Hip reduction surgery. Photos before and after. There are two options for liposuction

Femoroplasty- This is a plastic surgery, the purpose of which is to eliminate cosmetic skin defects and tighten the inner thigh. Usually, those who decide on an operation to tighten the skin of the inner surface of the thigh complain not only about the presence of a cosmetic defect, but also about the constant rubbing of the legs against each other when walking, the appearance of skin irritation and abrasions from friction, and the rapid wear of clothes.

There are plastic surgeons who, under this name, also mean correcting the shape of the hips with implants. Such an operation is in demand among those who believe that the space between their thighs is too large. But there is very little information about such operations. Therefore, there is no information about which implants are used for this, or about how the operation is going.

Most of the companies that manufacture implants place endoprostheses for the testicles, legs, buttocks, and mammary glands in their product catalogs. But no one from our editorial office had a chance to see endoprostheses for hip shape correction.

Reasons for the formation of ptosis of the skin

Ptosis is the process of prolapse of body tissues. The reasons may be:

• constitutional feature of the body;
• drastic weight loss, frequent changes in body weight, obesity;
• age-related changes in the body;
• a consequence of hormonal disorders;
• the consequences of liposuction, in which excess fat has been removed without tightening the skin.

Features of performing plastic

Adipose tissue on the inner thigh is most often unevenly located. Its largest accumulations are most often concentrated in two areas: from above, closer to the inguinal fold, and from below, in the area above the knee.

Usually, both of these zones are corrected at the same time. But correction can be carried out and any one of the areas, most often the upper one.

When planning an operation, it is important to understand for yourself how much of the volume is formed by adipose tissue, which can be removed, and what depends on the structural features of bones and muscles. If you do not get a realistic idea of ​​the possible results before the operation, then after the operation you can become seriously disappointed.

For example, if the area of ​​the knee joints is naturally wide, then you should not expect a significant narrowing of this area from the plastic surgery.

Types of surgical interventions

• Liposuction.

Suitable for those who need to remove excess adipose tissue, and who have sufficient skin elasticity and contractility.

A relatively new direction. Allows you to simultaneously remove excess fat and tighten the skin without cuts or scars.

• Non-surgical liposuction.

It is a hardware procedure that, nevertheless, contributes to a significant reduction in the volume of the thighs.

• Surgical lift of the inner thigh.

It consists in removing excess skin and adipose tissue. It is used when the excess skin is significant, and it is not necessary to rely on the fact that the skin will tighten.

Video: Plastic surgeon about hip plasty

Liposuction

This method allows you to remove adipose tissue, which is located under the skin of the inner surface of the thigh and creates coded folds, bumps, makes the skin visually and to the touch friable.

Limitations of the procedure

Don't expect a miracle. This correction method has its limitations, which should be taken into account when you plan to improve your appearance with this.

• The surgeon cannot lose weight for you.

This is the most important limitation of the method, which patients prefer not to know, and which plastic surgeons do not like to talk about. Remember Alla Pugacheva, when many years ago she made herself a gorgeous figure correction. And then what happened? And then her weight returned to her very quickly.

And all because in those cases when more than two kilograms of fat are removed during one procedure, the so-called pituitary response is activated, i.e. the body receives information about a sharp weight loss and rebuilds the metabolism so as to restore body weight to its original level in the shortest possible time.

The conclusion is simple: liposuction can only be used to "polish" the body, which has already been brought to the desired condition with a balanced diet and properly selected physical activity.

• Cannot be done while losing weight or immediately after completing a diet.

The mechanisms that can affect the result in a losing weight are about the same as those described in the previous paragraph.

In order not to get a zero or negative effect, it is necessary to finish losing weight, stabilize the body weight at the same level for at least six months, and only after that go to the procedure.

• Liposuction does not eliminate cellulite.

Its purpose is to eliminate excess subcutaneous fat in fairly limited areas of the body. It is impossible to eliminate the tuberosity of the skin over the entire surface of the thighs and buttocks in one or several procedures. For the treatment of cellulite, completely different methods of correction are more effective.

• This method does not eliminate stretch marks.

Moreover, the presence of stretch marks significantly reduces the amount of fat that can be removed from one area of ​​the body, as the presence of stretch marks indicates a decrease in the skin's ability to contract. Stretch marks can also be an indirect sign that the laxity of the skin after the liposuction procedure may increase.

• There are serious complications that can be fatal.

The risk of dying from the effects of liposuction, such as thromboembolism, fat embolism, reaction to epinephrine and others, is in 1 patient in 5000. This is 25% higher than the risk of dying in a car accident.

Mandatory list of examinations

To find out the presence or absence of contraindications to the operation, you must perform:

• general analysis of urine, blood;
• coagulogram (blood clotting test);
• biochemical blood test (indicators of liver, kidney, electrolytes);
• blood tests for AIDS, viral hepatitis, syphilis;
• fluorography.

