Inner thigh and after. All ways to effectively tighten the buttocks and thighs

Femoroplasty is a direction in plastic surgery, the object of which is the inner and outer surface of the thighs.

With the help of such an intervention, you can tighten sagging skin, remove excess body fat, and eliminate various defects.

Causes of skin ptosis in the thigh area

Even in the prenatal period, the fetus deposits a significant amount of adipose tissue in the thighs and abdomen.

From a biological point of view, this is a natural defense mechanism that allows you to survive during forced starvation.

This feature of the body, due to various factors, results in external defects.

Fat deposits have the ability to grow intensively, but it is in the thighs and buttocks that they “leave” very slowly.

To do this, you need to make a lot of effort: constantly monitor nutrition and do not stop exercising. Similar measures are required to maintain the achieved effect.

Given that the skin on the thighs is prone to stretching during pregnancy, loses elasticity with age or sags after strong weight loss, we can conclude that it is almost impossible to restore former elasticity by conventional means.

So, among the factors contributing to ptosis (or sagging) of the skin in the thigh area, include:

  • a sharp decrease in body weight;
  • pregnancy and childbirth;
  • malnutrition (lack of polyunsaturated fatty acids, vitamin E, etc.);
  • sedentary lifestyle, neglect of physical activity;
  • previous liposuction (fat is gone, but the skin is not shrinking enough).

If activities such as diet, sports, massage with cosmetics, etc. do not help in any way, the solution will be to contact a plastic surgeon.

Indications and contraindications

Surgical correction of the hips is performed in the following cases:

  • elimination of cosmetic defects in cases where flabby skin negatively affects the psycho-emotional state, deprives self-confidence, does not allow wearing open clothes;
  • for medical reasons if too voluminous skin-fat folds lead to friction while walking, diaper rash, irritation, abrasions, circulatory disorders.

Ptosis of the skin on the inner thighs can be observed even in young girls.

An individual feature plays a role here: persons with thin skin are more prone to the appearance of a defect.

AT adulthood this problem occurs in most women.

Ladies with overly full hips are especially affected, which are rubbed while walking, thereby causing significant discomfort and rubbing of clothes.

Such phenomena force many to resort to surgical correction.

What can be achieved with femoroplasty:

  • elimination of sagging and sagging;
  • excision of excess adipose tissue;
  • reduction in the volume of the hips (if necessary - an increase through implants);
  • reduction in the appearance of cellulite.

Plastic surgery on the hips is a serious intervention, so the possibility of an intervention depends on several conditions.

The first thing to do is to identify possible contraindications:

  • Varicose veins;
  • diabetes;
  • malignant processes;
  • diseases of the cardiovascular system;
  • endocrine system disorders;
  • problems with blood clotting;
  • pregnancy and lactation;
  • viral and infectious diseases;
  • underage age.

Types and technique of femoroplasty

List of analyzes

The standard set of tests before any plastic surgery includes:

  • general analysis of blood and urine;
  • blood biochemistry;
  • coagulogram (blood clotting test);
  • blood for viral hepatitis, HIV infection, syphilis.

Additionally, an electrocardiogram and Doppler ultrasound of the lower extremities are performed. Expert advice may be required.

Training

During the conversation with the doctor, the following questions are discussed:

  • technique and tactics of the operation;
  • the duration of the intervention;
  • type of anesthesia;
  • the duration of the full recovery of the body and the time of manifestation of the final result;
  • shape, manufacturer, dimensions of implants (if they are planned to be implanted).

By the time of the operation, the client should not experience any health problems, including minor ailments. In a woman, the day of intervention should not coincide with her menstruation.

Training:

  • stop smoking and drinking alcohol a week before surgery;
  • refusal of certain medicines (anticoagulants, etc.);
  • exception physical activity two to three days before the intervention;
  • the last meal and liquid - 12 hours before.

There is another important point that concerns people who have dramatically lost weight.

