Where is the best place to have plastic surgery on the inner thigh? Thigh lift - non-surgical and surgical methods. Causes of defects

Plastic surgery aimed at removing excess sagging skin and restoring the aesthetics of the inner thigh contour. The purpose of a thigh lift is to correct cosmetic imperfections resulting from decreased elasticity and sagging skin. If there is excess adipose tissue, liposuction can be performed simultaneously with femoroplasty.

Skin defects on the inner surface of the thigh cause not only psychological discomfort, but also cause medical problems. Many patients complain of diaper rash, irritation, and constant inflammation in the area of ​​skin folds. Hip plastic surgery helps eliminate aesthetic defects and successfully solves associated functional problems.

Operation description

The purpose of femoroplasty is to eliminate cosmetic defects caused by stretching of the skin of the inner (mainly) surface of the thigh and a decrease in its elasticity. Also, the objectives of a thigh lift can be formulated as follows:

• Modeling the external and internal contour of the legs.
• Reducing hip circumference by removing excess skin.
• Recreation of harmonious proportions of the hips and buttocks.

Removing excess fat tissue is not the goal of femoroplasty. To solve this problem, liposuction is used, which can be performed together with femoroplasty. According to indications, a buttock lift, gluteoplasty, or abdominoplasty can be performed simultaneously with plastic surgery of the inner thigh.

The final strategy for hip and gluteal rejuvenation depends on the specific aesthetic concerns and wishes of the patient. Certain restrictions are imposed by the patient’s health and age, since the above operations are complex and are accompanied by a long rehabilitation period.

Types of thigh lift

Removal of loose skin, folds and sagging is performed through incisions along the inner thigh or in the area of ​​the groin fold. Depending on the type of surgical approach, there are three types of femoroplasty:

1. Middle.
2. Vertical.
3. Combined.

1. Middle method. Middle, or medial, femoroplasty is performed through an incision along the inguinal fold. Since the incision is located in a natural fold of the skin, it is easy to hide under underwear or a swimsuit.

2. Vertical femoroplasty. Vertical femoroplasty uses a long vertical incision along the inner thigh to remove excess skin. The incision is long, leaving a noticeable scar after the operation. The vertical method is used for significant skin defects that cannot be corrected with gentle midline femoroplasty.

3. Combined femoroplasty. When using this technique, an incision in the groin area is supplemented by surgical access along the inner surface of the thigh, but its length is shorter than with vertical plastic surgery.

When choosing a method for plastic surgery of the inner thigh, the surgeon takes into account the nature of the aesthetic problem, its severity and location. For example, if the main cosmetic defect is located in the superomedial thigh, it can be successfully corrected using midline femoroplasty. If folds and sagging skin are located along the entire inner surface or near the knee joints, a vertical or combined method is used.

Femoroplasty: is there an alternative?

There are no alternatives to surgical plastic surgery of the inner thigh. Femoroplasty is performed only when there is a pronounced skin defect and significant deformation of the contour of the legs. If there are indications for plastic surgery, then non-surgical methods are no longer effective! Minor surgical interventions, for example, tightening the skin of the thigh with threads, also have no effect.

Preparing for a Thigh Lift

A thigh lift requires complete preoperative preparation. The patient undergoes a full medical examination, which includes an electrocardiogram, blood and urine tests for dangerous infections, a coagulogram, and fluorography. According to indications, the list of diagnostic procedures can be expanded, and the patient can be prescribed consultations with specialized specialists.

A full medical examination is necessary because inner thigh surgery lasts from 2 to 4 hours. All this time the person is under anesthesia. To minimize surgical and anesthetic risks, the medical team must have the most complete and up-to-date information about the patient’s health status.

2-3 weeks before a thigh lift you need to give up alcohol and smoking. You also need to stop or limit the use of medications that affect the blood coagulation system. You should know that many medications for colds, joint pain, menstrual pain and headaches, which are sold over-the-counter in pharmacies, worsen blood clotting.

Indications for surgery

The main indication for femoroplasty is excess skin on the inner surface of the thigh with signs of decreased elasticity of the skin, the formation of noticeable defects in the form of sagging, folds, and bumps.

With the help of a thigh lift, you can also eliminate an aesthetic defect in the skin along the front, outer or back surface of the thigh. But in practice, plastic surgeons rarely encounter skin changes in these anatomical areas, which is explained by the peculiarities of their histological structure and endocrine regulation.

The aesthetic problems mentioned above may be caused by one of the following reasons:

• A sharp change in body weight: losing weight by 15-20 kilograms or more over the course of a year or a year and a half.
• Fluctuations in the volume of adipose tissue on the inner thighs caused by hormonal changes, pregnancy and childbirth.
• Age-related changes, manifested by deterioration of skin elasticity and turgor.

One of the main reasons for the formation of defects on the inner thighs is a lack of physical activity and excess body weight. Subsequent attempts to normalize body weight have some effect, but leave excess skin susceptible to sagging and deformation. The risk of developing a pronounced cosmetic defect is higher if weight loss measures are taken at an advanced age.

A thigh lift is a “female” operation. Men do not turn to plastic surgeons with this problem. This is explained by the peculiarities of the distribution of adipose tissue in the female and male body. In women, a significant amount of fat depots is concentrated in the thighs. In men, excess adipose tissue appears mainly along the anterior wall of the abdomen.

Contraindications for surgery

Restrictions on plastic surgery of the inner thighs:

• diabetes
• cardiac pathology in the stage of decompensation
• thrombophlebitis of the vessels of the lower extremities
• obliterating atherosclerosis
• chronic venous insufficiency (varicose veins) of the lower extremities
• malignant tumor of any location
• pathology of the blood clotting system
• severe renal and liver failure
• pregnancy, lactation

Rehabilitation after surgery

There is no need for long-term hospitalization. The patient remains in the hospital for a day, after which he returns home. Routine examinations after femoroplasty are scheduled on the 7th, 14th and 21st days. Based on the patient’s health condition, the examination schedule can be changed at the discretion of the plastic surgeon. In the future, it is necessary to come for scheduled examinations once a month for six months after the operation.

To speed up recovery and get maximum aesthetic results, it is enough to strictly follow the recommendations of the operating surgeon:

• Wear compression stockings for at least 2-3 months.
• Do not engage in sports until specifically authorized by your attending physician.
• Limit physical activity.
• Take only medications prescribed or approved by your doctor.

Femoroplasty gives a lasting, in fact, lifelong aesthetic result. Practice shows that re-correction is never necessary.

Prices for thigh lift at the GALAXY Beauty Institute

The prices for the operation can be found in , which is located on the website in the appropriate section.

The cost of the operation includes:

1. Inspections (initial and subsequent)
2. Dressings
3. Stay in the ward (robe, towel, slippers, disposable hygiene kit)
4. Anesthesia
5. Nutrition

Upon admission to the department:

• Compression stockings are provided as prescribed by the anesthesiologist;
• Compression garments are provided as prescribed by the plastic surgeon.

After the operation, as prescribed by the plastic surgeon, a referral for rehabilitation procedures is issued.

Every woman wants to have beautiful and toned thighs. Women's slender legs have always attracted the attention of men. Therefore, the unaesthetic, unattractiveness of the hips often upsets a woman.

The appearance of the thighs may deteriorate due to severe weight loss, due to age-related changes, decreased skin elasticity, due to hormonal imbalance and a number of other reasons. Excess skin in the thigh area is a common indication for aesthetic surgery - a thigh lift.

Some women are only unhappy with the inner thighs, where the skin is often less elastic and the tissues are looser. Due to friction on the inner surface of the thighs, skin irritation is often observed and in general discomfort is felt when moving.

Of course, the advisability of the operation is discussed at the consultation, after examination by a plastic surgeon.

According to indications, the inner and/or outer surface of the thighs is lifted.

The most common types of operations:

• tightening the inner thigh;
• tightening the outer thigh;
• tightening of both the outer and inner surfaces of the thigh.

The location of the incisions is discussed during the consultation. As a rule, postoperative scars are hidden under underwear.

Operation

The scope of the upcoming correction depends entirely on the initial condition of the patient’s hips, as well as his wishes for their appearance after surgery.

According to indications, liposuction of the thighs is additionally performed.

A thigh lift is performed under general anesthesia. The average duration of the operation is about 2 hours. Upon completion of the operation, cosmetic stitches are applied.

The patient stays in the hospital for 1 day or more (as necessary).

After a thigh lift, it is mandatory to wear special compression garments for a month.

Rehabilitation after a thigh lift

Recovery from thigh lift surgery takes approximately 3 months. During the rehabilitation period, you must strictly follow all the recommendations of your doctor.

You should rest more in the first weeks. Minor physical activity is allowed 2 weeks after a thigh lift. Active sports - no earlier than after 2-3 months. For at least a month it is forbidden to visit a sauna, bathhouse, solarium, or expose the operated area to direct sunlight.

Hormonal and age-related changes affect not only visible areas of the body. Hips can also take on an unattractive appearance as a result of losing weight, after childbirth, or have aesthetic flaws initially. They are usually damaged by folds caused by sagging skin, increased volume, and ptosis of soft tissues. Thigh plastic surgery (femoroplasty) will help solve these and other problems. This method will give effect where diet and exercise fail.

