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What is a Thigh Lift?

The Thigh Lift is a cosmetic surgery procedure designed to tighten the skin of the thigh and reduce sagging in the inner or outer thighs. The procedure is commonly performed on patients with massive weight loss, but it is also performed on people who have not experienced weight loss. There are two types of thigh lifts:

  • Inner Thigh Lift(aka medial thigh lift)
  • Outer Thigh Lift

Patients who have the Body Lift procedure will have the Outer Thigh Lift performed as part of the procedure. However, the Inner Thigh Lift procedure is commonly performed as a single procedure. Patients who have a Body Lift will often have the Inner Thigh Lift performed as the second step of their total body transformation.

Additionally, the Outer Thigh Lift can be performed with the Tummy Tuck procedure. This combination of Outer Thigh Lift plus Tummy Tuck is called the Extended Tummy Tuck.

What problems does a Thigh lift address?

My thighs are sagging and I would love ballerina looking legs

In summary, these three symptoms are the most common indications for the Thigh Lift procedure:

  • Poor skin elasticity on inner/outer thighs
  • Dramatic weight loss resulting in excess skin on thighs
  • Sagging, hanging skin on inner or outer thighs

If the skin of the inner or outer thigh sags, a thigh lift will eliminate excess skin, and then tighten and firm the skin contour. The procedure creates beautiful, long sculpted legs. Patients who have lost a lot of weight are ideal candidates for a Thigh Lift, as they usually have excess hanging skin.

Please note that if your thighs are also very big and have LOTS of fatty tissue it might be best to do liposuction first to get rid of as much of the excess tissue as possible. After a few months we can re-evaluate the inner thigh to see if you will additionally benefit from a Thigh Lift.

Pre-Operative preparations

  • Quit smoking 2 weeks prior to surgery
  • Stop taking multivitamins, herbals, and aspirin prior to surgery
  • Have an Physical examination (H&P) and CBC (anemia detection) to clear you for surgery
  • NPO after midnight before surgery

How is a Thigh Lift performed?

Type of anesthesia

I prefer to perform these procedures under IV anesthesia instead of General Anesthesia. Patients have a quicker recovery with IV anesthesia and much of the nausea associated with General Anesthesia is eliminated.

Incision locations

The Inner and Outer thigh lift each have a unique incision location and surgical protocol. Illustrated on the sketch below, they are as follows:





The pubic area is shaved the morning of surgery so that the area is smooth and without hair. Stray hairs can infect the incisions, so shaving the pubic area helps to eliminate the risk of infection. To provide the most sterile and bacteria free environment possible, the surrounding pelvic and anus area are cleansed with betadine. Sterile fields are always used in surgery, but for this procedure we like to widen the sterile zone to include adjacent areas.

Immediately before surgery, while you are still awake and standing, I will mark your inner thigh with the incision location. The skin is pinched and elevated towards the groin and an estimate is made for how much skin should be removed. The incision is located in the groin crease.


The Outer thigh lift is done to remove excess skin that hangs below the hip area. The incision for this procedure is located near your hip bone. If you are having a tummy tuck at the same time, the incision simply extends horizontally from the tummy tuck incision.

On the morning of surgery, while you are still awake, the incision location is discussed with you standing in front of the mirror. We will pinch the area of excess skin and I am careful to place this incision below the panty line. To assist with the surgical markings, we ask you to bring along a favorite bathing suit to help determine the best incision location.

  • Week 1: Bed rest, walking only allowed to the bathroom.
  • Day 5-7: First post op office visit to remove compression garment and pads
  • Week 1-2: Compression garment is worn continuously
  • Week 2: Walking allowed inside the house
  • For 2 weeks: No sitting
  • 3 weeks: No driving
  • At week 2 (mandatory), month 1, and month 4: Have Post-Op follow up visits
  • Week 6: Resume regular activities


Full information of what you should do before and after the procedure


Transformation pictures, see it to believe it


Successful procedures, outstanding results beautiful you.



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