In the presence of chronic diseases, the list of examinations can be expanded at the discretion of a general practitioner, surgeon or anesthesiologist.

Contraindications to surgery

Contraindications for liposuction and surgical lifting of the inner thigh are mostly identical, therefore we will present them only once in this article.

Contraindications include:

• problems with blood clotting;
• blood diseases;
• oncology;
• any acute and exacerbation of chronic diseases;
• chronic diseases in which the function is impaired and the failure of any of the internal organs develops;
• colds and infectious diseases;
• mental illness.

Procedure execution

Regardless of which of the areas is supposed to be treated, the one closer to the groin fold, or the one closer to the knee, the skin is punctured in the popliteal fossa. The popliteal fossa region is characterized by a high concentration of large blood vessels and nerve trunks. Therefore, manipulations in this area require caution.

It is performed under general anesthesia. It takes about an hour. When the entire volume of excess fat has been removed, the skin puncture is treated with an antiseptic and sealed with an adhesive plaster.

Recovery period

Immediately after the completion of the operation, a compression garment is put on the patient. You will need to wear it for at least 2-3 weeks.

Target:

• reduction of postoperative edema;
• decrease in tissue mobility, which relieves pain;
• applying compression (pressure) to tissues to create the best conditions for skin contraction and postoperative wound healing.

The patient usually spends the first day in a hospital. But there are clinics that discharge the patient home on the day of the operation, if his condition and well-being allows. Usually, pain, numbness of the skin in the area of ​​the procedure, disappear within a maximum of a week.

Pain relievers can be taken as needed. Edema, hematomas can persist for up to a month. Only after the edema has subsided can the results be assessed.

First time canceled:

• playing sports;
• thermal procedures, including taking a bath;
• visit to the solarium;
• any mechanical action such as massage or the application of healing creams to the area of ​​the procedure.

In the first weeks after liposuction, the doctor can choose a set of hardware procedures that reduce the severity of edema, accelerate healing, and promote skin contraction and lifting.

An example can be a rehabilitation course on the apparatus Himavat 200 Evident.

Complications

• Decrease or complete disappearance of skin sensitivity at the site of the operation.

As a rule, such a change in sensitivity is not persistent and over time the sensitivity of the skin is restored.

• Damage to superficial veins.

Most often, the small branches extending from the great saphenous vein of the thigh are damaged. It is almost impossible to completely exclude such a complication, since the structure and location of veins is more variable than the location of arteries and other anatomical structures.

If a vein is damaged, it is tied or closed with a clip and the operation is continued. Venous outflow in this case occurs along the nearby veins.

• The appearance of increased skin sensitivity.

Hyperesthesia occurs in about 1% of all liposuction patients. The severity of unpleasant sensations can be of varying degrees. In some patients, skin sensitivity persists for life.

1. Chronic pain at the liposuction site.
2. Death of the skin.
3. The appearance or increase in the severity of ptosis or flabbiness of the skin.

It happens when the skin cannot contract enough to ensure sufficient smoothness and elasticity of the thighs.

• Violation of lymph outflow with the formation of persistent edema of the leg and foot.

A large number of lymphatic vessels pass under the skin of the thighs in the thickness of adipose tissue, through which lymph flows to the body from the entire leg.

If, during liposuction, the outflow of lymph is disturbed, then the tissue fluid begins to accumulate in the area first of the foot, and then the foot and lower leg and forms soft edema.

Usually, the lymphatic drainage is gradually restored and the swelling goes away.

But in some cases, a violation of the outflow of lymph can become chronic, which will ultimately lead to the formation of elephantiasis (elephantiasis or pronounced edema of the legs).

• Anemia.

It can develop if the volume of adipose tissue removed is large. Removal of adipose tissue is accompanied by bleeding, which in some cases can be very intense.

• Fat embolism.

It can develop in cases where liposuction is performed simultaneously with lifting the skin of the thighs or the anterior abdominal wall. In this case, adipose tissue enters the bloodstream and can block the lumen of the vessel, disrupting the blood supply to the tissue site.

• Changes in skin color and postoperative scars.

Skin pigmentation at the liposuction site may develop for several months after surgery. Hyperpigmentation can be persistent, requiring laser or phototherapy to remove it.

• The effect of the "washboard".

A feature of the location of the fatty layers of the thighs, abdomen and chin is that the fat in these areas is located in layers, which are separated by fascia - connective tissue formations that look like thin films. Those layers of adipose tissue, which are located in deeper layers, differ in metabolic rate, in which fat accumulates quickly and leaves extremely slowly, even despite a significant decrease in body weight.

This feature is genetically determined. That is why very often these areas are called "fat traps".

