Thigh lifting is the surgical procedure where you remove excess skin and fat from the inner side of the thighs. This results in a balanced proportion between your thighs and the rest of your body.

The outline of the thighs can also be obtained by liposuction of the adipose tissue at this level, thus thigh lifting is used in treating flabby skin.

You are a candidate for intervention if:

• You have lost weight, and excess skin begins to provide a state of physical discomfort;
• You have very loose skin in the inner region of the thigh;
• There is a disproportion between your thighs and the rest of your body;
• You followed diet and exercise to reduce fat deposits in the thighs and did not get the desired result;
• You have realistic expectations;
• You can engage in a healthy lifestyle without major weight fluctuations.

 

The consultation is mandatory and has the role of understanding your dissatisfaction, expectations and associated health problems.

The operating plan is established following a detailed evaluation on:

• Your health problems;
• Your expectations;
• Body dimensions;
• Mandatory paraclinical investigations.

Paraclinical investigations may vary depending on the associated pathologies that will be discussed during the consultation.

Preoperative training

Preoperative investigations are needed to determine your health and include:

• deep and superficial venous doppler ultrasound of the lower limbs;
• blood tests (blood count, coagulogram, AST, ALT, Cholesterol, Triglycerides, Urea, Creatinine, Blood sugar, etc.);
• Electrocardiogram (EKG), for monitoring heart function.

Carrying out the intervention

Preoperatively, you will be photographed in various incidents, the area subject to excision will be marked and you will be led to the operating room.

The operation is performed under general anesthesia, and the only preoperative discomfort you will feel will be given only by the installation of the venous access line (branula).

Postoperatively you will be monitored in a salon equipped to monitor your vital functions, you will have drain pipes mounted on both thighs and compression tights, up to the knees. Discharge is made on the 2nd day after the intervention.

Complications

• Dehiscence (loosening of sutures),
• Deficient scarring (hypertrophic, retractile, keloid scars),
• Infection,
• Bruising (bruising),
• Changes in the sensitivity of the skin of the inner thigh. They may be temporary or permanent,
• Minimal bleeding until hematomas form,
• Delayed healing (smoking, diabetes, autoimmune diseases can slow down the healing process),
• Asymmetry between the 2 thighs,
• Serum (accumulation of a clear, yellow liquid, are saturated trances),
• Skin necrosis,
• Deep vein thrombosis, which can cause pulmonary and cardiac complications,
• Allergies (drugs, topically applied agents, plaster, suture material, etc.),
• Thick necrosis (adipose tissue is very sensitive when vascularization is deficient, leading to its liquefaction),
• Possibility of a revision intervention (s),
• Anesthetic risks.

Pre-operative recommendations

• Stop smoking at least 2 weeks before surgery. Smoking is totally contraindicated.
• If you are taking contraceptives, stop them and use other contraceptive methods until after the operation. This is necessary to reduce the risk of deep vein thrombosis and pulmonary thromboembolism. The contraceptives are stopped after a consultation with the gynecologist, who prescribed your medicine.
• Avoid taking aspirin, ibuprofen and other non-steroidal anti-inflammatory drugs at least 7-10 days before surgery. These medications can cause bleeding during and after surgery. If you take other natural supplements, you should mention them, as they may cause bleeding.
• The night before the intervention you will take a shower (body + hair), you will rest!
  After 00:00 you will not eat or drink anything. If the intervention is scheduled in the afternoon, you will not consume food and liquids at least 8 hours before the intervention.
• If you are taking medication, please let me know, some of which may interfere with anesthesia or surgery.
• On the day of the operation, you will not wear contact lenses, false nails / nail polish, hairpins, make-up – all these can mask the signs necessary to follow your vital functions intraoperatively and can interfere with some maneuvers in the operating room.
• You will arrive at the clinic wearing light, comfortable clothes that can be easily worn after the operation.
• Make sure you have someone to transport you from the clinic at the time of discharge.
  After the intervention you will be slightly confused, which is why you avoid any important decision, signing documents, etc.
• The postoperative diet will be a dietary one (without foods that can cause nausea / vomiting, bloating or any digestive discomfort) – start by drinking liquids / soups and gradually switch to solid foods (yogurt, diet cheese, boiled vegetables, boiled meat / grilled etc).
• I encourage you to start postoperative mobilization, initially getting up at the edge of the bed, then taking light walks (! Accompanied / Accompanied).
• You will be discharged / discharged the day after the intervention, when control pictures will be taken and we will set up your next meetings and questions.

Post-operative recommendations

• You will follow drug treatment: antibiotic, NSAID, gastric shield. It is forbidden to consume alcohol during the administration of medication.
• You don’t have to stay alone in bed, but to move around the house in the first postoperative days, until you resume your activity at work;
• You can take a shower as soon as you get home, without rubbing the steri-strips with sponge / luja. Do not apply creams or oily lotions over strips;
• Removal of the surgical adhesive at 14 days postoperatively. After removing it, you will apply gel-based healing creams (Strataderm, Stratamed, Cimeosil, etc.) on the scars, massaging lightly for 5 minutes – morning and evening for 6 months.
• You should avoid any physical effort in the first 6 weeks, which could increase your heart rate and consequently increase the risk of bleeding (fitness, aerobics, etc.);
• If you have a drain tube, it will be removed when drainage is minimal.
• You will wear an elastic restraint for 2 weeks, it will be removed in the shower / bath. In the next 2 weeks you will wear it 12h / day – mandatory at night. The purpose of contention is to reduce edema and achieve better healing.
• Pain and bruising are normal after the operation, they are alleviated with the help of the painkillers I prescribe you and with local applications with Lioton gel / Alle gel / Hirudoid etc.
• The edema improves after three to four weeks postoperatively.
• The final result appears at 3 months, when the edema should be completely reduced, the incisions are healing and the mobility of the lower limb is regained.
• Your thigh skin may be numb or your sensitivity may be diminished. It is normal, and sensitivity will be restored in a few months to 2 years.
• If you have one of the signs: fever over 38 degrees C, redness that starts in the incision and spreads, purulent or foul-smelling secretions in the incision, intense pain and discomfort that is not relieved by anti-inflammatory drugs (Ibuprofen, Ketonal , Arcoxia, Tador etc) – THIS REPRESENTS SIGNS OF INFECTION AND YOU MUST CONTACT ME (phone, sms, what app, mail).
• At 1 week after the operation you should be able to resume your old habits.
• Periodic consultation at 2 weeks, 3 months, 6 months, 1 year and then once / year postoperatively (upon request).