Women's hips before and after surgery. Femoroplasty is a tightening of the inner thigh. Hardware cosmetology and injection techniques

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 your 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.

Thighplasty includes a group of aesthetic surgeries to improve the contours of the legs in their upper part - from the knee to the hip joints. Depending on the existing problem, liposuction, leg lift or lipofilling may be performed during hip surgery. The purpose of hip plastic surgery is to eliminate cosmetic defects, improve tissue tone and restore the aesthetic parameters of the hips.

The hip area is subject to changes caused by constitutional, hormonal and gravitational factors, as well as various pathological processes. At the same time, the skin and subcutaneous tissue relax, changing the relief of the inner surface of the thigh, local fat deposits accumulate on the thighs, and the soft tissue of the thighs becomes flabby and sagging. Problems of excessive fullness (or thinness) of the thighs, sagging skin of their inner surfaces are difficult to correct using conservative methods - massage and physical exercise. These cosmetic imperfections can be aggravated by difficulty walking, diaper rash and abrasions on the inner thighs. A radical method of combating various types of leg deformities is hip plastic surgery.

When selecting patients for hip surgery, medical history, the condition of the musculoskeletal system, and the presence of pathology in the venous system of the lower extremities are taken into account. Each plastic surgery in the hip area has its own strict indications and contraindications. Thighplasty can be combined with body lifting, which combines tightening the abdomen and buttocks.

Thigh lift

A thigh lift is an operation to correct the soft tissues of the inner and outer thighs when they are drooping (ptosis), loss of tone and sagging, and the presence of excess sagging, unretracted, stretched skin and subcutaneous tissue. These conditions can be caused by both age-related changes and significant weight loss. As a result of a thigh lift, excess skin is eliminated, thigh contours and tissue tone are improved.

Thigh lift surgery is a major procedure and is performed exclusively under general anesthesia. Several approaches can be used to perform a thigh lift. In one case, the incisions begin in the groin folds and then extend to the subgluteal area. The skin is detached along with the subcutaneous base from the underlying muscle layer 10-15 cm down the thigh. If thigh augmentation involves liposuction, it is performed before the incision is made. The excess skin is then excised, and the soft tissue is tightened and sutured to the tendons. Hemostasis is monitored, after which the tissues are sutured with an intradermal cosmetic suture. A drainage is installed in the intervention area and left for 1-2 days. An aseptic and elastic bandage is applied to the thigh.

Another type of access involves making a vertical incision along the inner thigh with a combined incision in the groin. The length of the incision is determined by the amount of skin planned to be removed. Various types of incisions are used to tighten the back and outer thighs, inevitably accompanied by scarring in these areas. This circumstance should be taken into account by patients when planning hip surgery.

Liposuction of thighs

Liposuction is indicated in cases where the only problem is the presence of excess fat in the thighs, and the elasticity of the skin is assessed as satisfactory. Excess fat deposits on the hips add weight to the lower half of the body, make the contours of the legs uneven and aesthetically unattractive. Hip reduction is performed by removing the excess layer of subcutaneous fat.

Liposuction of the thighs, depending on the volume, can be performed in various ways. Minor fatty deformities of the thighs can be subjected to lipolysis. A substance that promotes the breakdown of fat at the molecular level is injected into the correction zones using injections, which does not require its subsequent removal. The injections are performed over several weeks, after which the problem of local fat deposition in the area disappears. Lipolysis procedures are painless, minimally invasive, but are used only on small areas of the thighs.

Another method of thigh plastic surgery is three-dimensional liposuction, during which fatty tissue is removed using vacuum through microcannulas with a diameter of several millimeters. Uniformity and precision of fat removal is ensured thanks to three-dimensional computer modeling. At the same time, the preservation of the upper fat layer is achieved, which helps to give the tissues of the thighs elasticity and softness of outline.

The vibroliposuction method can be used if it is necessary to remove large volumes of adipose tissue. The process of fat destruction occurs as a result of vibration of the cannulas, which occurs due to the entry of compressed air into the installation. This simplifies both the lipolysis procedure and the removal of adipose tissue, eliminates tissue damage, eliminates acute pain, and reduces the rehabilitation period.

If it is necessary to remove large volumes of adipose tissue, ultrasound or laser liposuction methods are used. In these cases, the fat is first destroyed by ultrasound or laser to an emulsion state, and then pumped out through small punctures in the skin. After large-volume liposuctions, excess skin remains, which requires additional thigh lifting.

Discharge from the hospital after thigh liposuction is possible within 24 hours. You will need to wear a special compression corset for another week.

Lipofilling of thighs

If there is a problem of excessive thinness of the thighs, a lipofilling procedure is performed - the injection of one’s own fat material in order to form additional volume in the thigh area. The duration of the thigh lipofilling procedure is about 1 hour.