At the same time, the presence of connective tissue layers requires the surgeon to perform the procedure correctly. Since the removal of excess fat at different levels can have the opposite effect: instead of eliminating a cosmetic defect, liposuction will create another one that is even more noticeable.

If the "washboard" effect is still formed, then a second liposuction will be required, which not every plastic surgeon is able to perform in order to correct the "washboard" effect and give the legs the long-awaited smoothness. In some cases, it is no longer possible to fix the defect.

Is it possible to get better after liposuction

You can gain weight after any operation. If we talk about liposuction, then in addition to the problem of excess weight, the patient will additionally receive the problem of body disproportion.

The volume of the body increases because there are cells of adipose tissue under the skin and around the internal organs, and each of these cells increases in volume, accumulating fat in itself.

In places where liposuction was performed, there are much fewer fat cells than in other places. Fat cells are not replenished at the liposuction sites.

Therefore, after the body weight changes, the patient can get a wide back, a large abdomen and increased buttocks, knees and legs. And with all this, thin thin thighs will be in very strong contrast.

As a result, instead of the appearance of the PlusSize model, you can get a significant cosmetic defect that will attract attention due to its unusualness.

Currently, it is advertised by some Moscow clinics as an absolutely safe method of removing excess fat and skin tightening using a laser without incisions or scars.

The procedure uses a thin tube that is inserted under the skin to a predetermined depth. A laser pulse is sent through the tube into the tissues, which simultaneously destroys fat cells and seals the blood vessels, which reduces the risk of bleeding.

The damaged fat cells can then be sucked out through a cannula, or you can let them dissolve on their own. The body independently removes the volume of fat deposits of no more than 0.5 liters.

Also, laser radiation stimulates the formation of collagen and elastin in the skin, which contributes to its lifting. The advantages are the ability to perform it under local anesthesia and a short recovery period. Despite the assurances of the surgeons about the absolute safety of the procedure, it is necessary to undergo a comprehensive examination before its appointment. For this method, all those contraindications apply as for other types of hip plastics.

Non-surgical liposuction

Carried out on the device SplitFat System which is a cold laser. Under the influence of its impulses in the fat cells, the processes of fat excretion are stimulated. All the fat that enters the intercellular space is excreted through the lymphatic system.

Usually the course consists of 6-9 procedures. Depending on the initial body weight during the course, you can reduce the volume of the thighs by 6-10 cm. The more weight, the more significant the decrease in volume.

Surgical plastic of the thighs

Currently, it is this method that provides a guaranteed aesthetic result that persists after years.

Examinations and contraindications

We will not dwell on these two points separately. They are the same as those given in this liposuction article.

Types of plastic surgery of the inner thighs

• Internal (aka median).

The incision for the internal thigh lift runs along the groin folds.

• Vertical.

The incision runs vertically along the inner thigh from the groin crease to the knee.

• Combined.

With this method of carrying out a lift, the incisions go along the groin folds and along the inner surface of the thigh vertically.

The incisions in the skin form a wedge that converges towards the knee. Areas of skin between the incisions are removed, the edges of the wound are pulled together and sutured.

Methods for fixing the edges of the skin

The main problem for both patients and plastic surgeons is that the hips are a very mobile area. And the scar, initially located in the groin fold, stretches from the constant pressure on it and moves from the groin fold down to the skin of the thigh.

In this section, we will consider in detail several methods of tissue fixation so that any patient, having come for a consultation, can have a substantive conversation with the surgeon and assess the likelihood of obtaining an excellent result depending on the tissue fixation technique after performing a thigh skin lift. Suturing the edges of a skin wound after removing excess skin and subcutaneous fat.

In the photo, red arrows indicate the location of the deformed scar. If you look closely, you can see that the scar is wide, with uneven edges and loose. It is located at a great distance from the groin fold. On the one hand, such a scar turns into a cosmetic problem, since no one wants to show it to anyone. This also applies to family relations, and visits to public places such as the beach, pool, etc.

On the other hand, such a scar deforms the perineal area. In some cases, the scar can shift so much that the groin folds are simply smoothed out.

There are no chances that the stitched and non-fixed skin will not move, and that the scar will not spoil the appearance of the body. Suturing the edges of the skin wound and fixing the scar to the Wheel ligament. The Wheel Ligament is a section of the superficial fascia of the perineum, a connective tissue formation that attaches to the pelvic bones. Fabrics sewn to the wheel ligament exert an unusual load on it. As a result, the ligament is stretched and deformed. Together with it, the tissues fixed to the ligament are displaced, which negatively affects the final result of the operation.

In this photo, the edges of the skin, after removing its excess, are sewn and fixed to the ligament of the Wheel. As a result, the scars are stretched. And the perineal area is significantly expanded. In a standing position in the crotch area, an unnatural expansion of the gap between the inner surfaces of the thighs is determined.

