Overview

Skin and fatty tissue excess is a common problem in the inner thigh region, particularly following large volume weight loss. A thigh reduction, or wedge excision of the thighs is the surgical technique used to help correct this problem.

Redundant or excess skin and fatty tissue in the inner thigh region can lead to infection through rubbing, or to other conditions such as fungal disease. These problems can become chronic and a source of embarrassment, as well as a health risk. Excessive fatty deposits on the inner thighs, coupled with skin excess, can also reduce mobility and will largely determine the type of clothes that can and cannot be worn.
Both men and women who have experienced significant weight loss, are excellent candidates for thigh reduction surgery, as these patients usually have hanging skin in the thigh area, that exercise cannot repair.

Who is the best Candidate?

The inner thigh skin is very thin and in some patients, where the skin quality is poor and redundant, the best procedure is to excise the redundant skin and reattach it tightly. The advantage of this procedure is that the scar is hidden within the groin line, so that it is undetectable under clothing. The inner thigh lift usually incorporates some liposuction of the medial thigh to enhance the overall silhouette of the leg.

What to Expect

If performed for medical reasons, Thigh reduction can attract medicare rebates. A percentage of your surgeons, anaesthetist and hospital fees may then be claimed from both Medicare and your private health fund if you have cover. You will need a referral from your general practitioner if you wish to claim.

The consultation with your Surgeon will be lengthy, and we advise at least two consultations prior to proceeding. Feel free to write down any queries that you may have for each visit. Remember to mention any medical history that you may have and any medications that you are taking. If you are a heavy smoker or have diabetes or clotting disorders, you may not be a suitable candidate for this surgery.

Surgery

This surgery involves a general anaesthetic and can be performed as Day surgery. Your Surgeon however may advise an Inpatient stay of one or two nights.
Two types of surgery can be used for thigh reduction. Your Surgeon will determine which technique you require.

  1. The most common technique involves an incision in the groin crease from front to back. Tissue is excised and the thigh is drawn up and sutured to the bone with permanent internal sutures. This is combined with liposuction and keeps all incisions within clothing lines. This technique takes two to three hours and is used to address skin and fatty excess in the entire thigh, both front and back.
  2. In the second technique an incision is made on the inner thigh from groin to just above the knee. A wedge of skin and fatty tissue is removed and the skin is then pulled tightly together and resutured.

A small liposuction cannula may be used to feather the area and give a smooth contour to the thigh. This second technique is used when there is a lot of loose skin lower down the thigh and when the main area of concern is the inner thigh region.

Risk

All surgery carries risk and complications and it is important that you are aware of these risks and complications and that you understand them fully prior to proceeding. By having a qualified Plastic and Reconstructive Surgeon performing your surgery, particularly one who has experience in this procedure, your risk of developing a complication is minimal, however despite all measures taken, occasionally a complication will develop.

After Surgery

After your procedure you will spend a day in hospital and discharged with medication for pain and nausea. You will be discharged with drains, which will be removed by nursing staff within our rooms. In this appointment you will be given a second garment.You are required to wear your garment day and night continuously for 5-6 weeks.You may commence gentle walking for short distances within the first few days.

Do not lift or strain for three weeks post-operatively.It is normal for you to feel swollen for the first few weeks following your Surgery.  Swelling and bruising may not subside for up to ten weeks post-operatively.

Thigh reduction is a rewarding procedure, reducing bulky thigh tissue and excess skin that can otherwise produce poor hygiene and immobility. Although incisions extend from groin to knee, most clients are happy with the overall result and find it easy to conceal any scars with clothing, that is, the scars are a trade-off for a better aesthetic appearance.