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Medial Thigh Lift

If you have loose skin on your upper thighs or lower buttocks, you’re not alone. Excess skin on the thighs is often created after significant weight loss. After the fat melts away, many areas of the body can be left with excessive amounts of skin, causing discomfort in clothing and a poor self-image.
For those struggling with the look of their legs, thigh lift can tighten sagging or wrinkled skin and create smoother, more youthful-looking thighs. During surgery, loose skin and fat from the inner thighs, outer thighs or both will be removed. It is considered and outpatient procedure.

Reasons to Consider a Thigh Lift:

The effects of time, gravity and a great amount of weight loss can result in loose, flabby skin on inner or outer thighs.

What Do I Need to Know?

A thigh lift can remove skin that has lost elasticity and improve the overall appearance of the inner and outer thigh area. The procedure is performed under general anesthesia and usually takes about 2 hours. An incision is made in the groin area beneath the bikini line and some of the thigh skin is removed. Then tissue below the incision area is loosened and after the skin is pulled up and tightened, the incision is closed with sutures.

Deep stitches are also used to secure the skin below and prevent sagging as the incision heals. Occasionally drains are placed inside the incision site to help collect excess residual fluid that can build up after surgery. If used, they are usually removed after just a few days.

What to Expect After Surgery?

For the first 14 days you should only take on light activities. You should expect bruising, soreness, swelling, numbness and tightness in your thighs. A compression dressing will be applied to thighs to reduce swelling, minimize bruising and aid recovery. Most of the swelling should be gone by six weeks after surgery. Pain medication, prescribed by the surgeon, will help control the discomfort during your recovery period. Instructions for home care will be given at your pre-op appointment.

1. If you are a smoker, you should stop completely. This will help to avoid respiratory complications and to improve circulation to the surgical areas.
2. Abstain from taking aspirin, aspirin containing products, or any non-steroidal anti-inflammatory agents for at least 2 weeks prior to surgery.
3. Avoid alcoholic beverages for at least 24 hours prior to your surgery.
4. Do not eat or drink after midnight the day of your surgery. If you must take medications on the day of surgery, you may take them with a small sip of water.
5. You will not be allowed to drive yourself home after surgery. Please make arrangements for a family member or friend to pick you up.
6. Do not apply any body lotions, creams, antiperspirants, hair treatments, or make up on the day of surgery.

Avoid alcoholic beverages until advised by your physician.
Drink plenty of fluids after surgery for the first 3-4 days. Avoid caffeinated, sugar or carbonate beverages or drinks.

Unless otherwise instructed, consume only liquids the evening after your surgery. You may then slowly advance your diet the following day to soft and bland foods i.e. mashed potatoes, over-cooked pasta, eggs, etc. It is suggested to stay away from dairy products for 3-4 days.

Walking is important to help with leg circulation and should be increased gradually each day as tolerated.

Do not lift anything heavier than a gallon of milk until cleared. Generally no strenuous activity, no lifting greater than a gallon of milk, no vigorous activity, or sex for six weeks. If all has healed well you will be cleared to resume light exercises after 6 weeks.

Deep breathing and coughing is encouraged. Holding a pillow firmly against your abdomen may help reduce discomfort.

You will not be allowed to drive until cleared.

At your first postoperative visit, you will be instructed to massage your breasts.

Dressings like gauze, tapes, compression garments and bandages are usually applied on the thigh area. This usually stays on for a few weeks in order avoid infection and complications. You should not take them off until instructed by the doctor.

Your incisions are usually closed by dissolvable sutures.It is not unusual for a small amount of blood or fluid to escape from the wounds. Significant bleeding on the gauze is not normal. Please be sure to contact your physician if this occurs.Mild bruising after surgery is to be expected. This can be quite dramatic, but is not dangerous.Any unusual pain or redness may indicate infection and should be reported to your surgeon.For any foul smelling drainage or unusual odors, please notify your physician.

Abstain from taking aspirin, aspirin containing products, or any non-steroidal anti-inflammatory agents immediately and following your surgery unless instructed otherwise.

Do not take pain medications on an empty stomach. This may make you nauseated.

Opioid pain medications (Codeine, Viocodin, Percocet, Darvocet, Norco, Hydrocodone, etc.) can cause constipation. Use a stool softener or gentle laxative (MiraLax or Dulcolax) if you experience this. Notify your physician if your constipation does not resolve.

Pain medications and antibiotics are usually prescribed. If they are not prescribed to you please call the office and confirm.

Make your follow-up appointment by calling the office. If a follow-up appointment is not made for you please go ahead and make one for the day after surgery, 1 week after surgery and weekly while incisions have not healed correctly, or drains are in place.

Please report the following symptoms to the office immediately or your doctor:

• Fever >100° F or higher
• Unusual bleeding
• Excessive pain
• Excessive swelling of or around the wound
• Increased redness
• Light headedness
• Temperature of 100° F or higher
• Chest pain
• Shortness of Breath
• Severe Headaches,
• Changes in Vision
• Any Neurologic problems
• Numbness in the extremities
• Heart Palpitations or Arrhythmia

If you are a smoker, you should abstain from smoking immediately. This will help to avoid respiratory complications and improve circulation to the surgical areas.

Do not shower until cleared by your physician. After you are cleared it is permitted for soap and water to come in contact with your incisions and drains.

Obtain assistance when showering so you do not fall and get hurt.

Do not immerse yourself a tub, Jacuzzi, or pool until cleared. This is not permitted for at least 6 weeks and possibly longer depending on the incisions being completely healed.

Sleeping on a towel for the first few days may help prevent soilage of your bedding as a result of normal oozing from your incisions and drains.

Do not apply any body lotions, creams, vitamin K, or other skin treatments to your incisions until advised.

Bruising, Oozing, Swelling, Emotional ups and downs, Numbness, Itching, and Discomfort

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