The concentric medial thigh lift

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Dermatology

Background:

• Medial thigh lifts are frequently requested due to skin laxity and fat deposits causing irritation and functional issues.
• Traditional thigh lift techniques have a poor reputation owing to significant side effects like poor healing, scarring, necrosis, and effusions.

Purpose of the Study:

• To propose an innovative horizontal medial thigh lift technique to simplify the procedure and improve outcomes.
• To reduce the incidence of complications associated with traditional thigh lift surgeries.

Main Methods:

• A new incision line is placed along the labia major in the perineal crease, avoiding the buttock fold.
• Liposuction is extensively used to eliminate fat, particularly under the resection area, avoiding any undermining.
• Resection involves only skin (epidermis and dermis), preserving lymphatic and other vessels to facilitate healing and prevent effusions.

Main Results:

• The technique resulted in easier healing, preservation of vessels, and no dead space or effusions.
• Resection is performed on demand, avoiding tension during skin closure and shortening scar length.
• Anchor sutures on non-undermined skin significantly decreased the risk of necrosis.

Conclusions:

• The novel horizontal medial thigh lift technique offers a safer and more effective alternative to standard methods.
• This approach leads to improved aesthetic results and a reduced complication rate, demonstrated in 25 patients.