Read in this article

What is the procedure

The operation is performed to restore smoothness, elasticity, firmness and harmony to the hips. In some cases, it is also necessary to adjust the volume, for which plastic surgery is combined with liposuction. It is also carried out for medical purposes. After all, sagging tissues in this area can interfere with walking, cause abrasions on the skin, physical discomfort, problems with choosing clothes and the need for frequent replacement due to rapid wear.

Hip correction may be needed in different areas of a given part of the body. Femoroplasty changes the appearance:

• inner surface;

• outdoor area;

• full hips;

• thighs combined with buttocks.

In accordance with the location of the problem area, incisions are made, excess tissue is excised, the remaining tissue is moved and the wound is sutured.

Useful video

To learn how and why plastic surgery of the inner thighs is done, watch this video:

Indications for use

Not all leg defects can be corrected by plastic surgery. And if the unaesthetic appearance of the hips is caused by excess excess weight, it is possible that the patient will first have to lose weight. The operation to correct them is in this case the finishing touch, and not the main method of solving the problem.

For hip plastic surgery, there are clear criteria that make it necessary:

• stretching of the skin and the folds and unevenness caused by it;

• rolls of fat on the outside, giving unwanted additional volume;

• irritation on the surface of the skin caused by too close contact due to excess tissue during movement.

Contraindications

For any type of intervention to improve the appearance of the hips, indications alone are not enough. There must also be no reason why the operation could be dangerous for the patient. Contraindications to its implementation include:

• pathologies of the heart and blood vessels;

• oncological diseases;

• serious disturbances in the functioning of the endocrine system;

• infectious diseases;

• pathologies that interfere with blood clotting;

• periods of pregnancy and lactation;

• thrombophlebitis.

Preparation for the event

The most frequently performed operation is plastic surgery of the inner thigh. It, like surgical correction of other areas, requires. The first stage is an examination to determine the patient’s health status. It consists of:

• blood and urine tests;

• blood clotting studies;

• tests for infections;

• fluorography;

• therapist consultations.

If general health allows for surgery, the patient should take measures to facilitate its success and avoid complications:

• 2 weeks before the intervention, stop taking anticoagulants and antiplatelet agents;

• at the same time, eliminate alcohol from your life and forget about smoking;

• do not go on a strict diet that weakens the body, but also do not overeat;

• take vitamins to avoid colds;

• Do not expose your skin to ultraviolet rays.

Plastic surgery is done on an empty stomach, that is, the last meal before it should be completed 8 hours before the start of the intervention.

How is it carried out?

Surgical correction of the hips is done under general anesthesia. In total, the operation takes 2 - 2.5 hours, unless combined with other interventions. Often, along with femoroplasty, liposuction of this area, lifting the buttocks and abdomen are performed.

The intervention begins with the patient receiving anesthesia. She is laid with her legs apart and raised at the knees. Then the surgeon applies markings on the skin in order to clarify the nuances of the operation (where to make incisions, what and how much tissue to remove, tighten, etc.). The doctor’s further actions depend on the area of ​​the hips that will be corrected:

• If it is an external surface, the incision starts from the groin and goes around the hip joint. The seam is then covered with underwear.

• If it is necessary to tighten the entire surface of the problem area, access is made through an incision from the fold under the buttocks, running along the border of the groin and ending at the edge of the junction of the thigh and pubis. It looks like a spiral.

• The joint improvement of the buttocks and thighs dictates the need to make ellipsoidal incisions through their upper border, from one hip to the other. This allows minimizing forced tissue trauma.

• Plastic surgery of the inner thigh is done through an incision from the inguinal folds to the knee area. This is a clearly visible area where it is difficult to disguise the seam. Access is also possible only through a dissection in the area of ​​the inguinal fold or one vertical one to the knee.

Rehabilitation

The patient's recovery after hip surgery begins from the moment he is transferred to the ward. You will have to stay in the hospital for 1 to 3 days, where the sutures are taken care of and the drainage tubes are gradually removed. At first, there is pain and swelling in the thighs and bruises. But after 2 - 3 weeks these problems disappear. You can take pills to relieve pain. Compression garments will help you get rid of the syndrome faster, alleviate it, and make the entire recovery period easily bearable. It is put on immediately after the operation and worn for up to 2 months.

What other features distinguish rehabilitation after hip surgery:

• you can get up the next day if the operation was not supplemented by liposuction;

• on the third day you are allowed to take a shower, avoiding getting water on the incision lines (genital hygiene is acceptable even earlier);

• after 10 - 14 days, the sutures are removed, at the same time light physical activity is allowed;

• the swelling goes away in 3 - 5 weeks, by which time you can go back to work;

• for the first 30 days you cannot visit the sauna, swimming pool, solarium, or take a hot bath;

• It is forbidden to drink alcohol, it is undesirable to smoke;

• Active physical activity is allowed no earlier than 2 months after surgery.

Result

The effect provided by hip plastic surgery before and after gives noticeable differences. But it will finally appear after a while, when the swelling goes down and the tissues adapt to the new position. With the help of the operation it is possible to:

• get rid of folds and sagging skin;

• eliminate “ears” on the inner thighs;

• give this part of the legs greater harmony, which they were deprived of due to ptosis and deformation of soft tissues;

• align the surface of the thighs.

Some time ago, it became possible not only to reduce this part of the body, but also, if necessary, to enlarge it. The need for enlargement arises due to the disproportionate size of the hips, as well as their insufficient slimness. The contours are changed using silicone implants installed through the fold under the buttock into the formed muscle pocket. The result in this case is a slight increase in the circumference of the hips and making them slim.

Complications

Since correction often has to be done in older patients, and surgery is a serious intervention in the functioning of the body, it does not exclude the possibility of complications. Failure to comply with rehabilitation conditions contributes to them.

In addition to these complications characteristic of this type of operation, there are others characteristic of many aesthetic (and not only) interventions:

• seromas and hematomas;

• impaired lymphatic drainage, leading to swelling of the legs;

• infection;

• development of thrombosis.

In addition, implants not only enlarge the hips; plastic surgery with their use can result in rejection of foreign materials and their displacement.

Price

The cost of femoroplasty varies from 130,000 to 300,000 rubles. It is determined by the type of surgical correction, the scale of the work, and the qualifications of the doctor. There is no point in saving money, especially when hip enlargement is required. These operations are performed recently; the skill of the surgeon and the accuracy of the actions are more important than ever.

Hip correction surgery is an extreme measure used to restore the beauty and slimness of this part of the body. But with good quality, it provides the most lasting results. However, to maintain it, further efforts will still be needed - proper nutrition and exercise.

Reasons for hip surgery are as follows:

Femoroplasty is not performed if there are restrictions such as:

If the patient has the listed contraindications during preparation, then to eliminate the imperfections of the hips it is worth considering cosmetic and hardware techniques - SplitFat Sistem, mesotherapy,

Kinds

The procedure varies according to the type of surgical approach. The lift can be:

• Internal (middle or medial). Involves correction with an incision along the inguinal fold. Excess skin is excised, then the inner thigh is pulled up. Surgeons use this method for minor ptosis. The technology is the most gentle and carries with it the minimum of complications.
• Spiral (external or lateral). The scalpel passes around the thigh - from the inguinal fold the cut goes into the subgluteal fold and again to the groin. Suitable for such indications as sudden weight loss. The skin is tightened on all sides of the upper leg, and the contour of the buttocks is also corrected. This technology is often combined with gluteoplasty. This type of femoroplasty is more traumatic because the scars are deeper.
• Vertical. The incision runs along the inside of the thigh and resembles a triangle, starting from the groin and tapering towards the knee. The skin wedge is removed and the wound is sutured with horizontal sutures. The method is appropriate for a large area of ​​sagging dermis.
• Combined. It implies a combination of the above types with each other. Ellipsoidal incisions are made. Used for grade III and IV ptosis.

Preparation

During the consultation, the surgeon evaluates the condition of the hips and identifies the cause that led to ptosis. To identify contraindications, the doctor gives a referral for testing.

Before plastic surgery, you must adhere to the following preparatory recommendations:

• Increase water consumption to three liters per day.
• Give up cigarettes and alcohol. Bad habits affect wound healing.
• Limit intake of aspirin and hormonal drugs.
• Postpone sports training for at least three to four months.
• Stick to a diet.

Progress of the procedure

Femoroplasty technology involves the use of general anesthesia. The correction usually lasts about three hours.

The operation begins with marking and an inhalation or intravenous anesthetic injection. After which incisions are made, the fat layer and excess skin are removed. The last step is suturing using the layer-by-layer method. When lifting the thighs, this point is important and the final result depends on it. Otherwise, tissue displacement or damage to the genital organs may occur.

First, the surgeon places internal sutures on the fascia of the thigh muscles, after which the skin is stitched with double threads. In this case, the edges of the dermis should not fit tightly to each other to avoid the appearance of rough keloid scars. The procedure ends with the installation of drainage tubes and application of a sterile dressing.

Recovery

If there are no signs of tissue infection, the patient is allowed to go home on the second or third day. External sutures are removed on the tenth day, but sutures on the inner side of the thigh do not need to be removed, because they are made of self-absorbable threads.

Unpleasant phenomena such as pain, burning, fever, redness, swelling, and numbness persist for two weeks. To stop them, the doctor prescribes painkillers.

During three months:

• It is forbidden to massage the thighs.
• Scars should not be treated with ointments and creams for quick healing. They will increase the swelling.
• It is necessary to avoid exposure to heat - baths, saunas.
• Limit exposure to the sun until the scar is completely formed, otherwise age spots may appear.