If the skin began to sag after such a strong weight loss, you should not immediately go under the knife. First, you should normalize the weight and keep it for some time, otherwise the fat layer will quickly recover and return to its original form.

Therefore, a period of at least six months should elapse between weight loss and surgery. During this time, the weight will have time to stabilize.

Anesthesia

The operation is performed under general anesthesia, as the surgeon will have to work with a large amount of tissue.

This is a rather painful procedure. Its duration is from one and a half to three hours, in some cases even more.

The total intervention time depends on the problem being solved.

Before using anesthesia, an anesthesiologist's consultation is required, since the patient may have an allergic reaction to some substances.

Types and technique

There are two main types of femoroplasty:

  • the first is aimed at correction in the direction of reducing the volume of tissue (excision of excess subcutaneous fat is carried out through a small incision, then the surgeon performs a skin tightening);
  • in the second case, the patient requires hip augmentation using anatomically shaped implants.

If the correction involves the removal of excess fat, they begin with liposuction.

Access is through an incision in the popliteal cavity.

After excision of excess adipose tissue, the surgeon makes a tightening of the inner surface of the thigh.

The following methods are used for this:

  • median technician a (an incision is made on the inguinal fold) - this is the least traumatic method that is used to correct minor defects;
  • vertical technique(a continuous vertical incision is made from the inguinal fold to the kneecap, excess skin is excised);
  • mixed media(a combination of a vertical incision and incisions in the inguinal folds) - the technique is used to remove a significant amount of skin.

After removing all the excess, the surgeon sutures.

Liposuction

There are two options for liposuction:

  • self-correction;
  • together with other surgical techniques (lifting, hardware rejuvenation, etc.).

Anatomical areas:

  • breeches zone;
  • inner thighs;
  • peritoneal zone.

Liposuction as an independent intervention is indicated for persons who have a slight excess of body fat and sufficient skin contractility.

If the tissues after correction cannot contract properly, the result will be an even more pronounced defect.

In order to avoid flabbiness and sagging of the skin after liposuction, it is advisable for some patients to additionally excise skin flaps from incisions in the inguinal folds.

laser

The laser technique lies in the fact that fat deposits are destroyed under the influence of laser energy supplied through a thin needle (1 mm in diameter).

In the process of movement, it violates the integrity of fat cells.

Advantages of laser hip correction:

  • minimal trauma;
  • duration less than an hour;
  • compression of collagen fibers and, as a result, a lifting effect;
  • no complications;
  • short rehabilitation period.

The method is often used to correct hard-to-reach and intimate areas.

In some cases, the technique is used as an addition to classical liposuction in order to flatten the surface of the thighs.

Pros and cons

The liposuction procedure has pros and cons.

The benefits include:

  • guaranteed removal of fat deposits in the problem area (“riding breeches”, inner thigh, near-knee zone);
  • selectivity of exposure: with the help of liposuction, it is possible to correct only the area that needs it (with normal weight loss, hands, chest, face lose weight first of all);
  • possibility of combination with other methods;
  • stable result: the need for a new operation arises only with prolonged abuse of harmful and high-calorie foods;
  • improvement of the psycho-emotional state: increased self-esteem, elimination of complexes, etc.

Among the shortcomings are:

  • high cost;
  • the risk of scarring;
  • the possibility of side effects after an illiterately performed operation (roughness, lumpiness of the skin, the “washboard” effect, etc.);
  • swelling and pain in the first days after classical liposuction.

How long does it take?

Liposuction of the thighs takes about 1-1.5 hours. Depending on how much adipose tissue needs to be removed, the surgeon performs 1-2 skin punctures and small incisions.

In some cases, preliminary fat breaking with ultrasound is required, which also affects the duration of the operation.

Are there seams?

Even minimal incisions and punctures require suturing.

For this, absorbable or non-absorbable threads are used. The length of the seam does not exceed 2-4 mm.

After a week, the suture material dissolves on its own or is removed by the surgeon. Due to the special technology of suturing, scars on the body practically do not remain.

Postoperative period

For some time after liposuction, you need to wear compression underwear.