With this method of tissue fixation, the risk of developing overstretched scars and displacement of the perineal skin is less than with the first described method. But here, too, the risk of getting a pronounced cosmetic defect is great.

Fixation of the edges of the wound to the periosteum of the pelvic bones. The periosteum and pelvic bones are absolutely immobile formations that can withstand significant loads. Therefore, fixing the edges of the wound to the pelvic bones is a relatively new and promising method of lifting the inner thigh.

The areas of the pelvic bones are highlighted in red, to which the tissues will be sewn after the removal of excess skin and subcutaneous adipose tissue. The photo shows the scars after lifting the inner surface of the thigh two years after the operation.

Postoperative scars are thin and slightly whitish. The groin folds have retained their natural shape. The most effective method of tissue fixation in terms of preventing complications. But not all plastic surgeons own it.

See the photos before and after the operation to reduce the labia, and find out all about it in the article - labiaplasty.

How to fix crooked legs without surgery? This question interests everyone who has this drawback. Details.

How is the operation going

In terms of time, the operation takes about 2.5 hours.

Preparatory stage

The operation is usually performed on the day the patient is admitted to the hospital. Earlier hospitalization is not justified, since all examinations can be done on an outpatient basis, and no preparatory procedures are required. General intravenous or inhalation anesthesia is used. On the operating table, the patient is given a gynecological position: the legs are divorced, the popliteal fossa rest on special supports.

Markup

The markings are applied after the patient is put into a state of anesthesia. The maximum width of the removed skin area in the unfolded state should not exceed 8 cm.

Operation progress

Operating cuts are made according to the marking. Excess skin between incisions is removed. The edges of the wound are brought together. The bottom of the wound is fixed with non-absorbable sutures to the pubic bones. A double-row suture is applied to the skin so that there is no slight tissue prolapse in the postoperative period. For the same purpose, the tension of the seams is adjusted so as to visually narrow the perineum. The taper usually does not exceed 5 mm.

Video: Thigh Lift

After completion of wound closure, the sutures are treated with antiseptic solutions and closed with a sterile bandage. Some plastic surgeons prefer to seal the seams with special glue, which subsequently facilitates wound care and patient hygiene. Immediately after the treatment of the wound, a compression garment is put on the patient.

Rehabilitation period

In a hospital setting, the patient spends the first 2-3 days after the operation. This is necessary in order to ensure proper care of the postoperative wound area, to ensure that there are no early postoperative complications and complications of anesthesia.

The patient is discharged from the hospital in case of a satisfactory condition. In the next 2-3 months, it will be necessary to visit a doctor on an outpatient basis.

If only the thigh skin tightening is performed, then on the day of the operation in the evening or the next morning, the patient is allowed to sit down, get up, walk. From the first day, hygiene procedures are carried out in the perineal area.

If lifting and liposuction were performed simultaneously, then the recovery period becomes longer, and active movements are allowed from a later date. This is due to the fact that during liposuction, the fascia can be damaged, which normally support the subcutaneous fat layer and through it the skin.

On the third day in the hospital or at home, it is allowed to take a shower. In the first week, a complex of rehabilitation procedures can be prescribed, such as, for example, LPG surge. Sutures are removed 10-14 days after the operation. Pain in the wound area, pronounced discomfort when moving, in a sitting position, when standing up, it can persist for several months. Usually the condition returns to normal enough to return to work within 3-4 weeks. A month after the operation, you can start playing sports.

Complications of femoroplasty

• The appearance of rough scars.

The most common reason for the development of such scars in the case of tissue fixation to the pelvic bones is friction. If we are talking about the seams that run vertically along the inner surface of the thigh, then this is friction against the seam of the compression underwear. And if about the seam in the groin fold, then this is the friction of the seam on the crotch tissue when walking.

In both cases, small wounds can develop in the areas of greatest friction, which, when healed, create irregularities in the scar. This problem is solved in consultation with a surgeon, who prescribes dressings with healing ointments or the imposition of secondary intradermal sutures.

• Development of marginal necrosis (necrosis) of the skin.

The blood supply to the skin in the perineal region is relatively weak. And the tension on the edges of the skin can be very significant. Under such conditions, the blood supply to the marginal areas of the skin that form the postoperative scar may be impaired. Areas of the skin in which the blood supply is disrupted die off. At the same time, the seams diverge.

In cases where the blood supply is not completely blocked, there may be a delayed healing of the postoperative wound with the formation of a stretched hyper- or atrophic scar.

• Infection.
• Development of hematoma, seroma.
• Violation of lymph outflow with the formation of persistent edema of the leg and foot.
• Development of asymmetry of the hips and / or genitals.
• Disorders of venous outflow, thrombosis.

