Surgery can help women and men with excess skin that rubs during walking or causes aesthetic concerns. Weight should be stable and expectations realistic. If fat predominates and the skin is elastic, liposuction may be more suitable. With significant laxity, liposuction alone usually cannot provide the necessary tightening.
A lift often complements liposuction if the skin cannot contract sufficiently after fat removal and remains loose or overhanging. This is particularly important after more extensive liposuction and when skin elasticity is reduced. Depending on the findings, both procedures can be planned together or the lift performed later; the surgeon determines the extent and timing with safe healing in mind.
Possible obstacles include active infection, uncontrolled disease, a significant clotting disorder or high risk of thrombosis or impaired healing. Smoking and inadequate nutrition increase risks. If further weight loss is planned, the procedure should be postponed. Elective aesthetic surgery is not performed during pregnancy.
Consultation establishes the extent of excess tissue, skin condition and anticipated scar placement. Preparation includes assessment of health, medicines, nutrition and blood-clot risk, with laboratory and internal-medicine examinations if necessary. Do not stop medicines without agreement. Follow nicotine recommendations and arrange an escort and help at home.
The procedure is usually performed under general anaesthesia. For smaller excesses, the incision may lie in the groin; for more extensive laxity, it continues vertically down the inner thigh, sometimes towards the knee. The surgeon removes excess skin, adjusts fat as needed and sutures the tissues. Drains may be inserted temporarily. Procedure extent and length of stay are individual.
Groin and thigh wounds require careful hygiene and protection from friction and tension. Wear compression garments as recommended. Early gentle mobilisation and any prescribed thrombosis prevention are important. Initially limit long strides, wide leg movements and other movements that stretch wounds. Follow-ups monitor healing and swelling.
Expect swelling, bruising and tenderness for several weeks. Returning to light work is usually possible after approximately two to three weeks; physical work may require longer. Strenuous sport and lifting are usually postponed for approximately six to eight weeks, always depending on follow-up assessment and procedure extent.
Contours settle over several months. Scars gradually fade but remain permanent and may be visible in underwear. Stable weight helps maintain results; skin ageing continues. Risks include bleeding, infection, wound separation, seroma, altered sensation, asymmetry, pronounced scars, persistent swelling and thrombosis. Subsequent correction is sometimes necessary.
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