scars are very long.
- 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.
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.
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.
Why should I talk to Dr. Fisher?
Exceptional Cosmetic Care by a Board-Certified Plastic Surgeon
You can achieve superior results with Dr. Peter Fisher, who is:
- 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.
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.Brandi