Within a month:

• To reduce the risk of complications, it is necessary to treat wounds with antiseptic solutions twice a day.
• To reduce the severity of swelling and bruises, be sure to wear compression garments. It reduces the likelihood of seams coming apart when walking.

During the first week:

• It is forbidden to bend over.
• You cannot get out of bed and sit.
• You are only allowed to lie on your back.

In addition, active sports are prohibited, but physical activity cannot be completely excluded.

The structural features of some anatomical zones of our body are very difficult to correct using conventional methods. Diet or exercise in some cases has virtually no effect on the condition of the skin and subcutaneous fat layer. Moreover, it is difficult for patients of a certain age category to undergo intense physical activity if they have never practiced sports before. For this reason, many plastic surgeries are primarily aimed at correcting those anatomical areas that cannot be corrected by any other means. An area that requires radical correction is the inner thigh. Plastic surgery to correct the contours of the hips is called femoroplasty.

Femoroplasty is a surgical operation whose purpose is the aesthetic correction of the inner thigh and the elimination of cosmetic skin defects. The term femoroplasty comes from the Latin word femur, which means femur.

Typically, femoroplasty is used by those patients who have excess fat deposits on the hips and experience discomfort from constant friction of the inner thighs when moving. This fact contributes to the development of irritation and microtrauma from friction, as well as rapid wear of clothing (trousers, for example). Thus, not only the aesthetic factor can serve as an indication for hip correction.

Unfortunately, the above inconveniences, as well as sagging skin on the inner thighs, occur not only in adulthood, but also in young people. It all depends on the anatomical structure of the body, the patient’s hereditary predisposition and his lifestyle.

It happens that sometimes a person, with the help of diet and constant physical activity, still manages to get rid of excessive fat deposits in the area of ​​​​the inner thighs, but after massive weight loss, a large amount of excess skin remains, which gathers in folds and hangs in the form of an “apron” " It is impossible to eliminate this defect by any means other than surgical hip replacement.

Also, an indication for plastic surgery may be a lack of tissue in the hip area. Too thin thighs and weak inner thigh muscles can also be corrected with femoroplasty.

In what cases is femoroplasty used?

Thighplasty is indicated in the following cases:

• excess fat deposits in the thighs;
• after removing excess skin after massive weight loss or as a result of muscle tissue degeneration;
• with ptosis of tissues in the hip area;
• uneven distribution of subcutaneous adipose tissue on the thighs (too thin thighs);
• weak inner thigh muscles;
• the presence of “breeches” zones (fatty tissue that has accumulated on the outer side of the thigh);
• for cellulite (when pits and stretch marks appear on the skin).

With age, even people with a normal body mass index experience ptosis (sagging) of tissue in the inner thighs. The reasons that determine this process are as follows:

• hereditary predisposition;
• anatomical constitution of the body structure;
• age-related muscle dystrophy in this area;
• decreased skin turgor;
• massive weight loss;
• decreased skin elasticity;
• after liposuction, when a large amount of fat is removed, but without tissue tightening.

Contraindications for hip surgery

Femoroplasty is not an easy surgical procedure. Therefore, factors that hinder its implementation should be taken into account. Hip correction surgery cannot be performed in the following cases:

• acute, chronic or infectious diseases in the active stage;
• diabetes;
• autoimmune diseases;
• oncological diseases;
• cardiovascular diseases;
• thyroid diseases;
• pregnancy and lactation;
• allergic diseases;
• skin diseases in the intended impact area;
• age restrictions (up to 18 years).

Preparation for hip surgery

Preparation for surgery includes several stages:

• consultation with a surgeon;
• comprehensive examination;
• laboratory diagnostics.

The first step in preparing for surgery is a consultation with the surgeon. This must be done so that the doctor can find out the patient’s wishes, talk about how the surgical intervention will take place and what the final result will be. If hip augmentation surgery is performed, measurements must be taken to make prostheses.

The second stage includes identifying contraindications to surgery and the presence of allergic reactions in patients. Consultation with related specialists is also necessary.

Laboratory tests include the following tests:

• general blood analysis;
• blood biochemistry;
• Analysis of urine;
• analysis for (RW) Wasserman reaction (syphilis);
• blood clotting test;
• analysis to detect HIV infection;
• analysis for hepatitis B and C;
• fluorography;
• electrocardiogram.

It is important to know that if sagging skin occurs as a result of massive weight loss, you should not immediately resort to removing excess skin on the thighs. After losing weight, you need to wait until the weight stabilizes, since there is a high probability of fatty complications returning, which will lead to the original condition of the hips.

Methods of performing hip surgery

There are several methods of performing femoroplasty, depending on the surgical approach to this area:

1. Through an incision in the inguinal folds.
2. Through incisions on the surface of the thighs;
3. Through a large incision from the groin to the knee.

The first method is the most gentle, with minimal aesthetic consequences. If the deformation of the tissue on the inner side of the thigh is mild, then it is stretched through small incisions in the groin area. Then excess subcutaneous fat is removed. If the outer side of the thigh needs correction, the incision is made from the groin area around the hip joint. The second method is used for medium volumes of subcutaneous fatty tissue, and the latter method is used for large excesses of excess skin.

If the correction of the hips is carried out in combination with the buttocks, then oval-shaped incisions are made that pass through the hips and the upper part of the buttocks.

To correct all sides of the thighs (inner, outer and back), an incision is made from the fold line of the buttocks along the groin folds.

At the end of the operation, the incisions are closed with stitches. It is very important that the sutures are placed correctly, otherwise there is a possibility of tissue displacement or deformation of the external genitalia. If necessary, drainage tubes are placed in the wound, and after surgery the patient immediately puts on compression garments.

Femoroplasty is also performed in conjunction with liposuction and abdominoplasty. Liposuction is performed before hip surgery, since during this operation only a small amount of fatty tissue is removed, and the main part of the subcutaneous fatty tissue is removed only with the help of liposuction. Correction of the hips primarily involves tightening the skin and creating clear contours.

Hip correction surgery lasts 2-3 hours, usually under general anesthesia, but sometimes spinal anesthesia is used. If additional corrective manipulations are performed, the operation time increases.

Progress of hip augmentation surgery

Among patients, hip reduction surgery is in particular demand; plastic surgery to increase the size of the hips is used much less frequently. Most often, the reason is the uneven distribution of subcutaneous adipose tissue on the thighs. Too thin and poorly developed hips can be perfectly corrected using silicone implants.

The materials from which prostheses are made are durable and safe, as well as high biological adhesiveness to the tissues of the human body.

When enlarging the hips, incisions are made in the subgluteal fold, which will make the seams completely invisible in the future. Also, cosmetic seams should be aesthetically pleasing.

Rehabilitation period

After the operation, the patient spends some time in the hospital under the supervision of a doctor. In the first days you cannot get up, walk or even sit. During this period, the patient experiences pain, an increase in temperature, tissue swelling, and a feeling of discomfort in the operated area. The swelling goes away within a week. The sutures placed on the inside of the thigh are made of biodegradable threads and do not require removal. External sutures are removed after 7-10 days.

In order to make the recovery period as comfortable as possible. A few simple rules must be followed:

• pay special attention to stitches; with proper care they will heal faster;
• immediately after surgery, the patient should wear compression garments, which promote rapid tissue recovery;
• regardless of the patient’s condition, mandatory antibacterial therapy is carried out;
• you should not visit baths, saunas, swimming pools and solariums;
• do not take hot baths;
• avoid direct sunlight;
• For a long time, discomfort may occur in the area of ​​the scars when walking, squatting and standing;
• avoid intense physical activity.

The effect of femoroplasty will become effective a year after surgery.

Possible complications after hip surgery

As with any plastic surgery, a number of possible complications develop after femoroplasty. As a rule, they appear in the form of:

1. Hematoma and seroma. This complication occurs quite often. It occurs due to damage to a large number of blood vessels and lymphatic capillaries. This leads to the accumulation of both serous fluid and blood in the wound cavity. Large seromas and hematomas are excised surgically, small ones resolve on their own.
2. Necrosis of the skin on which the scar is located. Typically, tissue necrosis occurs due to poor blood circulation in the area of ​​the inner thighs and strong tension on the edges of the wound. This leads not only to tissue necrosis, but also to sutures coming apart.
3. Violation of lymphatic and venous outflow. The complication develops due to damage to the lymphatic vessels and disruption of lymph microcirculation. Under the skin of the thighs there is a large accumulation of lymphatic vessels through which lymph flows to the lower extremities. As a result, prolonged swelling in the legs may occur. In some cases, impaired lymphatic drainage can become chronic, which leads to elephantiasis (its large accumulation in the legs).
4. Infection and suppuration of wounds. The complication is caused by bacterial infection, tissue necrosis and the formation of hematomas and seromas. Eliminated by antibacterial therapy.
5. Partial or complete loss of sensation. This complication is temporary and gradually disappears completely.
6. Increased skin sensitivity. This phenomenon is called hypertension. Sometimes increased sensitivity persists for life.
7. Unsuccessful result. Unfortunately, this also happens. It develops as a result of the skin being unable to contract sufficiently to provide the necessary firmness and elasticity.
8. Fat embolism. The complication develops when elements enter the blood or lymph that are not found there under normal conditions. Fat embolism often causes vascular occlusion, which impairs local circulation. This is the most serious complication that leads to a terminal condition.
9. Change in skin color of postoperative scars. Persistent pigmentation may occur at the site of scars. It can only be removed using special cosmetic methods.
10. Displacement of inguinal scars to the thigh area. The displacement and stretching of scars makes them very noticeable. This occurs during large-scale surgery.
11. Asymmetry of the genital organs. This complication occurs due to strong tissue tension.