In addition, the patient should carry out procedures aimed at improving the condition of the skin and reducing sagging.

  • limitation of physical activity;
  • refusal of thermal procedures (baths, saunas), instead of a bath - a shower;
  • use of healing ointments and preparations prescribed by the surgeon.

Consequences and complications

Possible complications after liposuction:

  • Flabbiness. Before the operation, the surgeon evaluates the ability of the skin to contract, on the basis of which he makes a prognosis regarding the appearance of flabbiness. In this matter, wearing compression underwear plays an important role.
  • Decreased skin sensitivity. The disorder occurs due to damage to the nerve endings. This is usually a temporary complication. During this period, it is important to choose comfortable clothes that will not rub or pull the skin.
  • Puffiness. After liposuction, edema is observed in everyone, but each patient subsides after a different time.
  • Hematoma. Expressed tumors are rare. Usually these are small bruises that disappear in 1.5-2 weeks.
  • Fixation of the skin to the muscles. A complication occurs through the fault of the doctor if he removed too much adipose tissue. The result - the skin seems to "grow" to the muscles.
  • Infection. If the health worker does not follow the rules of asepsis, an infection can get into the wound. As a result, a purulent-septic complication develops. Such a patient is indicated for intensive antibiotic therapy, and in some cases, surgical intervention.

Surgical plastic

A surgical thigh lift is called a dermolipectomy.

From the name of the operation it follows that the intervention consists in excising excess skin and adipose tissue. The remaining skin flaps are stretched and sutured together.

The operation allows you to get rid of sagging and uneven hips.

Surgical lifting of the beret can be carried out in conjunction with the following operations:

  • liposuction;
  • buttock lift;
  • tummy tuck and groin area.

Internal

Such a lift is otherwise called "median".

The method is suitable for those persons with slight tissue ptosis on the hips.

Incisions are made along the inguinal folds. The skin on the side of the thighs is partially excised, which provides a lifting effect on the inner surface.

vertical

With this technique, the incision goes along the inner surface of the thigh from the inguinal clutches to the knees.

The technique is used when it is necessary to remove a large number of skin.

At a short distance from the first incision, the surgeon makes a second one so that a skin wedge is formed, tapering towards the knee.

The skin flap between the incisions is excised, the edges of the wound are combined and sutured.

Combined

The method is used if any one technique is not enough to eliminate the defect.

The set of combined techniques is determined by the plastic surgeon.

For example, a lift can be combined with excision of excess adipose tissue or augmentation with implants.

Volume increase with implants

Too thin thighs and underdeveloped muscles of the inner surface can be corrected with silicone implants.

The materials from which modern implants are made are safe and biocompatible with the human body, so the risks of prosthesis rejection are minimal.

Surgical access is provided through the subgluteal fold, which leaves almost invisible scars.

Before and after hip augmentation with implants:

How long does it take?

The operation is performed under general anesthesia.

Usually use inhalation or intravenous anesthesia, less often - epidural in combination with sedatives.

The intervention takes 2-3 hours, in especially difficult cases - more.

Where are the seams located?

The sutures are located in the inguinal folds, around the pelvis or along the inner surface of the thigh.

Depending on the purpose of the surgery, scars may also extend from the groin to the buttocks.

Surgeons try to make incisions where they are least visible.

In order to minimize gross scars, many specialists now refuse to sew the edges of the skin together and use the tactics of layering and combining skin flaps.

Postoperative period

Recovery after surgical correction of the hips takes up to six months.

Duration rehabilitation period depends on the individual characteristics of the body and how the patient follows the recommendations of the surgeon.

The first few hours after the operation must be spent in the hospital.

Doctors should monitor how the recovery from anesthesia goes.

In some cases, the patient remains under medical supervision for 1-2 days. The stitches are removed after 10-14 days.

Soreness and numbness may persist for up to two months.

Consequences and complications

The more extensive the intervention, the higher the risk of postoperative complications.

