Thigh Lift

Thigh Lift is the procedure of reconstructing the leg contour by surgically removing sagging skin that has lost its elasticity and excess fat tissue in the upper leg area. This aesthetic procedure, which is generally performed to eliminate inner-thigh sagging that develops due to excessive weight loss, aging, or genetic factors, provides a tighter and smoother appearance to the legs by lifting the tissues upward. In addition to providing only an aesthetic improvement, it is an effective body-contouring solution that also eliminates functional problems such as irritation and movement restriction caused by excess skin that rubs against itself while walking.

Why Is a Thigh Lift Surgery Needed?

One of the areas that carries the most visible traces of the changes that occur in our body over time is the upper legs. Gravity, the aging process, and the loss of skin elasticity are natural processes. However, today the biggest reason for the need for this surgery is rapid and high-volume weight gain and loss. Especially after obesity surgeries such as sleeve gastrectomy or after weight lost through strict diets, while the fat tissue under the skin is depleted, the skin cannot shrink at the same pace. Skin that sags like a deflated balloon causes an unaesthetic appearance on the inner thighs and discomfort while walking.

You often ask why exercise and diet are insufficient at this point. Exercise strengthens muscle tissue and reduces the existing fat ratio. However, the skin itself is like “fabric”; once it loses its elasticity and sags, no exercise movement can eliminate that excess skin or restore it to its former tightness. At this point, surgical intervention is the only effective way to solve a mechanical problem.

Who Are the Ideal Candidates for Thigh Lift Surgery?

This operation may not be suitable for everyone. We achieve the best results in people whose weight has stabilized and whose general health condition is good. If you are still actively losing weight, postponing the surgery is the most appropriate course. Because every kilogram lost after surgery can cause the skin to loosen again.

The characteristics of suitable candidates for surgery are as follows:

• Stable body weight
• Stubborn skin sagging
• Realistic expectations
• Not smoking
• General health condition

I would especially like to emphasize the issue of smoking. Smoking is the biggest factor that negatively affects tissue healing and blood circulation. Since the leg region is a sensitive area in terms of healing, quitting smoking for a certain period before the operation is essential to minimize the risk of complications.

Which Techniques Are Used in Thigh Lift Surgery?

Each patient’s leg structure and degree of sagging are different. Therefore, a single technique is not applied to everyone. During the examination, we analyze skin quality and how far the sagging extends by manual assessment, which we call the “pinch test.” Accordingly, we determine the most suitable technique for you.

In general, the techniques we apply are as follows:

• Medial thigh lift
• Vertical thigh lift
• Combined techniques

If the sagging is only near the groin area and is concentrated in the upper inner thigh, we prefer the method we call “Medial Lift.” In this method, the incision is hidden within the groin crease. Thus, the scars are not visible from the outside when wearing underwear or a bikini. This technique is ideal for moderate degrees of laxity.

However, in patients who have experienced massive weight loss, sagging usually extends from the groin down to the knee. In this case, a scar hidden in the groin is not sufficient. A “Vertical Lift” is required to narrow the leg like a column and provide complete tightness. Here, the scar extends vertically from the inner part of the leg toward the knee. It leaves more scarring, but it is the only method that can completely correct the leg form in advanced deformities.

Is Liposuction Part of Thigh Lift Surgery?

Absolutely yes. In the modern surgical approach, liposuction has become an indispensable part of thigh lift surgery. In most patients, there is still a stubborn fat layer under the sagging skin. If these fats are not removed and only the skin is tightened, the leg does not slim down and the desired elegant contour cannot be achieved.

The advantages provided by the liposuction procedure are as follows:

• Reducing leg volume
• Increasing skin laxity
• Protecting lymphatic vessels
• Smoother surface

We surgeons usually “debulk” the area by performing liposuction first. This makes the skin more mobile and the lifting procedure becomes much easier, safer, and more aesthetic. It also prevents potential contour irregularities that may occur when only skin is removed.

What Is the Surgery Process and How Long Is the Hospital Stay?

Thigh lift surgery is performed in a fully equipped hospital under general anesthesia. Depending on the scope of the procedure, the duration may vary between 2 and 3 hours. You do not feel any pain during the surgery. When the procedure is finished, you wake up with a special compression garment on your legs.

The hospital stay is generally 1 or 2 days. During this time, our nurses support you with pain management and your first walks. Mild pain, a feeling of tightness, and bruising in the early period are completely natural. These are expected signs of healing and should not be a cause for concern.

What Should Be Considered During the Recovery Period?

The recovery process continues when you return home. Your movements may be somewhat limited in the first days, but we do not want you to remain bedridden. On the contrary, taking frequent short walks is very important to keep blood circulation active.

Things you should pay attention to during the recovery process are as follows:

• Regular walking
• Compression garment use
• Hygiene rules
• Medication follow-up
• Avoiding sudden movements

To prevent tension on the incision lines, it is necessary to avoid movements that excessively spread the legs in the first weeks. Most patients can return to desk jobs within 2–3 weeks. However, it may be necessary to wait about 6 weeks for heavy sports and intense physical activities.

Why Is Compression Garment Use Mandatory After a Thigh Lift?

The medical compression garment applied immediately after surgery is not a simple piece of clothing, but part of the treatment. The garment prevents fluid accumulation under the skin, helps swelling (edema) subside faster, and most importantly maintains the shape of the newly contoured leg.

The benefits provided by the garment are as follows:

• Edema control
• Tissue adherence
• Reduced pain
• Shaping support

We generally recommend wearing the garment day and night for 3–4 weeks. Removing it early or using it irregularly may prolong the recovery period and affect the quality of the result. During this process, the garment should be your closest companion.

Will There Be Scarring After a Thigh Lift Surgery?

To be frank, some scarring remains in every surgical procedure where the skin is cut. The expression “scarless surgery” unfortunately does not reflect reality. However, our goal as plastic surgeons is to hide these scars in the body’s natural creases and ensure they heal as thinly as possible.

What you should know about the scars is as follows:

• Redness in the first months
• Fading over time
• Sun protection
• Scar creams
• Permanent white line

Scars may be red and noticeable in the first months, which indicates that healing is active. By the end of one year, they usually become a thin line close to the skin color. During this period, it is very important that the scars are not exposed to the sun; otherwise, permanent dark color changes (hyperpigmentation) may occur. Scar creams and silicone sheets recommended by your doctor are quite effective in improving scar quality.

Are the Results Permanent and Will Sagging Recur?

The results achieved with thigh lift surgery are generally long-lasting. You can maintain that tight and smooth form in your legs for years. However, the aging process and gravity continue to act. The biggest risk factor that may cause the result to deteriorate is excessive weight gain and loss again after surgery.

If you maintain your weight, eat healthily, and exercise regularly, the effects of this surgery will be permanent. I recommend viewing this operation not only as an aesthetic correction but as the beginning of positive changes you will make in your lifestyle. This investment you make in yourself will increase not only your appearance but also your freedom of movement and quality of life.