The occurrence of complications after hip surgery depends both on the professional training of the surgeon and on the patient’s compliance with the rules during the rehabilitation period.

Advantages and disadvantages of femoroplasty

Like any surgical intervention, this method has some advantages and disadvantages.

Pros of hip surgery:

• long-term effect of the procedure (10-15 years);
• returning elasticity to tissues and slimness to legs;
• getting rid of excess subcutaneous fat forever (subject to a lifelong diet and constant body weight);
• acquiring slimness, harmony and proportionality of the hips.

• deep scars and scars;
• if liposuction is performed, then only in conjunction with a thigh lift, otherwise the skin will hang in unaesthetic folds;
• after plastic surgery, unevenness and bumps may appear on the skin, which requires additional correction of the hips;
• long rehabilitation period;
• high risk of complications.

Loose skin on the thighs does not look good on anyone. Therefore, women (and sometimes men) actively fight the “orange peel”, play sports, and attend various salon procedures. In the most serious cases, surgical skin tightening in the thigh area is possible. Let's talk about all this.

Origins of the problem

Even in utero, a person develops a large number of cells in the lower abdomen and thighs. From a biological point of view, this is a kind of “safety cushion” for the period of forced fasting. Nowadays, there is no longer any need to store energy in reserve, but, nevertheless, we are still forced to reckon with this feature of our body.

A special feature of these areas is that fat deposits not only grow quickly, but also go away with great difficulty when following a diet and exercise. These are a kind of “fat traps”, working with which requires persistence and consistency.

And if you consider that the skin of the thighs is not fixed by any ligaments or connective tissue layers, and loses elasticity with age or after intense weight loss, then we can come to a disappointing conclusion: everyone has problems with sagging skin to one degree or another.

Who is it shown to?

Treatment of sagging and sagging skin can be carried out in two categories of patients:

• to eliminate a cosmetic defect in cases where sagging skin prevents you from feeling like a queen of the beach and deprives you of confidence in any other situation when you need to undress (in the pool, in the sauna, etc.);
• for medical reasons in case of significant expression of fatty deposits and significant tissue sagging, when abrasions begin to appear from constant friction of the legs when walking, diaper rash, and impaired blood supply.

Non-surgical methods

The most acceptable option for many. The hip area is easier to hide under clothing than other areas of the body.

Diet and exercise

Stable body weight, the absence of obesity, and frequent sudden weight loss contribute to the fact that the skin of the entire body and thighs in particular is less susceptible to overstretching, loses its original shape and sagging to a lesser extent.

Exercise can affect the condition of the skin and subcutaneous fat by increasing muscle tone and volume and by improving blood flow and lymph drainage from the thighs.

But diet and exercise are only good for preventing the development of a significant layer of subcutaneous fatty tissue and sagging skin. If significant sagging skin has already developed, then these measures can only worsen the situation.

During sports, the volume of muscles increases, which can “push” accumulations of fat cells to the surface and make the legs visually even more lumpy. Over time, as your body fat percentage decreases, your thigh fat will also decrease. But this only happens over time, so you need to be prepared for a possible initial deterioration in appearance from playing sports.

A diet, especially a strict one, low in calories, with a minimum protein content (and these are the diets most modern women prefer) can lead to a rapid loss, first of all, of muscle mass, and only then fat reserves begin to be used up.

As a result, the volume of the hips will decrease, the subcutaneous fat layer will retain its weight and volume. This creates all the conditions for the skin, which does not have time to tighten under conditions of emergency weight loss, to fall under the influence of gravity and under the weight of the fat layer.

Manual massage

Do not confuse manual massage, aimed at preventing and eliminating sagging and sagging skin of the thighs, with anti-cellulite massage. These are completely different things.

For some reason, it is believed that the more aggressive the hip massage is, the better. A sign of a great massage is the bruises on the skin left by the massage therapist. In fact, such an intense effect allows you to smooth out the tubercles, which are accumulations of fat cells. But at the same time, such exposure can damage lymphatic vessels.

In the worst case, this may manifest itself as swelling in the legs or the front wall of the abdomen. With a lesser degree of lymphatic drainage disturbance, the process of fat mobilization from the fat cells of the thighs will slow down. This means that in the long term the process of losing weight in your thighs will slow down significantly.

The disruption of lymph outflow is restored over time. But after repeated injuries (and several courses of anti-cellulite massage can be done in a lifetime), lymph and blood flow can be so disrupted that fat deposits on the thighs become cold to the touch, dense and no longer amenable to any influence.

Unlike anti-cellulite manual massage, aimed at eliminating sagging and sagging skin, on the contrary, is designed to stimulate blood and lymph circulation in order to maximally speed up the metabolism in this area and facilitate the separation of fat cells from the fat they contain. Repeated pats and vibrations help the skin regain its former tone and tighten.

During a course of such a massage, you should not significantly reduce your caloric intake. You can adhere to reasonable restrictions in your diet and engage in those sports that you can do and enjoy.

Losing weight by no more than 2 kg per month will be considered optimal in terms of speed of weight loss. It is at this rate of weight loss in combination with sports and massage that the risk of developing sagging and loose skin is minimal.

Hardware cosmetology

As mentioned above, we don’t just have a layer of fatty tissue on our hips, we have “fat traps” on our thighs. Therefore, simple procedures such as microcurrents and electrical myostimulation may not give any effect.

To get results, you need to use serious means and techniques that have already proven their effectiveness in lifting the thigh area. These are LPG endermology, lipomassage, mesotherapy and mesodissolution.

Endermology LPG and lipomassage

Endermology is a special hardware technology that is designed to correct the figure and eliminate cellulite.

is a set of special endermological movements that are especially effective in breaking down fat in fat cells and removing it from problem areas.

The effect is not only on the skin, but also on subcutaneous fatty tissue, connective tissue structures and muscles.

Effects of LPG endermology and lipomassage:

• improvement of skin texture;
• local improvement of blood circulation and lymph outflow;
• cellulite treatment;
• increasing skin elasticity;
• general normalizing and relaxing effect.

Cosmetic problems that can be solved with their help:

• lifting of thighs and buttocks;
• elimination of "breeches";
• reduction of fat deposits in the lower abdomen, waist (including possible elimination of the “beer belly” in men).

You can achieve a significant improvement in body contours in 6-8 procedures. One procedure takes up to 30 minutes.

Mesotherapy

To correct sagging skin, prepared or ready-made cocktails of drugs with lipolytic and lifting effects are used. The goal is to smooth the skin of the body, improve its condition and appearance, and tighten the skin.

Examples of ready-made cocktails that can be used to perform a non-surgical thigh lift include:

• MPX lipolytic complex produced in Brazil;
• SlimBodi lipolytic complex produced in Brazil: containing L-carnitine, caffeine, guarana extract, green tea extract;
• drug for non-surgical liposuction RevitalCelluform made in Spain: contains phosphatidylcholine, lipoic acid, amino acids.

Mesodissolution

Like mesotherapy, mesodissolution is an injection technique. The difference is that the targets of mesodissolution drugs are precisely “fat traps”, which are so difficult to deal with using conventional methods. With mesodissolution, lipolytic drugs (that destroy fat) are injected directly into the places where correction is needed.

The technique has its contraindications:

• pregnancy;
• cardiac ischemia;
• cholelithiasis;
• varicose veins;
• arterial hypertension;
• kidney diseases accompanied by insufficiency of their function.

The principle of action of drugs for mesodissolution

The drug is injected into the areas of greatest accumulation of fat cells. Under the influence of the drug:

• adipose tissue cells are destroyed;
• fibrosis (overgrowth of connective tissue) is eliminated;
• tissues are tightened;
• the skin is smoothed;
• volumes decrease;
• blood flow and lymphatic drainage are enhanced, which promotes the rapid removal of breakdown products of fat and connective tissue cells, and stimulates metabolic processes.

Results of procedures

According to clinical studies, a course of 6 procedures allows you to get rid of 30% of all fat deposits in the treated area. The results of the procedures last up to 12 months, subject to reasonable dietary restrictions.

Threads and implants

The peculiarity of the skin of the thighs is that it is not possible to tighten it with threads due to the fact that this is a very mobile area. When moving, the skin of any area, but especially the inner thigh, moves significantly. This means that the effect of the threads will be noticeable only in a static position, and when moving it will cause significant discomfort and unnatural displacement of the thigh tissues.

Implants are placed under the skin or muscles of the buttocks. But at the same time, there is practically no lifting of the hips. Surgeries with implants are not performed.

Liposuction and liposculpture

Liposuction can be performed using two different methods:

• as an independent procedure;
• in combination with surgical techniques for excision of excess skin and thigh lifting.

Liposuction areas

• "breeches" area;
• inner thigh;
• peri-knee area.

As an independent procedure, it is indicated for those who have a small amount of adipose tissue to be removed and good skin contractility. If the skin cannot shrink sufficiently after the fat suction procedure, the patient may receive an even more pronounced cosmetic defect than it was before the operation.

