When the skin of the inner thigh is too loose, only the removal of a crescent of skin on either side of the pubis can retighten this area.
The scars are located in the fold at the top of the thigh, on each side of the pubis. If the skin is elastic enough, of course, simple liposuction is generally sufficient, with a few tiny scars.
See the SOFCPRE information sheet on the inner thigh lift (in French) >>
On the inner thighs, the skin may stretch and excess fat may develop, forming a bulge that can be bothersome. Fat suction can reduce it, but if there is excess skin on the inner thigh, it must be “retightened” upwards. A crescent-shaped excision can then be performed, hidden in the fold, anchored to the fascia to avoid the risk of the scar migrating downwards. The effects of this operation are, however, limited to the upper inner thigh, but it gives a good result at this level, with a scar very well hidden in the groin fold. This operation requires a 24-hour hospital stay and limits walking for a few days. The sutures are absorbable. Drains are sometimes used.
Bulges on the inner knees are very well corrected by fat suction.
Around the ankles, great caution is required, and suction can only be considered in particular cases.
Under general anaesthesia, liposuction of the inner thighs is performed just before removing the spindle of excess skin. Anchoring the lower part of the incision to the ligaments next to the pubis with non-absorbable sutures suspends the skin.
Closure is done in the groin fold, with absorbable sutures, generally with two small suction drains. Sometimes an overnight hospital stay is advisable. Painkillers and anticoagulants are necessary for one week.
If you have stayed overnight at the clinic, the drains are removed the next day. It is possible and advisable to wash the perineum in the shower from the second post-operative day with foaming Betadine. As the scars may ooze slightly in this area, the use of eosin tincture is often helpful. Painkillers are necessary for at least a week, when walking and when spreading the legs, which will have to be limited for some time.
Nevertheless, you will have to force yourself to keep somewhat mobile to limit the risk of phlebitis, which will in any case be prevented by anticoagulant injections for eight days and by wearing a compression garment, taking care not to choose one that is too tight. Normally, residual pain is minimal after 3 weeks. The result can only be appreciated after 3 months, and it must be clearly understood that this procedure must not be too radical at the outset, because under excessive tension the sutures could give way.
In cases of very significant laxity of the inner thigh tissues, a second procedure complementing the first can be discussed 6 months after the initial operation.
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