If liposuction is performed simultaneously with plastic surgery, then complications of liposuction should be added to the possible complications.

Prices

Before and after photos

Surgical thigh lift is performed to aesthetically restore the surface, contours and proportions of the upper and middle thighs. In addition to aesthetic reasons, purely medical indications also induce these operations: deformation of the contours and the formation of folds lead to constant friction of the contacting internal skin surfaces while walking, the formation of diaper rash and abrasions, especially in the summer, the appearance of an unpleasant odor, itching, burning and soreness. All this becomes the cause of a pronounced feeling of discomfort, changes in gait, difficulty in choosing clothes.

Traditional techniques and their general characteristics

Disturbance of the contours, tuberosity, sagging and excess skin in the form of large folds and pockets, especially on the inner thighs, occur mainly as a result of excessive deposition of adipose tissue against the background of a decrease in skin elasticity and firmness:

• with a significant increase in body weight associated with alimentary (food) obesity;
• after a rapid decrease in body weight by 20-40 kg;
• with endocrine disorders and age-related changes in the properties of the skin;
• after removing too much fat during the exercise.

Plastic surgeons usually carry out lifting of this area in women, since fat deposits in the waist, abdomen and hips are associated with hormonal changes that arise as a protective reaction in order to perform the function of bearing and giving birth to a child. Subsequently, this accumulated adipose tissue does not disappear, but more often accumulates even more and deforms the contours of the thighs.

The principle of the classical traditional correction techniques that existed until recently was the excision of excess skin and fatty tissue, followed by tissue tightening. The methods used differed among themselves mainly in the type and location of skin incisions, depending on the area to be corrected:

1. Medial (midline lift) - incisions are made in the groin and femoral-perineal folds in order to correct the inner surface of the thigh, and the sutures were applied to the fascia of the femoral muscles, as well as in two rows on the skin.
2. Vertical thigh lift, in which a long incision is made along the inner surface from the groin fold to the inner surface of the knee joint.
3. A spiral incision that runs from the gluteal fold to the groin fold.
4. Plastic surgery in a combined way.

Compared to other plastic surgeries, hip plastics until recently were performed reluctantly by surgeons, and patients were often unhappy with the results. This is due to the fact that operations in accordance with classical methods led to multiple complications and required a very long rehabilitation period.

For example, when excising the skin in the groin area, where a large number of lymphatic vessels and nodes are located, it was impossible to excise part of the tissue without damaging the lymphatic ducts. As a result, lymphostasis (stagnation and accumulation of lymph) and associated pronounced edema of the extremities subsequently developed, often prolonged (up to 2 months) lymphorrhea (lymph flow) into the area of ​​skin detachment, infection of this area and dangerous suppuration up to a septic state ... The problem of lymphorrhea is not solved by ligation of a specific lymphatic vessel, as with bleeding, or with the help of medications.

The postoperative period was usually not only long, but also difficult for patients. In addition, due to the constant functioning of muscles and joints and a decrease in tissue elasticity, postoperative scars are stretched and gradually displaced from the femoral-perineal region to the region of the anterior and medial surface of the thigh. Resulting in:

• scars appear in the area uncovered by linen and become visible;
• there is an expansion of the perineal region until the femoral-perineal grooves are completely smoothed out.

All this forced the majority of surgeons to refuse to carry out such operations.

Improvements in thigh lift techniques

Various modifications of traditional methods have emerged over the past few years. The deformation of the thighs occurs along their inner and outer surfaces. However, lifting the outer surface of the thighs does not cause any particular difficulties, since the skin here stretches much less. Therefore, in most cases, only liposuction is enough, and possibly additional excision of a small area of ​​the skin. In addition, large lymphatic vessels are not located in this zone.

It is much more difficult to lift the inner thighs, in the area of ​​which fat deposition and tissue changes are expressed to a much greater extent than in other parts. However, some changes and significant additions to the classical methods of performing the operation allowed:

1. Reduce the risk of damage to the integrity of the lymphatic vessels.
2. Prevent displacement of postoperative scars.
3. Significantly improve the results and portability of surgeries.
4. To shorten the time and facilitate the course of the rehabilitation period: the very next day the patient has the opportunity to return home and almost limit himself to nothing.

The essence of the improved lifting techniques is to make an incision 20-40 cm long (depending on the volume of the thigh) in the area of ​​the groin-pubic fold. It runs along the edge of the pubic bone, and the subsequently formed scar is easily covered with underwear.

After liposuction, excess tissues are not excised, not removed, but, unlike standard classical methods, are separated (split), which prevents damage to the lymphatic system and, therefore, prevents the occurrence of complications such as lymphostasis or lymphorrhea.