To avoid sagging skin and the appearance of sagging after liposuction, excision of skin areas from incisions in the inguinal fold area and skin tightening can be performed at the same time.

How does the procedure work?

Performed in an operating room. For pain relief, general inhalation or intravenous anesthesia or epidural anesthesia in combination with sedation is used. The procedure takes about one hour. Depending on how much fat and what area needs to be removed, one or two skin punctures or small incisions are made, which, when healed, will not leave scars.

Before the fat is sucked out, it may be broken down using ultrasound. After all excess fatty tissue has been removed, the punctures are sealed with a plaster or special glue. The patient is put on a compression garment and sent to the intensive care unit, where he recovers from anesthesia.

Features of conduction on the outer surface of the thigh

Usually, when we use the term “breeches,” we mean all that fatty tissue that can spoil our appearance from the side below the waist. Plastic surgeons have their own view of things and have two definitions for excess fat deposits in the outer thighs. These are already known to us “breeches” and a new definition of “flanks” for us.

“Flanks” are the same “buns” on the hips. They are located just above the riding breeches and, as a rule, are separated from them by a narrow strip of smooth skin.

During the procedure, fatty tissue can be removed from one or both areas. Both areas are marked here in the photo. The one below is the “breeches”. And the one that is higher and which the surgeon points to with a marker is the “flanks”.

Recovery period

You will need to wear compression garments for a certain period of time after liposuction. In addition, a large number of procedures are prescribed to improve the condition and contractility of the skin, reduce sagging and looseness of the fiber in this area.

Of course, you can refuse rehabilitation procedures, but then you need to be prepared for the fact that the result of liposuction may be spoiled by the appearance of sagging skin, which could not tighten and shrink sufficiently.

In addition, you must comply with a standard set of restrictions, such as:

• minimum physical activity;
• no thermal procedures, including taking a bath (only warm showers are allowed);
• In the first two weeks, massage is prohibited; you cannot even smear the skin with anti-bruise products or those that accelerate healing.

Complications

• Flabbiness of the skin.

It occurs even in young girls, but noticeably less frequently than in older women. Usually, before performing liposuction, the surgeon determines the ability of the skin to reduce volume, but such a prognosis is not always 100% correct. The patient’s refusal to perform additional surgical tightening or wear compression garments is also important.

• Loss of skin sensitivity.

In the area where liposuction is performed, skin sensitivity may be impaired due to damage to nerve endings. This complication is usually temporary and goes away without treatment within six months.

As long as sensitivity is absent or reduced, the patient is required to pay special attention to the condition of the skin of the thigh and especially the groin fold, and select underwear and clothing that will eliminate the possibility of chafing. The fact is that with loss of sensitivity, the risk of significant abrasions in the place where clothing or underwear rubs is very significant.

• Edema.

Swelling is an obligatory consequence of liposuction and usually lasts up to two months for everyone, gradually decreasing. Compliance with the restrictions of the recovery period and procedures aimed at accelerating rehabilitation after surgery can reduce swelling much faster.

• Hematomas.

Rarely are they pronounced. These are usually subcutaneous bruises that disappear within 1-2 weeks after surgery.

• Fixation of skin to muscles.

A very unpleasant problem that often develops due to the fault of the plastic surgeon. Usually happens after removing fatty tissue in the “breeches” area. Despite the seemingly large thickness of the fat layer in the area of ​​the outer surface of the thigh, there is not so much fat there, and it is located in a flat layer. The main volume of the area of ​​the outer surface of the thigh is created by muscles.

Fat tissue is contoured so strongly because the muscles simply “push” it to the surface. If the fat layer on the outer outer surface of the thigh is removed too carefully, the skin grows to the muscles and loses its ability to move when moving. From here the patient can have many problems.

• Infection.

In rare cases, skin punctures can become infected, which leads to the development of inflammation and purulent melting of the tissue. A case of infection can be treated with broad-spectrum antibiotics.

If the formation of pus has begun, then surgical treatment is already carried out, which consists of draining and washing the purulent cavity.

Surgical thigh lift

A thigh lift performed surgically is called a dermolipectomy. The name of the operation suggests that to perform a lift, part of the skin and subcutaneous tissue of the thighs is removed, and the remaining tissues are stretched and sutured together. In this way, sagging, sagging skin is removed, and the surface of the thighs is smoothed. Despite its apparent simplicity, the attitude towards the operation is ambiguous.

Firstly, after the operation, pronounced scars remain, which, although they are located in those places that are covered with linen, still do not decorate the patient.

And secondly, the operation has a sufficient number of serious complications, such as the development of thrombosis of the superficial or deep veins of the legs, for example. But let's talk about everything in order.

Video: Surgical thigh lift

What plastic surgeries can be performed simultaneously?

• With liposuction.

Surgical thigh lift as an independent operation aims to remove excess skin. If excess fat tissue needs to be removed, liposuction is performed simultaneously with skin tightening. An example is the same “breeches” that are difficult to remove with lifting alone. Then the fatty tissue from the breeches area is removed using liposuction, and the skin on the thigh is surgically tightened.

• With butt lift.

Simultaneously with a thigh lift, buttock lifting and buttock augmentation with endoprostheses can be performed.

• With tightening of the anterior abdominal wall and groin area, buttock area.

This operation is called body lifting. Conveniently, all these areas are tightened at one time. The disadvantage of this operation is that the volume of damaged tissue is significant. Therefore, the recovery period is more difficult, and the risk of complications increases.

Preparing for surgery

At the first stage, a consultation is held with a surgeon, who determines the presence of indications for surgery and selects the optimal method of performing the operation or a combination of methods. Usually, all issues related to the scope of surgical intervention, possible complications, and the results that can be obtained in each specific case are discussed immediately during the consultation.

If there are indications for surgery, a consultation with a therapist is scheduled, who will determine the presence of contraindications for surgery.

To do this, the therapist prescribes a series of tests and studies. The minimum list includes:

• general and biochemical blood tests, general urine analysis;
• blood tests for syphilis, AIDS and hepatitis;
• ECG, fluorography.

This list can be expanded depending on what chronic diseases the patient has. At the second stage of preparation for surgery, restrictions are introduced on the intake of a number of drugs that may affect blood clotting (aspirin, etc.) or the speed of recovery after surgery. A complete list of medications that you should avoid taking before surgery is provided by the doctor at your appointment.

At least two weeks before surgery, you must stop smoking to reduce the risk of impaired healing of the postoperative wound and the development of a hypertrophic scar.

You should stop drinking alcohol for a week, as this makes the results of anesthesia unpredictable. Eating must be stopped the day before surgery. On the day of surgery, you can only drink water.

Contraindications

• severe somatic diseases with dysfunction of internal organs;
• infectious diseases;
• benign and malignant neoplasms in the body;
• autoimmune diseases;
• tendency to form keloid and hypertrophic scars;
• diseases of the veins and arteries of the lower extremities;
• tendency to thrombosis;
• blood clotting disorder;
• pregnancy;
• menstruation and the first few days after it;
• inflammation of the veins of the extremities.

Types of surgical lifting

• Internal lift.

This type of lift is also called a midline lift. When performing an internal lift, the incision is made along the inguinal folds. Part of the skin from the side of the thigh is removed, so when the surgical wound is sutured, the inner surface of the thigh is tightened. The method is suitable for those who have slight sagging tissue on the inner thigh.

• Vertical lift.

With this method of surgery, the incision goes down the inner surface of the thigh from the inguinal fold to the knee. Stepping back from the first incision, the surgeon makes a second incision so that a wedge of skin is formed, which tapers towards the knee. The skin between the incisions is removed, the edges of the surgical wound are brought together and stitched. A vertical lift is used when a large amount of stretched and lumpy skin needs to be removed.

• Spiral lift.

The incision goes around almost the entire surface of the thigh from the inguinal fold to the outer surface of the thigh, from there to the subgluteal fold and to the groin. Spiral (also known as external) lifting is most often used by adherents of extreme weight loss, when a large percentage of body weight is lost in a short period of time. Then the skin of the entire thigh needs lifting, both outside and inside, both front and back.

• Combined technique.

It is used in cases where the severity of ptosis of the thigh skin does not allow the defect to be corrected using only one type of lift. What types of surgical lifting will be combined is decided by the plastic surgeon himself, based on the degree of tissue sagging and the results that the patient expects.

How is the operation performed?

Surgical lifting is performed only under general anesthesia. It can be inhaled or intravenous. Spinal anesthesia in combination with the use of sedatives is less commonly used. The operation may take 2-2.5 hours. Incisions and tissue excision are carried out according to previously applied markings.

If surgical lifting is combined with liposuction, then liposuction is performed first, and then the skin is tightened. The way the edges of the wound are fixed largely determines the result of the operation.

A feature of the inguinal fold area is its relatively poor blood supply and innervation. Therefore, there is always a risk of slow healing and the formation of a rough, “disintegrated” scar.

To minimize the risk of severe scarring, most surgeons have now abandoned suturing the edges of the skin to each other. Now there are methods for layer-by-layer stitching of tissues with reliable fixation of the lower flap of skin, which will subsequently create conditions for the formation of a thin soft scar. After the stitches are placed, they are covered with a sterile dressing. The patient is put on compression garments, the purpose of which is to reduce tissue swelling and reduce the risk of hematoma formation.

Recovery period

You need to prepare for the fact that the entire recovery period takes about 6 months.

Video:

The initial recovery of well-being to the point where you can return to work takes 2-4 weeks.