These include:

  • deformation of the genital organs;
  • rough scars;
  • thrombosis;
  • bleeding;
  • seroma;
  • infection;
  • violation of the lymph flow.

Rehabilitation

After the intervention, compression underwear should be worn for two to three months, which contributes to better tissue regeneration and healing of sutures.

The speed of restoration of working capacity depends on what type of plasty was performed. With surgical correction, the initial state of health returns after 2-4 weeks.

In the first days after discharge, such sensations as pain, burning sensation, numbness are disturbing.

Painkillers are taken to relieve discomfort. Seams should be treated with antiseptics.

What can't be done?

Restrictions in the postoperative period:

  • exclusion of physical activity for two months;
  • refusal of thermal procedures (saunas, baths, hot baths) until the swelling disappears completely;
  • refusal from the solarium until the healing of scars.

Prices

Surgical thigh lift without liposuction costs about 100,000-130,000 rubles. For the removal of fat, you will have to pay an additional fee of about 70,000-80,000 rubles.

The cost of the operation depends on the prestige of the clinic and the experience of the surgeon.

In Moscow

Rates in Moscow:

in St. Petersburg

Rates in St. Petersburg:

results

With the help of the operation you can achieve:

  • reduction of fat deposits on the thighs;
  • visual improvement of outlines;
  • increasing the volume of too thin hips with the help of implants;
  • elimination of defects in the form of curvature, irregularities, etc.

Photos before and after:

When will the effect be noticeable?

The result can be assessed no earlier than three months after the correction.

But keep in mind that the final tightening of scars can occur much later.

If the purpose of the operation was to reduce the volume of the thighs, the effect will be noticeable almost immediately, despite the presence of swelling and bruising.

How to understand that everything went well?

The absence of complications indicates the success of the intervention.

This is the main point to focus on. At the end of the recovery period, the patient should see the result that was originally discussed with the surgeon.

Any defects (irregularities, asymmetry, depressions, etc.) indicate that the technique of the operation may have been violated.

In this case, a second consultation with a specialist is required.

How common are unsuccessful surgeries?

Most plastic surgeries on the hips are completed successfully.

Complications occur in 0.5% of cases.

Plastic surgery is reliable and effective method elimination of defects in the thighs.

However, it should be resorted to only if no other measures help.

You need to be prepared for the fact that recovery takes enough long time, and you can return to your usual way of life only after two to three months.

Every woman dreams of having toned and slender legs. However, as we age, our skin stretches and is no longer as elastic as it used to be.

Is it possible to find one in

Features of the structure of some anatomical zones of our body are very difficult to correct by conventional methods. For this reason, many plastic surgeries are primarily aimed at correcting those anatomical areas that cannot be corrected in any other way. Such a zone requiring radical correction is the inner side of the thigh. Plastic surgery to correct the contours of the hips is called femoroplasty.

What is femoroplasty

Femoroplasty is surgery, the purpose of which is the aesthetic correction of the inner side of the thigh and the elimination of cosmetic skin defects. The term femoroplasty comes from the Latin word femur, which means thigh bone.

Usually, femoroplasty is used by those patients who have excessive fat deposits on the thighs and experience discomfort from constant friction of the inner thighs during movement. This fact contributes to the development of irritation and microtrauma from friction, as well as the rapid wear of clothing (trousers, for example). Thus, not only the aesthetic factor can serve as an indication for hip correction.

Unfortunately, the above inconveniences, like sagging skin on the inside of the thighs, occur not only in adulthood, but also in young people. It all depends on anatomical structure body, hereditary predisposition of the patient and his lifestyle.

It happens that sometimes a person, with the help of diet and constant physical activity, still manages to get rid of excessive fat deposits in the area of ​​​​the inner thighs, but after massive weight loss, a large amount of excess skin remains, which gathers in folds and hangs down in the form of an “apron”. ". It is impossible to eliminate this defect by any means other than surgical plastic surgery of the hips.

Also, an indication for plastic surgery may be a lack of tissue in the thigh area. Too thin thighs and weak muscles of the inner thigh can also be corrected with femoroplasty.