Then the skin is tightened and redistributed to the place freed from fatty accumulations. The tightened lower skin flap is sutured not to the muscle fascia with multi-row sutures (it is dense, but nevertheless, in the future, under the influence of muscle loads, it is subjected to stretching), but to the pubic bone periosteum. This makes it possible to reduce the load on the postoperative scar, minimize wound complications and negative consequences in the form of scar displacement.

The solution to the problems of hip contour correction is very difficult, and its results are ambiguous. In plastic surgeries, it is important not only to correctly perform them technically by a plastic surgeon, but also to be able to understand what kind of incision needs to be made, how much fat to remove, how far it is necessary and possible to move the skin.

Unfortunately, modifications of the classical methods of soft tissue tightening have not yet become widespread and are performed by not many surgeons. New techniques have further complicated the implementation of plastics and increased the duration of its implementation to 4 or more hours, but they have largely avoided serious complications and increased the effectiveness of the operation.

The thigh lift is a medical and cosmetic surgery.

This is due to the fact that with the help of this surgical intervention it is possible not only to restore the aesthetic appearance of this part of the body, but also to save the patient from problems arising from sagging skin on the inner thighs.

These are constant diaper rash and chafing, irritation on the skin, which has become the cause of gait disturbance.

When you need a thigh lift

The desire to change both their appearance and their feelings makes many patients seek help from a plastic surgeon.

If the contour of the thighs has changed not for the better, the figure has lost its attractiveness and sagging skin causes a lot of problems, the very moment has come when it is worth contacting a plastic surgeon.

During the first consultation, the doctor, after a visual examination, will diagnose and confirm all suspicions or refuse the need for surgical intervention.

After the operation, the contour of the thighs will be restored, the skin will regain the lost turgor and elasticity, the muscles will return elasticity. Surgical thigh lift is also necessary in cases where the patient is in a state after surgery to remove excess adipose tissue.

The result of such an intervention is not only a significant decrease in volume, but sagging of the skin at the sites of the intervention.

Of course, the reason for going to a plastic surgeon is also the discomfort the patient experiences in everyday life. Clothes sit poorly and do not look at all, it is inconvenient to move and even at rest patients experience discomfort.

Before deciding on a surgical thigh lift, many visitors to the plastic surgery clinic try other procedures:

• manual massage;
• liposuction;
• hardware massage.

In some cases, these procedures can be very effective, but sometimes the doctor makes a decision and the need for surgery and a thigh lift.

Patients should be aware of the possible consequences and risks associated with performing this procedure. The doctor will tell you about them in detail:

• postoperative scars;
• loss of skin sensitivity;
• feeling of tension;
• emaciated appearance of the skin.

Knowing these details can influence your decision.

Preparing for surgery

If the patient, after familiarizing himself with all the possible consequences and risks, is optimistic, and the doctor is confident in the need for surgical intervention, you can proceed with preparatory measures, including:

1. A full examination, during which it is necessary to get the advice of narrow specialists, such as a therapist, vascular surgeon, cardiologist. During the examination, the presence of chronic ailments in the acute stage, blood clotting disorders, diseases of the blood, heart and blood vessels, kidney and liver diseases will be confirmed or canceled. It is important to confirm the absence of cancer.
2. You will need to take blood tests that determine the time of blood clotting, the level of hemoglobin, the number of leukocytes in the blood.
3. It is important to obtain confirmation of the absence of such diseases as HIV, hepatitis.
4. It is necessary to do an ECG and fluorography.

Depending on the general condition of the patient, the list of the listed tests can be changed or expanded.

The second stage of preparation for the operation is changes that will affect the usual way of life. You will need to change or limit the amount of medications you take that can affect blood clotting or heart, kidney, and liver function.

You will need to quit smoking and drinking alcohol. The diet will also be changed. A potential patient should exclude spicy and smoked foods, fatty meat from his menu, and reduce the amount of fried foods.

All this affects the functioning of the liver and heart, therefore, nutrition should be given as much attention as possible at least 14 days before the operation.

In the clinic

On the appointed day, the patient arrives at the clinic, where markings will be made on his body indicating the location of future incisions. The plastic surgeon chooses the most appropriate type of intervention:

1. An internal or midline lift involves making an incision along the contour of the groin fold. In this case, the contour of the inner surface of the thigh changes. The excess adipose tissue is removed, the skin is stretched and, after full tension, the excess is cut off during the stitching of the operating wound. This method is perfect for those who have small wrinkles caused by slight sagging of the skin on the inner thighs.
2. The vertical lift leaves a seam on the inner thigh from the groin crease to the knee. The essence of the operation is that the surgeon makes two incisions, between which a skin wedge is formed. His doctor excises and tightens the edges of the wound. This wedge is rather wide at the top and tapers noticeably around the knee. Such an intervention is carried out in cases where a rather large amount of flabby skin that has lost its elasticity and firmness needs to be excised. Stretched, bumpy, visibly sagging skin is removed.
3. The spiral lift is performed after an incision is made around the entire thigh. The doctor guides the scalpel from the groin crease towards the crease under the buttocks and further to the groin. Such a lift is also called external. It is required for those patients who, in the shortest possible time, for some reason, have greatly lost weight. The result of extreme weight loss is sagging skin, formed skin bags. They interfere with movement and cause abrasions, irritations and other skin conditions. During the operation, the skin is lifted on the entire surface of the thigh. The skin is tightened at the front, back, inner and outer surfaces. All skin layers are sutured after even tightening, creating a new leg contour.

There is a combined technique. It allows you to use not only a lift, but also liposuction at the same time or several types of thigh lift at once. This is necessary if, using one technique, it is not possible to get rid of severe ptosis.

The course of the operation and the postoperative period

A feature of the thigh lift through the groin fold is the danger associated with the relatively difficult blood supply in this area. The operation requires a lot of experience and a significant amount of knowledge.

Surgery is performed only under general anesthesia and lasts at least two hours. The total duration of the operation depends on the volume of tissue and the nuances in each individual case.

The tissues are sutured in layers, which eliminates the risk of rough scars and speeds up healing. If liposuction is performed during the intervention, then this procedure is first carried out, and only after it they proceed directly to tightening the skin tissue.

The first day after lifting the patient is worried about pain and burning sensation in the area of ​​the incision. Numbness and temporary loss of sensitivity, swelling are possible. All these symptoms persist for two to three days after surgery. After this time, the patient is discharged from the clinic under the supervision of a surgeon in the outpatient clinic.

The stitches are removed on the tenth day. Patients are worried about a feeling of tension, minor pain in the sitting position. Pain relievers are prescribed if necessary.

Experts strongly recommend the use of slimming underwear that promotes normal blood flow and reduces swelling. Mobility is limited. It is forbidden to bend over and make sudden movements, is on his feet for a long time, carry and lift weights.

In the first month after a thigh lift, it is forbidden to play sports and swim in the pool. It is not recommended to go to the sauna and bathhouse for the first two months after removing the stitches. You cannot visit the solarium and relax on the beach for a year after the operation.

It will be possible to return to an active lifestyle no earlier than six months after the intervention. Early movement leads to the formation of blood clots and rough scars.

The effect after a thigh lift is lifelong, so you should carefully listen to all the recommendations received and follow them exactly.

Potential risks

You cannot refuse to use compression underwear or arbitrarily shorten the period of wearing it. Violation of the requirements of doctors leads to the development of thrombosis. However, it is imperative that an early rise and constant movement without additional loads are required. This will avoid stagnation of blood.

After discharge from the clinic, it is necessary to pay sufficient attention to the processing of postoperative stitches. Dressings are done by treating the wound surface with solutions containing antiseptics.

In case of violation of the regimen prescribed by the doctor, a tumor may appear in the suture area, accompanied by a feeling of bloating. It is imperative to inform the attending physician about this, who, if necessary, will install a drainage tube and give instructions on how to comply with the regimen.

It is important to remember that the recovery period after a thigh lift is quite long and compliance with all the rules of behavior and all the recommendations received from the plastic surgeon will help to go through this stage without complications and in the shortest possible time.

The doctor will describe in detail all the symptoms and sensations that the patient should experience during the rehabilitation period, and the slightest deviation from the norm should be immediately reported to him.

Sometimes leg imperfections can be masked with well-chosen clothes, but when visiting the beach or pool, they will still cause us significant psychological inconvenience. And the hips are no exception. With age, after significant weight loss or after hormonal changes, their upper parts become voluminous and loose, and the skin sags in unaesthetic folds.

Where diets, physical activity and hardware cosmetology are powerless, plastic surgery comes to the rescue. A thigh lift is an operation to reduce the circumference of the thighs, remove folds of sagging skin and remove excess fat.

In this article, we will analyze in detail what the patient has to go through when he decides to correct the aesthetic imperfections of the upper legs and find out what the leading metropolitan surgeons think about this topic.

Indications for surgery

The thigh lift improves the proportions of the body contours in general, reshapes the upper legs, and smoothes the skin. Problems in this area can appear after significant weight loss, pregnancy, as a result of age-related changes, lack of exercise, and advanced cellulite. Among the main indications for surgery are the following:

• sagging skin, loss of elasticity, the appearance of "dimples";
• fatty "pockets", "breeches", "ears" on the thighs, which cannot be removed with the help of diets, cosmetic procedures or physical exercises;
• irritation and friction on the inner thighs due to excess skin and fatty tissue.

How is a thigh lift performed?