Tiny incisions during hip plastic surgery with fatty tissue are made in the areas of natural folds of the skin (inguinal or popliteal). To achieve the desired aesthetic result, it may be necessary to repeat the thigh augmentation procedure several times, after which a lasting effect is maintained.

Complications and risks

No matter what method is used to perform hip surgery, it is always associated with the formation of scars of varying severity. The hip area is an area of ​​increased risk for infection and thrombus formation, therefore, hip surgery requires preventive antibiotics and anticoagulants.

After liposuction of the thighs, it is necessary to monitor compliance with the diet in order to prevent disproportions between slender thighs and areas of the body that have not undergone liposuction. The occurrence of asymmetry after hip surgery may require additional correction.

Reading time: 27 minutes

Do you want to achieve slender, toned legs, but the fat on your inner thighs is keeping you from getting closer to your desired goal? We offer you a unique selection of exercises for the inner thigh without equipment + a ready-made lesson plan that can be performed even at home.

Ready-made training scheme for the inner thigh

On the inner side of the thigh are the adductor muscles of the thigh, which are most effectively worked through isolation exercises. But for losing weight in the inner thigh in addition to strengthening the adductor muscles, you must also eliminate the fat layer, which is located above the muscles.

We offer you a ready-made training scheme that will help you not only effectively work the adductor muscles, but also enhance the fat burning process.

This circuit includes 3 types of exercises for the inner thigh:

• Exercises that are performed while standing (squats and lunges)
• Cardio exercises (focusing on the inner thighs)
• Floor exercises (leg raises and raises)

It means that your workout should be divided into three segments of approximately equal time. For example, if you exercise for 45 minutes, then spend 15 minutes on each exercise group. If you train for 30 minutes, each segment will last 10 minutes. Thanks to this exercise regimen for the inner thigh, you will tighten your muscles, reduce body fat, and improve the lines of your legs.

Below are visual pictures of exercises for the inner thigh and ready-made execution schemes. You can take our version of classes, or you can create your own program. But before moving directly to the exercises, let's clarify some points about the features of training on the inner thigh.

Questions and answers on inner thigh training

1. What if I'm a beginner?

If you are just starting to exercise, then allocate no more than 15-20 minutes a day for training. Take breaks, keep a moderate pace and gradually increase the time, number of repetitions and complexity of the exercises.

2. What if I don't like cardio exercises?

5. How can you complicate the proposed exercises?

You can easily make inner thigh exercises more challenging by using leg weights or (although dumbbells are not suitable for all exercises). You can also use a fitness band - this is one of the most effective devices for strengthening your leg muscles.

6. How often should I do inner thigh exercises?

Exercise no more than 2-3 times a week. On average, it is enough to devote about 1 hour per week to the problem area. It is also very important to train not only the adductors, but also the quadriceps, hamstrings, corset muscles and gluteal muscles. It makes no sense to exercise only a separate muscle group - you need to train the whole body. Be sure to check out:

First segment of the workout: standing inner thigh exercises

During squats and lunges, watch your posture, your back should remain straight, your knees should not go beyond your toes. Also try not to tilt your back forward or arch your lower back, otherwise the load on your leg muscles will decrease. If you lack hip rotation (knees do not point in opposite directions), It's OK. Choose the most stable position possible for you. Perform inner thigh exercises within your capabilities.

If you have trouble maintaining balance in the plie squat (with legs spread wide and feet turned out), That you can use a chair as a support. This selection of exercises will help you not only work your inner thighs, but also your gluteal muscles and quadriceps.

2. Plie squats with one toe raise

Execution diagram

We offer you 3 options for combinations of exercises to choose from. The number of repetitions is indicated next to the exercise. If you are a beginner, do the minimum number of repetitions.

Your workout will consist of 6 exercises, which are repeated in 2-3 circles. Rest between exercises for 15-30 seconds. Rest between circles for 1 minute.

Example 1:

25-35 times 20-30 times 20-30 times 10-15 times on each side

Example 2:

• Plie squats with one toe raise (right leg): 20-30 reps
10-15 times on each side
• Plie squats with one toe raise (left leg): 20-30 reps
• Side lunge on toes (right leg): 10-20 times
20-30 times
• Side lunge on toes (left leg): 10-20 times

Example 3:

20-30 times
• Side lunge (right leg): 15-25 reps
20-30 times
• Side lunge (left leg): 15-25 reps
10-15 times on each side 25-35 times

You can alternate between 3 options for inner thigh exercise combinations, choose just one option, or create your own exercise plan. After completing the segment with squats and lunges, we move on to cardio exercises for the inner thigh.

Second segment of the workout: cardio exercises for the inner thighs

Plyometric (jumping) training is one of the most effective ways to burn lower body fat and get leaner legs. If you have no contraindications, then cardio training should definitely become part of your fitness plan.