In what cases resort to femoroplasty

Hip plasty is indicated in the following cases:

  • excess body fat in the thighs;
  • after removal of excess skin after massive weight loss or as a result of muscle tissue dystrophy;
  • with tissue ptosis in the thigh area;
  • uneven distribution of subcutaneous fat on the thighs (too thin thighs);
  • weak muscles of the inner thigh;
  • the presence of "riding breeches" zones (fatty tissue that has accumulated on the outer side of the thigh);
  • with cellulite (when pits and stretch marks appear on the skin).


With age, even in people with a normal body mass index, ptosis (sagging) of tissues in the area of ​​\u200b\u200bthe inner thighs is observed. The reasons for this process are as follows:

  • hereditary predisposition;
  • anatomical constitution of the body structure;
  • age-related muscle dystrophy in this area;
  • decrease in skin turgor;
  • massive weight loss;
  • decrease in skin elasticity;
  • after liposuction, when a large amount of fat is removed, but without tissue tightening.

Contraindications for hip plasty

Femoroplasty is not an easy surgical intervention. Therefore, factors that hinder its implementation should be taken into account. Hip correction surgery should not be performed in the following cases:

  • acute, chronic or infectious diseases in the active stage;
  • diabetes;
  • autoimmune diseases;
  • oncological diseases;
  • cardiovascular diseases;
  • thyroid disease;
  • pregnancy and lactation;
  • allergic diseases;
  • skin diseases in the intended area of ​​​​impact;
  • age restrictions (up to 18 years).

Preparing for hip plasty

Preparation for the operation includes several stages:

  • consultation with a surgeon;
  • comprehensive examination;
  • laboratory diagnostics.

The first step in preparing for surgery is a consultation with the surgeon. This must be done so that the doctor can find out the wishes of the patient, talk about how the surgical intervention will take place and what the final result will be. If an operation to increase the hips is performed, it is necessary to take measurements for the manufacture of prostheses.

The second stage includes the identification of contraindications to surgery and the presence of allergic reactions in patients. Consultation with related specialists is also necessary.

Laboratory studies include the following tests:

  • general blood analysis;
  • blood biochemistry;
  • Analysis of urine;
  • analysis for (RW) Wasserman reaction (syphilis);
  • blood clotting test;
  • analysis for the detection of HIV infection;
  • analysis for hepatitis B and C;
  • fluorography;
  • electrocardiogram.

It is important to know that if sagging skin has occurred as a result of massive weight loss, then you should not immediately resort to removing excess skin on the thighs. After losing weight, you need to wait until the weight stabilizes, as there is a high probability of recovery of fat complications, which will lead to the original state of the thighs.

Methods of surgical plasty of the hips

There are several methods for performing femoroplasty, depending on the surgical access to this area:

  1. Through an incision in the inguinal folds.
  2. Through incisions on the surface of the thighs;
  3. Through a large incision from the groin to the knee.

The first method is the most gentle, with minimal aesthetic consequences. If the deformation of the tissues on the inner side of the thigh is mild, then it is pulled through small incisions in the inguinal region. Then the excess subcutaneous fat is removed. If correction is needed outer side hips, then the incision is made from the groin around hip joint. The second method is resorted to with medium volumes of subcutaneous fat, and the latter - with a large excess of excess skin.

If the hip correction is performed in combination with the buttocks, then oval-shaped incisions are made that pass through the thighs and the upper part of the buttocks.

To correct all sides of the thighs (inner, outer and back), an incision is made from the fold line of the buttocks along the inguinal folds.

At the end of the operation, the incisions are sutured. It is very important that the sutures are properly placed, otherwise there is a possibility of tissue displacement or deformation of the external genitalia. If necessary, drainage tubes are placed in the wound, and after the operation, the patient immediately puts on compression underwear.