Preparation for this type of lifting is not much different from other operations: during a face-to-face examination, the surgeon determines the condition and size of the correction zone, and also assesses the general condition of the patient's body. If necessary, additional examinations are prescribed.

The surgery itself takes about 2-2.5 hours and is performed under general anesthesia. At the same time, quite often a thigh lift is combined with a buttock lift, abdomen lift, liposuction or gluteoplasty - in these cases, the duration of the operation will slightly increase. Depending on the area and location of the lift zone, incisions and postoperative scars can be located on one of several areas of the body:

After the incision, the fatty skin flap is removed, if necessary, simultaneous liposuction is performed. Then cosmetic sutures are applied to the operated area and drainage is placed.

Rehabilitation period

Full recovery from a thigh lift takes about 3 months. Depending on the complexity of the operation performed, the patient will need to spend 1 to 3 days in the hospital. Then, bruises and puffiness disappear within 2-3 weeks, the manifestation of which reduces the compression underwear (it is put on the patient immediately after the end of the operation). The edema finally disappears after 3-5 weeks, at the same time it will be possible to evaluate the preliminary results of the lifting.

Light physical activity is possible not earlier than after 2 weeks, and it will be possible to start active sports activities only after 2 months. Also, during the first month, you will need to refrain from visiting the sauna, pool or solarium, sunbathing.

Contraindications, complications, side effects

The main contraindications that exclude the possibility of a thigh lift are:

• diseases of the cardiovascular system;
• oncological diseases;
• diseases of the thyroid gland, internal organs;
• acute infectious diseases;
• diseases that affect blood clotting;
• inflammation of the blood vessels in one or both legs;
• pregnancy.

In these cases, the operation will have to be replaced with more gentle hardware cosmetology procedures. Potential complications and side effects are usually associated with large enough incisions. These can be hematomas and seromas, inflammatory processes, skin necrosis, etc. Most often, such troubles are the result of the surgeon's mistakes and / or non-compliance by the patient with pre- and postoperative recommendations.

How much does a thigh lift cost? Actual prices

The prices for this operation vary in a very wide range, the total amount depends on the type and area of ​​the correction, as well as the need for additional manipulations (for example, liposuction).

Average prices for a thigh lift in Moscow range from 50,000 to 300,000 rubles. Also, when planning a budget, it is worth paying attention to whether the hospital stay is included in the total amount, since it will necessarily have to spend at least a day, and most likely even two or three.

Experts' opinions:

Reviews and comments

Slender, toned legs are a dream and envy of women, an object of admiration and attractiveness for men. But in order to subdue a young man with one sway of the hip, it is worth a lot of work. With the muscles of the thighs, everything is clearer - they are at least tense with ordinary everyday loads: walking, squatting on a chair, running.

The inner surface, as well, is quite "lazy" and in order for it to work, you need to try very hard. It is used only with side swings and turning the thigh toe out.

It so happened by the evolution of the body that all the extra calories per day stick more willingly to the lower body. To be lean in legs, it is not enough just to eat right. If it is not possible to visit the gym, the most effective exercises for the inner thigh at home, presented below, are a must.

The inner surface requires more attention to itself: combination of cardio and power loads... Cardio directs the forces of our body to burn fat. The complex of power loads tones the thin skin of the inner thigh and helps to remove fat.

Exercising exercises to lose weight on the inner thigh, you can use dumbbells, weights, fitball, expander or gymnastic tape.

Warm up

High-quality body workout - the foundation productive workout. It will be great to start warm up with a light cardio load - running in place, jumping rope, jumping. Careful warming up of the joints should not be neglected. Rotation of the socks, knees, pelvic part are mandatory points of development. The warm-up should last at least 5-7 minutes.

Top 7 exercises

After you have thoroughly warmed up, you can proceed directly to the workout. We present to your attention the best exercises for the inner thigh. Do 3-4 exercises in one workout. The number of sets and reps required is indicated for each option separately.

1. Breeding legs to the sides lying

The load in this exercise on the zone we need, the adductors of the thigh muscles, is perfectly involved with the lower part of the press. Fine . Difficulty - medium, if necessary, it can be complicated with weights. Good for stretching. It has a beneficial effect on the reproductive system, forming a rush of blood to the groin area.

Execution technique:

1. Starting position - lie on the mat on your back, arms are located near the body, legs are extended and raised up 90 degrees relative to the floor;
2. Inhaling deeply, slowly spread your legs to the sides until the point is most comfortable for you, hold on for a few seconds;
3. As you exhale, slowly return to the starting point.

Watch the video for more details:

Dilution should be started from 15-20 times in 2-3 approaches, gradually increasing the load.

At the end of the breeding process, it will not be superfluous linger in the position of the spread legs for 20-30 seconds, and then spring the muscles a little.