• Staying in hospital.

The patient spends the first 2-3 days in the hospital to eliminate the risk of complications of anesthesia and the operation itself, such as bleeding or suture dehiscence. The patient is then discharged home and sees his or her surgeon for an outpatient appointment.

• Postoperative pain.

Pain, burning, and numbness may bother the patient for several days after discharge. Typically, such symptoms can be easily relieved by taking painkillers.

• Compression underwear.

Special shapewear must be worn for at least 1 month after surgery. It promotes faster resorption of edema, reduces pain, and is a prophylactic agent that reduces the severity of subcutaneous hematomas and pressure on surgical sutures.

• Postoperative sutures.

If sutures are placed on the skin with absorbable sutures, then such sutures do not need to be removed. Non-absorbable suture material is removed 10-14 days after surgery.

As long as the sutures are not removed, they must be treated twice a day with antiseptic solutions.

You should not specifically massage the suture area or apply creams or ointments that accelerate healing, as this will increase swelling and can lead to infection of the postoperative wound.

• Mandatory restrictions for the postoperative period.

Such restrictions include:

• sports and any other intense physical activity in the first 2 months;
• thermal procedures (bath, sauna, warm bath) until the swelling is completely resolved;
• solarium until the scar is completely formed, so as not to cause its pigmentation (usually the first 12-18 months).

Despite the ban on playing sports, you cannot allow yourself to be completely immobile, as this can lead to the formation of blood clots in the veins of the legs.

Complications

• Deformation of the genital organs.

Postoperative incisions that run along the inguinal folds are sutured so that the skin is taut. This can lead to displacement of the skin in nearby areas, such as the skin of the groin. Because of this, the genitals can also shift and take an unnatural position.

• Formation of rough scars.

The tissues that form the scar are constantly in a tense state, so the scar that forms in the first two to three months is constantly stretched. As a result, instead of a thin whitish scar, a wide, rough, thick, protruding scar may form.

In many ways, modern surgical techniques used by plastic surgeons can reduce the risk of developing severe scars, but at the moment, none of these techniques can completely eliminate the risk of such a complication.

• Thrombosis.

The risk of developing thrombosis is especially high in those who took antiplatelet agents (drugs that reduce blood viscosity) before surgery and stopped taking them in order not to provoke bleeding during surgery. To prevent complications, it is recommended to avoid a long period of bed rest after surgery and early initiation of minimal physical activity, such as leisurely walking, etc.

• Bleeding or development of seroma.

Typically, collections of blood or tissue fluid are identified as a tense, bulging tumor at the site of the surgical wound. The growth of the tumor is accompanied by the appearance and intensification of arching pain. In this situation, a drainage tube is installed and the cavity is emptied of liquid. Performed in a hospital setting.

• Infection.

To prevent the development of infection in the wound after surgery, a course of antibacterial therapy is administered. Also, it is for this purpose that a drainage tube is left in the wound on the first day after surgery. If inflammation does develop, it is treated in a hospital setting.

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Thigh lift (thighplasty, femoroplasty)

What is a surgical thigh lift?

A thigh lift involves removing excess skin and fatty tissue from the inner and outer thighs. This procedure is often desirable after significant weight loss, or after surgical weight loss. It is also suitable for those who have not been able to get rid of excess tissue on the thighs as a result of dieting or exercise. As a complement to this operation, liposuction can be used to reshape the inner thighs. If you maintain a healthy lifestyle and are of moderate weight, a thigh lift can help restore the desired youthful contour of your thighs.

Thigh lift: pros and cons

When should you consider a thigh lift?

If you want your hips to have a better, more proportional contour so they have a firmer look and feel.
- If you have undergone weight loss surgery or lost a lot of weight.
- If you experience discomfort due to loose, sagging skin on your thighs.
- If your clothes do not fit you well due to heavy hips.

Related procedures

Many women considering a thigh lift also consider procedures such as abdominoplasty, or body contouring after pregnancy and childbirth. Thigh lift surgery may be combined with butt lift surgery in one procedure called a lower body lift.

Decision-making

Behind
- Clothes and swimwear will look better on you.
- Your body will look slimmer and more proportional.
- Your thighs will become firmer, more youthful, and more curvy.

Against
- Visible scars may remain
- When fatty tissue is removed through liposuction, the skin may appear depleted.
- Another subsequent operation may be required to correct the resulting irregularities.

When deciding to undergo a lower body lift, you should weigh the above three main pros and cons. If you intend to focus on those that will be unique to you, then it is advisable to contact your plastic surgeon.

Are you a candidate for a thigh lift?

Some common reasons why people decide to undergo a lower body lift include the following:
- The consequences of age, expressed in the formation of folds, cellulite, and loose skin on the thighs.
- You've successfully lost a significant amount of weight and now want slimmer thighs to match your more proportional, more toned figure.
- Because of your heavy hips, clothes don’t fit you very well.
-Your thighs are making you feel self-conscious and you want to regain your confidence in your body.

If your health is generally good and you have a positive attitude and realistic expectations, then you are likely a good candidate for this procedure.

Thigh lift: photos before and after the procedure

How is hip augmentation surgery performed?

Medial (internal) thigh lift: An incision is made in the groin area through which excess fatty tissue and skin from the inner thighs are removed. In this case, depending on individual requirements, liposuction can be used (but not necessarily). The contour of the thigh area is corrected from the groin to the knee, and then this procedure is repeated for the other thigh. If a significant amount of tissue is removed, then this procedure is often called hipplasty.

Lateral (external) thigh lift: This is a more complex procedure that usually involves reshaping the contours of the buttocks along with the outer thighs, as well as removing tissue. The scars here are more intense and the skin will be less elastic after surgery, so weight maintenance is necessary.

A thigh lift is aimed at eliminating skin folds and excess fat tissue.

Which thigh lift surgery option is right for you?

There are two different types of thigh lifts: medial (inner) and lateral (outer) lifts. This is described in detail in the paragraph “About the procedure itself.” Finding out which of these two types of lift is right for you requires a physical examination, a thorough review of your medical records, and a discussion with your plastic surgeon. It is possible that you will be offered a combined lower body lift.

What incisions and scars will remain after thigh lift surgery?

Medial (internal) thigh lift: An incision is made in the groin area. For patients who require large amounts of skin removed, a longitudinal incision may be made along the inner thigh.

Lateral thigh lift: Depending on the requirements for an outer thigh lift, scars may extend from the groin area, around the pelvis, and possibly down to the buttock crease. The surgeon will aim to make incisions where the scars will be hidden by clothing, but with this type of surgery the incisions will be larger than with a medial thigh lift.

Preparation and performance of the operation

How to prepare for a thigh lift procedure?

Your surgeon will provide you with preoperative instructions, answer any questions you have, write a detailed medical record, and perform a physical examination of your body to determine your readiness for surgery.

Before your surgery, your surgeon will ask you to do the following:

Stop smoking before surgery to promote better healing.
- Stop taking aspirin, certain anti-inflammatory medications, and certain herbal medications that may cause increased bleeding.
- Regardless of the type of operation performed, hydration of the body plays an important role for safe recovery, both before and after surgery.
- Your surgeon will want to make sure that you maintain a stable weight for a significant period of time, as weight gain can be detrimental to the effects of your thigh lift.

What should you expect on the day of your thigh lift surgery?

The operation may take place in an accredited hospital, an independent outpatient clinic, or in an office-type surgery. Most surgeries of this type last two to three hours, but it may take longer.

During the operation, you will receive medications to ensure your comfort.

As a rule, general anesthesia is used during the operation, although in some cases it is desirable to use local anesthesia or intravenous sedatives.

For your safety, various monitors will be used during the operation to monitor your heart function, blood pressure, pulse and the amount of oxygen in the blood.

Your surgeon will follow a surgical plan that he will discuss with you before surgery.

After the procedure is completed, you will be moved to a recovery room where you will continue to be closely monitored. You will have drainage tubes installed. You will wear a compression garment on the areas of your thighs where liposuction was performed. Surgical dressings will be placed over the incisions.

If you are using general anesthesia, you will remain in the facility overnight for observation. Your surgeon will discharge you when you have recovered sufficiently from the anesthesia. If your surgery was performed under local anesthesia, you may be allowed to go home after a short observation period, unless you and your surgeon have other plans for your post-operative recovery.

Care and recovery after hip surgery

Your surgeon will tell you how long it will take to return to your normal level of activity and work. After surgery, you and your caregivers will receive detailed aftercare instructions, including information on:

Drains, if installed.
- Normal symptoms you will experience.
- Any possible signs of complications

Immediately after thigh lift surgery

Although your smooth new thigh contours will be visible immediately after surgery, there will be some bruising, swelling and pain for some time. If the pain is very severe or lasts too long, contact your doctor. Contact your surgeon to find out whether the pain, bruising, and swelling you are experiencing is normal or a sign of a problem.

Recovery time frame after a thigh lift

It is extremely important that you follow all patient care instructions that your surgeon provides you with. This will include information about wearing compression garments, information about drain care, taking prescribed antibiotics, and safe levels and types of physical activity. Your surgeon will provide detailed instructions about the normal symptoms you should experience and possible signs of complications. It is important to understand that the amount of time it takes to fully recover varies greatly from person to person.