Femoroplasty is also performed in conjunction with liposuction and abdominoplasty. Liposuction is performed before hip plasty, since during this operation only a small amount of fatty tissue is removed, and the main part of the subcutaneous fat is removed only with the help of liposuction. Correction of the hips primarily involves skin tightening and the formation of clear contours.

Hip correction surgery lasts 2-3 hours, usually under general anesthesia, but sometimes spinal anesthesia is used. If additional corrective manipulations are carried out, then the operation time increases.

Procedure for hip augmentation

Among patients, hip reduction surgery is in special demand, plastic surgery to increase the size of the hips is resorted to much less often. Most often, the reason is the uneven distribution of subcutaneous fat on the thighs. Too thin and poorly developed hips are perfectly corrected with silicone implants.

The materials from which prostheses are made are distinguished by their strength and safety, as well as high biological adhesiveness to the tissues of the human body.

With hip augmentation, incisions are made in the subgluteal fold, which will make the sutures completely invisible in the future. Also, cosmetic seams should be aesthetically pleasing.

rehabilitation period

After the operation, the patient spends some time in the hospital under the supervision of a doctor. In the early days, you can not get up, walk and even sit. During this period, the patient experiences pain, an increase in temperature, tissue swelling, and a feeling of discomfort in the operated area. The swelling goes away within a week. The sutures that were placed on the inner side of the thigh are made from biodegradable threads and do not require removal. External stitches are removed after 7-10 days.

In order to make the recovery period as comfortable as possible. You must follow a few simple rules:

  • pay special attention to the seams, with proper care they will heal faster;
  • immediately after the operation, the patient should wear compression underwear, which contributes to the rapid recovery of tissues;
  • regardless of the patient's condition, mandatory antibiotic therapy is carried out;
  • you should not visit baths, saunas, pools and solariums;
  • do not take hot baths;
  • avoid direct sunlight;
  • for a long time in the area of ​​\u200b\u200bthe scars, discomfort may occur when walking, squatting and getting up;
  • avoid intense physical activity.

The effect of femoroplasty will become effective a year after surgery.

Possible complications after hip plasty

As with any plastic surgery, a number of possible complications develop after femoroplasty. As a rule, they appear in the form:

  1. Hematoma and gray. This complication happens quite often. It occurs due to damage to a large number of blood vessels and lymphatic capillaries. This leads to the accumulation of both serous fluid and blood in the wound cavity. Large seromas and hematomas are excised surgically, small ones resolve on their own.
  2. Necrosis of the skin on which the scar is located. Usually, tissue necrosis occurs due to poor circulation in the area of ​​the inner thighs and strong tension on the edges of the wound. This leads not only to tissue necrosis, but also to the divergence of the seams.
  3. Violation of the lymphatic and venous outflow. The complication develops due to damage to the lymphatic vessels and impaired lymph microcirculation. Under the skin of the thighs there is a large accumulation of lymphatic vessels, through which the lymph flows to lower limbs. As a result, there may be prolonged swelling in the legs. In some cases, the violation of the lymphatic outflow can become chronic, leading to elephantiasis (its large accumulation in the legs).
  4. Infection and suppuration of wounds. The complication is caused by a bacterial infection, tissue necrosis and the formation of hematomas and seromas. Eliminated by antibiotic therapy.
  5. Partial or complete loss of sensation. This complication is temporary and gradually disappears completely.
  6. Increased skin sensitivity. This phenomenon is called hypertension. Sometimes hypersensitivity persists for life.
  7. Unsuccessful result. Unfortunately, this also happens. It develops as a result of the fact that the skin is not able to contract to the extent that it provides the necessary firmness and elasticity.
  8. Fat embolism. A complication develops when elements enter the blood or lymph that are not found there, in normal conditions. Fat embolism often causes vascular occlusion, which causes disruption of local circulation. This is the most formidable complication that leads to a terminal state.
  9. Change in skin color of postoperative scars. In place of scars, persistent pigmentation may occur. It can be removed only by special cosmetic methods.
  10. Displacement of inguinal scars in the thigh area. The displacement and stretching of the scars makes them very visible. This happens with a large-scale surgical intervention.
  11. Asymmetry of the genitals. This complication occurs due to the strong tension of the tissues.

