Loose skin on the inner thighs is most often seen after major weight loss, but also develops to a less pronounced degree with age. There can be various reasons why you want correction of loose skin on the thighs. The problems are primarily cosmetic, but the excess skin can be so great that it causes practical problems with clothing, moisture formation and skin fungus.
In a correction of loose skin on the thighs, the skin is tightened by removing skin on the inside of the thighs.
Primarily across, but in pronounced cases also lengthwise. In most cases, the skin removal is combined with liposuction.
The operation takes place under full anesthesia, and you are hospitalized until the following day.
You should not be significantly overweight when you have this operation. In practice, this means that BMI must not be much over 30 (BMI is calculated from height and weight BMI = weight/height x height).
It is important that you are well prepared for the operation. Your weight should be as close to a normal BMI of 25 as possible. Smoking is the main cause of complications such as infection and tissue death, and you must therefore stop smoking at least 4 weeks before the operation and must start again no earlier than 4 weeks after the operation.
Different kinds of medicine can affect the operation and especially cause bleeding problems. You will therefore, in connection with the preliminary examination, talk to the specialist about how you should deal with the medication you may be taking.
Complications after thigh surgery are rare. Should complications occur, we have effective means to treat them. Our surgeons are available 24 hours a day all year round in connection with treatments. If you think something is wrong, call us. If you are in doubt and live far away, call your local emergency room for help. Bleeding may occur after each procedure. This occurs very rarely, and usually within the first day. It is therefore very important to keep calm and not travel more than 1-2 hours away from the clinic for the first day after the operation. Bleeding manifests itself as suddenly increasing pain and swelling in the thigh region. This is not dangerous, but requires another small operation where the wound is opened and the bleeding point is stopped. The end result will not be affected by such a complication.
Infections occur very rarely . Signs of infection are red, hot, painful skin in the operation area. This is often accompanied by a reduced general condition and fever. In case of such symptoms, you should contact us, or another doctor if you live far away.
Healing problems along the scars occur more often in obese people, smokers and patients with diabetes. This will take the form of a oozing wound in parts of the scar for a few weeks, and normally heals on its own.
The worst possible complication is loss of skin or loss of tissue, either in whole or in part. Fortunately, this occurs extremely rarely, and almost exclusively in smokers. All surgeons who carry out this type of surgery will sooner or later be able to experience it. In thigh plastic surgery, the tissue is tightened when the wound is closed. This results in reduced blood circulation. Smoking will further worsen blood circulation and the tissues may receive too little oxygen. It is therefore very important not to smoke after a thigh plastic surgery. The wound needs all the oxygen it can get. Such a complication requires long-term wound changes and perhaps new operations. The result could be negatively affected.
Loss of or reduced sensation in the skin may occur. This will usually improve, and in some cases completely return. This often takes a long time, and one can expect improvement up to one to two years after the operation.
Weight gain or hereditary factors can contribute to an increased amount of fat on the thighs. Some people seem to have a tendency to put on a lot of weight above the thighs. Exercise combined with diet gives results, but in some patients the fat burning seems to be more pronounced elsewhere on the body, so that the thighs “lag behind”. In young individuals with good skin, liposuction may be able to solve the problem. Often, however, the skin is loose and inelastic, especially on the inside of the thighs in women who have chosen to lose weight, or in those who have had slimming surgery. It may then be necessary to remove excess loose skin at the same time as the liposuction.
Thigh plastic surgery cannot be done on severely overweight people, the limit is BMI (body mass index) 28. With a BMI over 28, the possibility of complications increases dramatically. Here we set requirements for weight reduction first. It is an advantage that such operations are carried out after you have reached your comfortable weight. Further weight reduction may lead to the need for another operation later on.
The vast majority of our patients are very satisfied with the improvement they achieve both cosmetically and functionally, but it is important to have realistic expectations. Being overweight rarely gives a fully satisfactory result. It is not possible to perform a thigh plastic surgery without leaving a scar. The scars are often red and hard at first, but with time they fade and soften. Parts of the scar may vary in width. Sometimes there are small “donkey ears” at the ends of the scar. The more loose skin that is removed, the greater this problem. These usually disappear on their own within a year, but can possibly be removed later with a small adjustment.
In rare cases, the scars become wide and clearly visible. It is not always so easy to predict how the scars will turn out. You can get some idea by studying any previous surgical scars on your body. Much depends on whether our advice is followed and on the individual’s natural ability to create scars. The vast majority of our patients do not feel that the scars represent any problem. On a rare occasion, it may be necessary to carry out a scar correction, but there is no guarantee that the scar’s appearance will improve. The liposuction (liposculpture) can also rarely leave irregularities, which can be corrected. Such small adjustments are offered in cases where it is believed that the result will certainly improve.