First two weeks

For the first 10-14 days, you should limit yourself to light physical activity only.
- This is a critical period for healing and you should watch for any signs of slow healing and report them to your doctor immediately.
- Heavy lifting, walking, sitting and bending cause stress in the suture areas, so you should move carefully and attentively.
- It is advisable to have someone stay with you during the first days of recovery.

From the second to the eighth week

To achieve optimal thigh contours, you may need to wear compression garments for the first month.
- The tumors should go away in three to five weeks.
- You can resume driving and walking two to three weeks after surgery, but only if such activities do not cause pain.
- Avoid heavy lifting, and hold off on jogging for the first six to eight weeks.

How long will the results of the operation last?

If you maintain a stable weight, lead a healthy lifestyle, and exercise, your results will last for a long time.

Keep in touch with your plastic surgeon

For your safety, as well as to achieve the most beautiful and healthiest results, it is important to visit your plastic surgeon's office at your scheduled time for follow-up appointments. In addition, you should contact your surgeon any time you notice changes in your hips. There is no need to hesitate. Contact your surgeon every time you have questions or are concerned about something.

Possible complications after a thigh lift

Fortunately, serious complications from thigh lift surgery are rare. The specific risks associated with such an operation will be discussed with you during your consultation.

But any surgery carries a certain degree of risk. Some possible complications of any surgery are:

Negative reaction to anesthesia
- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
- Infection and bleeding
- Changes in sensations
- Scars
- Allergic reactions
- Damage to internal tissues
- Unsatisfactory results, which may require additional procedures.

You can minimize some of the risks by following the recommendations and instructions of your professional board-certified plastic surgeon, both before and after your thigh lift surgery.

Market Analytics

Femoroplasty is a direction in plastic surgery, the object of which is the inner and outer surface of the thighs.

With the help of such an intervention, you can tighten sagging skin, remove excess fat deposits, and eliminate various defects.

Causes of skin ptosis in the thigh area

Even during the prenatal period, the fetus deposits a significant amount of adipose tissue in the hips and abdomen.

From a biological point of view, this is a natural defense mechanism that allows you to survive during forced starvation.

Due to various factors, this feature of the body results in external defects.

Fat deposits have the ability to grow rapidly, but it is in the area of ​​the hips and buttocks that they “go away” very slowly.

To do this, you need to make a lot of effort: constantly monitor your diet and never stop exercising. Similar measures are required to maintain the achieved effect.

If we take into account that the skin on the thighs is subject to stretching during pregnancy, loses its elasticity with age, or sags after severe weight loss, we can come to the conclusion that it is almost impossible to restore its former elasticity using conventional means.

So, among the factors contributing to ptosis (or sagging) of the skin in the thigh area are:

• a sharp decrease in body weight;
• pregnancy and childbirth;
• poor nutrition (lack of polyunsaturated fatty acids, vitamin E, etc.);
• sedentary lifestyle, neglect of physical activity;
• previously performed liposuction (fat is gone, but the skin is not contracting enough).

If activities such as diet, sports, massage with cosmetics, etc. do not help in any way, the solution is to contact a plastic surgeon.

Indications and contraindications

Surgical correction of the hips is performed in the following cases:

• elimination of cosmetic defects in cases where loose skin negatively affects the psycho-emotional state, deprives one of self-confidence, and does not allow one to wear open clothes;
• for medical reasons, if too voluminous folds of skin and fat lead to friction while walking, diaper rash, irritation, abrasions, and poor circulation.

Ptosis of the skin on the inner thighs can be observed even in young girls.

Individual characteristics play a role here: persons with thin skin are more prone to the appearance of a defect.

In adulthood, this problem occurs in most women.

Ladies with too full hips, which rub during walking, are especially affected, thereby causing significant discomfort and rubbing of clothes.

Such phenomena force many to resort to surgical correction.

What can be achieved with femoroplasty:

• elimination of sagging and flabbiness;
• excision of excess adipose tissue;
• reduction in hip volume (if necessary, increase through implants);
• reducing the appearance of cellulite.

Plastic surgery on the hips is a serious intervention, so the possibility of the intervention depends on several conditions.

The first thing to do is to identify possible contraindications:

• Varicose veins;
• diabetes;
• malignant processes;
• diseases of the cardiovascular system;
• endocrine system disorders;
• problems with blood clotting;
• pregnancy and lactation;
• viral and infectious diseases;
• minor age.

Types and techniques of femoroplasty

List of tests

A standard set of tests before any plastic surgery includes:

• general blood and urine analysis;
• blood biochemistry;
• coagulogram (blood clotting test);
• blood for viral hepatitis, HIV infection, syphilis.

Additionally, an electrocardiogram and Doppler ultrasound of the lower extremities are performed. Consultation with specialists may be required.

Preparation

During the conversation with the doctor, the following questions are discussed:

• technique and tactics of the operation;
• duration of intervention;
• type of anesthesia;
• the duration of complete recovery of the body and the time for the final result to appear;
• shape, manufacturer, size of implants (if they are planned to be implanted).

At the time of surgery, the client should not experience any health problems, including minor ailments. For a woman, the day of intervention should not coincide with menstruation.

Preparation:

• stopping smoking and drinking alcohol a week before surgery;
• refusal of certain medications (anticoagulants, etc.);
• exclusion of physical activity two to three days before the intervention;
• Last meal and liquid intake – 12 hours before.

There is another important point that concerns people who have suddenly lost weight.

If your skin begins to sag after losing so much weight, you should not immediately go under the knife. First, you should normalize your weight and maintain it for some time, otherwise the fat layer will quickly recover and return to its original appearance.

Therefore, a period of at least six months must pass between weight loss and surgery. During this time, the weight will have time to stabilize.

Anesthesia

The operation is performed under general anesthesia, as the surgeon will have to work with a large volume of tissue.

This is a rather painful procedure. Its duration ranges from one and a half to three hours, in some cases even more.

The total intervention time depends on the problem being solved.

Before using anesthesia, consultation with an anesthesiologist is required, since the patient may have an allergic reaction to some substances.

Types and techniques

There are two main types of femoroplasty:

• the first is aimed at correction in the direction of reducing tissue volume (excision of excess subcutaneous fat is carried out through a small incision, then the surgeon performs skin tightening);
• in the second case, the patient requires hip augmentation using anatomically shaped implants.

If the correction involves removing excess fat, they start with liposuction.

Access is through an incision in the popliteal cavity.

After excision of excess fatty tissue, the surgeon tightens the inner thigh.

The following methods are used for this:

• median technician a (an incision is made on the inguinal fold) - this is the least traumatic method, which is used to correct minor defects;
• vertical technology(a continuous vertical incision is made from the inguinal fold to the kneecap, excess skin is excised);
• mixed media(a combination of a vertical incision and incisions on the groin folds) - the technique is used to remove a significant amount of skin.

After removing all excess, the surgeon applies stitches.

Liposuction

There are two options for liposuction:

• self-correction;
• together with other surgical techniques (lifting, hardware rejuvenation, etc.).

Anatomical areas:

• "breeches" zone;
• inner thighs;
• peri-knee area.

Liposuction as an independent intervention is indicated for people who have a slight excess of fat deposits and sufficient skin contractility.

If the tissues cannot contract properly after correction, the result will be an even more pronounced defect.

To avoid sagging and sagging skin after liposuction, it is advisable for some patients to additionally excise skin flaps from incisions in the area of ​​the inguinal folds.

Laser

The laser technique involves destroying fat deposits under the influence of laser energy supplied through a thin needle (1 mm in diameter).

During movement, it disrupts the integrity of fat cells.

Benefits of laser hip correction:

• minimal injury;
• duration less than an hour;
• compression of collagen fibers and, as a result, a lifting effect;
• no complications;
• short rehabilitation period.

The method is often used to correct hard-to-reach and intimate areas.

In some cases, the technique is used as an addition to classic liposuction to straighten the surface of the thighs.

Advantages and disadvantages

There are pros and cons to the liposuction procedure.

The advantages include:

• guaranteed removal of fat deposits in the problem area (“breeches”, inner thigh, near-knee area);
• selectivity of impact: with the help of liposuction, you can correct only the area that needs it (with normal weight loss, the arms, chest, and face are the first to lose weight);
• possibility of combination with other techniques;
• sustainable result: the need for a new operation arises only with prolonged abuse of unhealthy and high-calorie foods;
• improvement of psycho-emotional state: increasing self-esteem, eliminating complexes, etc.

Among the shortcomings are noted:

• high cost;
• risk of scar formation;
• the possibility of side effects occurring after an improperly performed operation (unevenness, lumpy skin, “washboard” effect, etc.);
• swelling and pain in the first days after classical liposuction.

How long does it last?

Liposuction of the thighs takes about 1-1.5 hours. Depending on how much fat tissue needs to be removed, the surgeon makes 1-2 skin punctures and small incisions.

In some cases, preliminary fat breaking with ultrasound is required, which also affects the duration of the operation.

Are there any seams?

Even minimal incisions and punctures require sutures.

For this purpose, absorbable or non-absorbable threads are used. The length of the seam does not exceed 2-4 mm.

After a week, the suture material dissolves on its own or is removed by the surgeon. Due to the special technology of suturing, scars practically do not remain on the body.

Postoperative period

You will need to wear compression garments for some time after liposuction.

In addition, the patient should undergo procedures aimed at improving the condition of the skin and reducing sagging.

• restriction of physical activity;
• refusal of thermal procedures (baths, saunas), instead of a bath - a shower;
• use of healing ointments and medications prescribed by the surgeon.