The presented cardio exercises for the inner thighs are formed by level from simple to complex. You can choose only a few exercises that suit your level of difficulty or alternate groups of exercises with each other. Perform exercises only in sneakers!

3. Plank jumps with legs raised

Execution diagram

We offer you 2 options for combinations of cardio exercises for the inner thigh: for beginners and for advanced.

An example of an inner thigh cardio workout for beginners:

• Jumping in plank with legs raised

We perform the exercises according to the following scheme: 30 seconds of work + 30 seconds of rest (for example, we perform Jumping Jumps with arms and legs raised for 30 seconds, then rest for 30 seconds, then move on to Plyometric Lateral Lunge - 30 seconds, then rest for 30 seconds, etc.). We repeat the exercises in 2 circles, in the second circle we perform a side lunge on the other leg. Rest 1 minute between circles. This cardio workout option will last 10 minutes.

Example of an advanced inner thigh cardio workout:

• Plank jump with legs raised

We perform the exercises according to the following scheme: 45 seconds of work + 15 seconds of rest (for example, we perform a Jump into a wide squat for 45 seconds, then rest for 15 seconds, then move on to a Plank Jump with legs raised - 45 seconds, then rest for 15 seconds, etc.). We repeat the exercises in 2 circles, 1 minute of rest between circles. This cardio workout option will last 10 minutes.

After cardio exercises, we move on to exercises for the inner thighs on the floor.

Third segment of the workout: exercises for the inner thighs on the floor

These inner thigh exercises are performed on the floor. They are low-impact and do not put stress on joints and blood vessels, so you can perform them if you are bothered by your knees or varicose veins. While doing the exercises, try to keep your leg muscles tense and your stomach tucked.

Thanks to YouTube channels for the gifs: mfit, Linda Wooldridge, Jessica Valant Pilates, Christina Carlyle.

Execution diagram

We offer you 3 options for combinations of exercises for the inner thigh to choose from. The number of repetitions is indicated next to the exercise. If you are a beginner, do the minimum number of repetitions.

Your workout will consist of 8 exercises, performed in 1-2 circles. Rest between exercises for 15-30 seconds. Rest between circles for 1 minute.

Example 1:

25-35 times
• Leg raises for inner thigh (right leg): 15-25 reps
• Leg raises for inner thigh (left leg): 15-25 times
30-40 times

Example 2:

• Circular movements lying on your side (right leg): 15-30 times
• Circular movements lying on your side (left leg): 15-30 times
• Complicated shell (right leg): 15-25 times
20-25 times on each leg
• Complicated shell (left leg): 15-25 times
• Leg raises (right side): 10-20 times
• Leg raises (left side): 10-20 times
15-25 times

Example 3:

• Hip adduction while lying on your side (right leg): 20-35 times
• Hip adduction while lying on your side (left leg): 20-35 times
• Shell (right leg): 20-30 times
15-25 times
• Shell (left leg): 20-30 times
• Leg raises with chair (right leg): 15-25 times
• Leg raises with a chair (left leg): 15-25 times
20-30 times

You can alternate between 3 options for inner thigh exercise combinations, choose just one option, or create your own exercise plan.

Basic rules of exercises for the inner thigh

1. Always start your workout with a warm-up and end with stretching. Never exercise without warming up, otherwise you risk injury!
2. You should feel the target muscles as you perform inner thigh exercises. Keep your body collected and concentrated, do not perform the exercises thoughtlessly and laxly.
3. Try to change exercises periodically, do not constantly perform the same exercises. Don't let your muscles adapt to the load.
4. If cardio exercises are especially difficult for you, then you can start your workout with them rather than with squats and lunges. But you shouldn’t put cardio at the end of the session; it’s better to perform local exercises after aerobic exercises to increase blood circulation in the target area of ​​the body.
5. Remember that the inner thigh will only decrease with overall body weight loss, so reasonable dietary restrictions are a prerequisite for getting rid of fat in this area.
6. Isolated adductor exercises are very useful for eliminating the problem area on the inner thighs, but don't forget about exercises for the rest of the muscles of your legs and core. With balanced work on all muscle groups, you will achieve your goal much faster.
7. Remember that fat does not melt in the part of the body that you work hard. The whole body loses weight. But you can help him eliminate the problem area by doing interval training and working on body tone.
8. If you like to do ready-made video workouts, then be sure to watch our selection: Top 25 best videos for the inner thigh.

Video for the inner thigh in Russian

1. How to create a gap between the thighs

2. Exercises for the inner thigh

3. Inner thigh

The structural features of some anatomical zones of our body are very difficult to correct using conventional methods. 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.

What is 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 area of ​​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, unpleasant sensations 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 not being able 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.

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 you will still need further efforts - proper nutrition and exercise.