Which Thigh Lift technique will be used?
There is no “single technique for everyone” in thigh lift procedures. Surgical planning is completely personalized based on the amount and location of excess skin. To determine the degree of deformity, we examine the patient both standing and lying down. Evaluating how much the skin sags under the influence of gravity is critical for selecting the correct technique. In general, three main techniques are used.
The first is the horizontal thigh lift. This technique is preferred when the excess skin is located mainly in the upper thigh area near the groin. The incision is hidden within the groin fold and extends toward the buttock crease. Its advantage is that the scar remains inside the underwear or bikini line. However, this method is not effective for sagging that extends to the lower thighs or the knees.
The second technique is the vertical thigh lift. In patients who have lost excessive weight, sagging often extends from the groin down to the knee. In this case, simply lifting from above is not enough; the circumference of the thigh must also be reduced. A vertical incision is made from the groin down toward the knee. This technique significantly narrows the thigh circumference and provides the most pronounced contour improvement. Its disadvantage is the presence of a long scar on the inner thigh, invisible while standing but noticeable when the legs are apart.
The third option is combined techniques. In patients with extensive excess skin in both the horizontal and vertical directions, T-shaped or L-shaped incisions may be used. These techniques are preferred for advanced deformities and are often part of “Body Lift” surgeries for full-body contouring.
The surgical techniques used include:
- Horizontal Thigh Lift
- Vertical Thigh Lift
- L-Type Thigh Lift
- T-Type Thigh Lift
- Total Body Lift
What is the modern “Liposuction Assisted Medial Thigh Lift (LAMeT)”?
In traditional thigh lift techniques, simply cutting and removing the skin had the potential risk of damaging the underlying lymphatic vessels and nerve structures. However, with advancements in medical technology and surgical techniques, a safer approach—“Liposuction Assisted Medial Thigh Lift” (LAMeT)—has become our standard method.
In this technique, we do not start by making an incision. First, a special solution is administered to prepare the tissues. Then, comprehensive liposuction is applied to the skin area planned for removal and its surroundings. While this process eliminates fat tissue under the skin, it preserves blood vessels and lymphatic channels. After liposuction, the skin loosens and gently separates from the underlying tissues. This minimizes the need to dissect deep structures when removing the skin surgically. Because lymphatic channels and major vessels are protected, postoperative swelling (edema) is reduced, healing is faster, and complication risks decrease significantly. Scientific studies show that liposuction support reduces complication rates by nearly half. This technique both facilitates the surgeon’s work and maximizes patient safety.
Advantages of the LAMeT technique include:
- Preservation of lymphatic channels
- Less bleeding
- Faster healing
- Reduced edema
- Lower risk of nerve damage
- Smoother contour
Which additional technologies are used during Thigh Lift surgery?
Simply lifting the skin may not always provide the perfect result. To improve skin quality and ensure tighter adherence between tissues, we use energy-based devices. The VASER liposuction technology, in particular, uses ultrasonic sound waves to break down fat. Since this technology selectively targets fat, it does not damage connective tissues, blood vessels, or nerves.
Additionally, Plasma energy or Radiofrequency technologies may be incorporated into the procedure. These devices deliver controlled thermal energy beneath the skin, causing collagen fibers to contract and the skin to tighten. When applied to the undersurface of the skin during surgery, this assists not only in the surgical lifting effect but also in the skin’s natural tightening. This helps prevent rippling and results in a smoother and firmer leg appearance.
Are the results of Thigh Lift surgery permanent, and can sagging return?
One of the most important technical details of this surgery is how the skin is suspended against gravity. Simply stitching skin to skin does not provide a long-term permanent result. Skin is an elastic structure and may loosen again due to gravity. Additionally, downward shifting of the incision line may distort genital aesthetics and widen the scar.
To prevent these issues, we use techniques known as “deep fascial anchoring” or the “Lockwood Principle.” In this method, the lifted thigh skin is secured internally to the tough, non-stretch connective tissue in the groin region, known as Colles fascia. In other words, the load is carried not by the skin but by the body’s strong internal supportive structures. This anchoring effect keeps the scar stable, prevents genital distortion, and helps maintain the achieved tightness for many years.
Of course, the long-term permanence of results also depends on the patient’s lifestyle. Excessive weight gain or loss after the procedure may cause the skin to stretch again. However, in patients who maintain a stable weight and adopt a healthy lifestyle, the results are typically permanent for life.
Is Thigh Lift surgery risky, and what complications may occur?
As with any surgical procedure, Thigh Lift surgery carries certain risks. However, with proper patient selection and meticulous surgical technique, these risks can be minimized. The thigh region is anatomically rich in lymph nodes and large blood vessels, making surgical expertise extremely important.
One of the most common postoperative issues is “seroma,” which is a buildup of fluid in the spaces between tissues during healing. To prevent this, drains are placed during surgery, and patients are instructed to wear special compression garments. Delayed wound healing or minor wound separation may also occur but usually resolves with proper dressing care.
Possible complications include:
- Seroma
- Hematoma
- Surgical site infection
- Wound separation
- Prominent scarring
- Asymmetry
- Sensory changes
What is the recovery process after Thigh Lift surgery?
The surgery is usually performed under general anesthesia, and the patient may need to stay in the hospital for one or two nights. One of the most reassuring aspects for our patients is that the pain experienced after surgery is typically much milder than expected. A slight discomfort may occur, but it is easily managed with pain medication.
The most critical part of the recovery process is the use of a compression garment. Patients must wear a medical compression garment for approximately 4 to 6 weeks. This garment helps control swelling and ensures that the skin adheres properly to its new position. We encourage patients to start walking the day after surgery. Walking promotes blood circulation, reduces the risk of clot formation, and speeds up recovery. In the early days, small steps may be necessary to avoid tension on the stitches.
Return to daily life is usually possible within 2 weeks, but heavy exercise should be avoided for 6–8 weeks. Maintaining good hygiene, taking prescribed medications regularly, and not missing follow-up appointments are essential for smooth recovery.
Postoperative considerations include:
- Use of compression garment
- Early mobilization
- Wound care
- Adequate water intake
- Avoiding heavy lifting
- Avoiding smoking
- Regular dressing changes
When do Thigh Lift scars fade?
One of the most common concerns among our patients is scarring. In a thigh lift, an incision must be made to remove the excess skin, and this inevitably leaves a scar. However, in aesthetic surgery, our goal is to hide the scar as much as possible and ensure it fades over time.
In horizontal thigh lifts, the scar is hidden in the groin, while in vertical lifts, it remains on the inner thigh. In the first few months, scars may appear red and raised, which is a normal part of the healing process. Around the 6th month, scars begin to fade, soften, and lighten in color. Full scar maturation may take up to one year. During this time, scar creams, silicone sheets, or laser treatments may be used to improve scar quality. Most patients consider the thin line that remains on the inner thigh an acceptable trade-off for achieving firmer legs and improved mobility.