Information about the procedure
Removal of loose skin from the inner or outer thighs to create a firmer contour.
On this page
What it involves
A thigh lift removes excess skin and fat from the thigh. It is most often performed after significant weight loss, when the skin has not retracted to match the reduced volume.
Loose skin on the inner thighs causes not only cosmetic concern but also practical problems — chafing, rashes, and difficulty walking and exercising.
As with brachioplasty, the main trade-off is the scar. The inner thigh is an area of constant movement and friction, which makes healing less predictable than elsewhere.
Types and approaches
Inner thigh lift with a vertical incision
An incision along the inner thigh, running down from the groin. It is used when there is marked excess skin along the entire length of the thigh.
Inner thigh lift with a groin incision
The scar is hidden in the groin crease. Suitable only when the excess is limited to the upper thigh.
Outer thigh lift
The incision runs along the upper outer thigh and is usually part of a more extensive operation after significant weight loss.
With liposuction
Where skin elasticity is good, part of the result can be achieved with liposuction alone, without removing skin.
Who it is suitable for
Suitable for
- Marked skin laxity after significant weight loss
- Chafing and rashes on the inner thighs
- A stable weight for at least 6–12 months
- Restrictions on clothing choices and physical activity
- Accepting the scar as part of the result
Not suitable, or postponed, in cases of
- Ongoing weight loss
- Lymphoedema of the leg, or a history of lymphatic problems that has not been assessed
- Current smoking
- Advanced varicose vein disease that has not been treated beforehand
- Thrombophilia or a history of thrombosis without preventive treatment
Preparation
- Stabilising your weight
- Assessment of the venous and lymphatic status of the legs
- Stopping smoking at least four weeks before surgery
- Pre-operative tests and assessment of thrombosis risk
- Having a compression garment ready and help at home for the first week
How it is performed
The operation is performed under general anaesthesia and usually takes two to three hours. The hospital stay is one to two nights.
Liposuction is performed first to reduce the volume; the excess skin is then removed and the wound is closed in layers.
Anchoring the deep tissues to a stable structure is important, because without it the groin scar migrates downwards over time.
Recovery
- The first 48 hoursSwelling and discomfort on movement. Early mobilisation is essential to prevent thrombosis, even if only in the form of slow, short walks.
- The first weekDrains in some cases. Walking is limited and done with the legs slightly apart. The compression garment is worn day and night.
- 2–4 weeksReturn to light office work usually after 2–3 weeks. No squatting and no sitting with crossed legs.
- 1–3 monthsThe swelling decreases. The scar is in its most active phase.
- 6–18 monthsThe scar fades. Because of movement and friction in this area, it often matures more slowly.
Pain and discomfort
Discomfort is moderate to considerable in the first few days, mainly on movement. Sitting down and getting up are uncomfortable. After the first week it becomes noticeably easier. For the first few days, pain relief is given on a fixed schedule.
Risks and complications
Every intervention carries risks. Listing them does not mean they are expected to occur — it allows you to make an informed decision.
- Widening or downward migration of the scar — common with this operation
- Delayed healing in the groin because of moisture and friction
- Fluid collection (seroma)
- Lymphoedema if lymphatic vessels are damaged
- Deep vein thrombosis
- Altered sensation
- Asymmetry
- Distortion of the external genitalia if the skin is pulled upwards too tightly
Results and longevity
The contour improves significantly, and the improvement is long-lasting provided your weight remains stable.
The scar is long and remains visible. This is an operation where you need to understand in advance exactly what you are trading for what.
The skin continues to change with age and with changes in weight.