Consequences and complications

Possible complications after liposuction:

• Flabbiness. Before the operation, the surgeon assesses the ability of the skin to contract, based on which he makes a prognosis regarding the appearance of sagging. Wearing compression garments plays an important role in this matter.
• Reduced skin sensitivity. The disorder occurs due to damage to nerve endings. This is usually a temporary complication. During this period, it is important to choose comfortable clothes that will not rub or tighten the skin.
• Swelling. After liposuction, swelling is observed in everyone, but each patient subsides after a different time.
• Hematoma. Pronounced tumors are rare. Usually these are small bruises that disappear in 1.5-2 weeks.
• Fixation of the skin to the muscles. The complication occurs due to the fault of the doctor if he removed too much fat tissue. The result is that the skin seems to “grow” to the muscles.
• Infection. If the health worker does not follow the rules of asepsis, the wound may become infected. As a result, a purulent-septic complication develops. Such a patient is indicated for intensive antibacterial therapy, and in some cases, surgical intervention.

Surgical plastic surgery

A surgical thigh lift is called a dermolipectomy.

From the name of the operation it follows that the intervention consists of excision of excess skin and fatty tissue. The remaining skin flaps are stretched and stitched together.

The operation allows you to get rid of sagging and uneven thighs.

Surgical beret lifting can be performed in conjunction with the following operations:

• liposuction;
• tightening the gluteal area;
• Tightening of the abdomen and groin area.

Internal

This type of lift is also called a “median” lift.

The method is suitable for those people with slight ptosis of the tissues on the hips.

Incisions are made along the inguinal folds. The skin on the thigh side is partially excised, thereby providing a lifting effect on the inner surface.

Vertical

With this technique, the incision goes along the inner surface of the thigh from the groin to the knees.

The technique is used if a large amount of skin needs to be removed.

At a short distance from the first incision, the surgeon makes a second one - so that a skin wedge is formed, tapering towards the knee.

The skin flap between the incisions is excised, the edges of the wound are aligned and sutured.

Combined

The method is used if any one technique is not enough to eliminate the defect.

The set of combined techniques is determined by the plastic surgeon.

For example, a lift can be combined with excision of excess fat tissue or augmentation with implants.

Volume increase with implants

Too thin hips and underdeveloped inner muscles can be corrected with silicone implants.

The materials from which modern implants are made are safe and biocompatible with the human body, so the risks of denture rejection are minimal.

Surgical access is provided through the subgluteal fold, resulting in almost invisible scars.

Before and after hip augmentation with implants:

How long does it last?

The operation is performed under general anesthesia.

Usually, inhalation or intravenous anesthesia is used, less often - epidural in combination with sedatives.

The intervention takes 2-3 hours, in particularly difficult cases – more.

Where are the seams located?

The stitches are located on the groin folds, around the pelvis or along the inner thigh.

Depending on the purpose of the surgery, the scars may also extend from the groin to the buttock folds.

Surgeons try to make incisions where they will be least noticeable.

In order to minimize rough scars, many specialists now refuse to sew the edges of the skin together and use the tactic of layer-by-layer application and combination of skin flaps.

Postoperative period

Recovery after surgical correction of the hips takes up to six months.

The duration of the rehabilitation period depends on the individual characteristics of the body and how well the patient follows the surgeon’s recommendations.

The first few hours after surgery should be spent in the hospital.

Doctors should monitor how recovery from anesthesia proceeds.

In some cases, the patient remains under medical supervision for 1-2 days. The stitches are removed after 10-14 days.

Soreness and numbness may persist for up to two months.

Consequences and complications

The more extensive the intervention, the higher the risk of postoperative complications.

These include:

• deformation of the genital organs;
• rough scars;
• thrombosis;
• bleeding;
• seroma;
• infection;
• disruption of lymph flow.

Rehabilitation

After the intervention, you need to wear compression garments for two to three months, which promotes better tissue regeneration and healing of sutures.

The speed of recovery depends on what type of plastic surgery was performed. With surgical correction, the initial state of health returns after 2-4 weeks.

In the first days after discharge, sensations such as pain, burning sensation, and numbness are disturbing.

To relieve discomfort, take painkillers. Sutures should be treated with antiseptics.

What not to do?

Restrictions in the postoperative period:

• exclusion of physical activity for two months;
• refusal of thermal procedures (saunas, steam baths, hot baths) until swelling completely disappears;
• refusal of solarium until scars heal.

Prices

Surgical thigh lift without liposuction costs about 100,000-130,000 rubles. You will have to pay an additional 70,000-80,000 rubles to remove fat.

The cost of the operation depends on the prestige of the clinic and the experience of the surgeon.

In Moscow

Prices in Moscow:

In St. Petersburg

Prices in St. Petersburg:

results

With this operation you can achieve:

• reducing fat deposits on the thighs;
• visual improvement of outlines;
• increasing the volume of too thin hips with the help of implants;
• elimination of defects in the form of curvature, irregularities, etc.

Photos before and after:

When will the effect be noticeable?

The result can be assessed no earlier than three months after correction.

But it must be borne in mind that the final tightening of the scars may occur much later.

If the purpose of the operation was to reduce the volume of the hips, the effect will be noticeable almost immediately, despite the presence of swelling and bruising.

How do you know that everything went well?

The success of the intervention is evidenced by the absence of complications.

This is the main point to focus on. At the end of the recovery period, the patient should see the result that was initially discussed with the surgeon.

Any defects (irregularities, asymmetry, depressions, etc.) indicate that the surgical technique may have been violated.

In this case, repeated consultation with a specialist is required.

How common are unsuccessful surgeries?

Most hip plastic surgeries are successful.

Complications occur in 0.5% of cases.

Plastic surgery is a reliable and effective method for eliminating defects in the hip area.

However, you should resort to it only if no other measures help.

You need to be prepared for the fact that recovery takes quite a long time, and you can return to your usual lifestyle only after two to three months.

Every woman dreams of having toned and slender legs. However, as we age, our skin stretches and is no longer as elastic as it once was.

Is it possible to find some in

Surgical thigh lift is performed to aesthetically restore the surface, contours and proportions of the upper and middle thighs. In addition to reasons of an aesthetic nature, purely medical indications also prompt 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, skin itching, burning and soreness. All this causes a pronounced feeling of discomfort, changes in gait, and difficulty choosing clothes.

Traditional methods and their general characteristics

Disturbance of contours, lumpiness, sagging and excess skin in the form of large folds and pockets, especially on the inner thighs, occur mainly as a result of excess 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 (dietary) obesity;
• after a rapid decrease in body weight by 20-40 kg;
• for endocrine disorders and age-related changes in the properties of the skin;
• after removing too much fat during the procedure.

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

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

1. Medial (median lift) - incisions are made in the area of ​​the inguinal and femoral-perineal folds to correct the inner surface of the thigh, and sutures are placed on the fascia of the femoral muscles, as well as in two rows on the skin.
2. Vertical skin tightening of the thighs, in which a long incision is made along the inner surface from the inguinal fold to the inner surface of the knee joint.
3. A spiral incision that runs from the gluteal fold to the groin.
4. Plastic surgery using a combined method.

Compared to other plastic surgeries, hip plastic surgery was until recently performed by surgeons reluctantly, and patients were often dissatisfied with the results. This is explained by 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 some of the tissue without damaging the lymphatic ducts. As a result, lymphostasis (stagnation and accumulation of lymph) and associated severe swelling of the extremities subsequently developed; long-term (up to 2 months) lymphorrhea (lymph leakage) into the area of ​​skin detachment, infection of this area and dangerous suppuration up to a septic state often occurred. . The problem of lymphorrhea cannot be solved by ligating 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 to tolerate. In addition, due to the constant functioning of muscles and joints and a decrease in tissue elasticity, postoperative scars stretch and gradually shift from the femoral-perineal region to the anterior and medial surface of the thigh. Resulting in:

• the scars appear in the area not covered by underwear and become visible;
• the perineal area expands until the femoral-perineal grooves are completely smoothed out.

All this forced most surgeons to refuse to perform such operations.

Improvements in thigh lift techniques

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

It is much more difficult to lift the inner thighs, in the area of ​​which fat deposition and tissue changes are much more pronounced than in other areas. However, some changes and significant additions to the classical methods of performing the operation made it possible:

1. Reduce the risk of damage to the integrity of lymphatic vessels.
2. Prevent displacement of postoperative scars.
3. Significantly improve the results and tolerability of operations.
4. Reduce time and make the rehabilitation period easier: the very next day the patient has the opportunity to return home and limit himself to almost 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 inguinal-pubic fold. It runs along the edge of the pubic bone, and the subsequently formed scar is easily covered with underwear.

After liposuction, excess tissue is not excised or removed, but, unlike standard classical methods, is 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 area freed from fat accumulations. The tightened lower skin flap is sutured not to the muscular fascia with multi-row sutures (it is dense, but, nevertheless, subsequently subject to stretching under the influence of muscle loads), but to the periosteum of the pubic bone. This makes it possible to reduce the load on the postoperative scar, minimize wound complications and negative consequences in the form of scar movement.

Solving the problems of hip contour correction is very complex, and its results are ambiguous. When performing plastic surgeries, it is important not only to perform them correctly technically by a plastic surgeon, but also to understand what kind of incision needs to be made, how much fatty tissue to remove, and how far the skin needs and can be moved.

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