The occurrence of complications after hip plasty depends both on the professional training of the surgeon and on the patient's compliance with the rules during the rehabilitation period.

Advantages and disadvantages of femoroplasty

Like any surgical intervention, this method has some advantages and disadvantages.

Advantages of hip plasty:

  • long effect of the procedure (10-15 years);
  • return to tissues of elasticity, and to the legs of harmony;
  • getting rid of excess subcutaneous fat forever (subject to a lifelong diet and constant body weight);
  • the acquisition of harmony, harmony and proportionality of the hips.
  • deep scars and scars;
  • if liposuction is performed, then only in conjunction with a thigh lift, otherwise the skin will hang in unaesthetic folds;
  • after plastic surgery, bumps and bumps on the skin may appear, which implies additional correction of the hips;
  • long rehabilitation period;
  • high risk of complications.

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Thigh lift (thigh plastic, femoroplasty)

What is a hip lift surgery

A thigh lift involves removing excess skin and fat from the inner and outer thighs. This procedure is often desired after significant weight loss, or after weight loss surgery. It is also suitable for those who have not managed to get rid of excess tissue on the thighs as a result of diets or exercise. As an adjunct to this operation, liposuction can be used to reshape the inner thighs. If you support healthy lifestyle of life and are of moderate weight, a thigh lift can help restore the desired youthful contour to your thighs.

Thigh lift: pros and cons

When to Consider a Thigh Lift

If you want your thighs to have a better, more proportionate contour so they have a firmer look and feel.
- If you have undergone weight loss surgery or have lost a lot of weight.
- If you experience discomfort due to loose, loose skin on the hips.
- If your clothes do not fit well because of heavy hips.

Related Procedures

Many women considering a thigh lift are also considering procedures such as abdominoplasty, or body contouring after pregnancy and childbirth. Hip lift surgery can be combined with buttock lift surgery in one procedure called a lower body lift.

Decision-making

Per
- Clothes and swimwear will look better on you.
- Your body will look more slender and proportionate.
- Your thighs will become firmer, younger, and more seductive.

Against
- May leave visible scars
- When fat tissue is removed through liposuction, the skin may look emaciated.
- Another follow-up operation may be required to correct the resulting irregularities.

When deciding to undergo a lower body lift, the above three main arguments for and against should be weighed. If you intend to focus on those that will be unique to you, then it is advisable to contact your plastic surgeon.

Are you a candidate for a thigh lift?

Some common reasons people choose to undergo a lower body lift include:
- The consequences of age, expressed in the formation of wrinkles, cellulite, and loose skin on the thighs.
- You have successfully lost significant weight, and now you want to have slender hips that match your more proportional, more toned figure.
- Because of your heavy hips, the clothes do not fit you very well.
- Your hips make you feel embarrassed and you want to regain confidence in yourself in relation to your body.

If your health is generally good and you have positive attitude and realistic expectations, then most likely you are a good candidate for this procedure.

Thigh lift: before and after photos

How is hip plasty surgery performed?

Medial (inner) thigh lift: An incision is made in the groin area through which excess adipose tissue and the skin of the inner thighs are removed. In this case, depending on individual requirements, liposuction can be used (but not necessarily). The thigh area is contoured from the groin to the knee, and then this procedure is repeated for the other thigh. If at the same time a significant amount of tissue is removed, then this procedure is often called hip plasty.

Lateral (external) thigh lift: This is a more complex procedure that usually involves reshaping the contours of the buttocks along with the outer thighs, as well as tissue removal. The scars here are more intense and the skin will be less elastic after surgery, so weight must be maintained.


A thigh lift is aimed at eliminating skin folds and excess adipose tissue.

Which Thigh Lift Surgery Option Is Right For You?

There are two various types thigh lifts: medial (inner) and lateral (outer) lift. This is described in detail in the paragraph "About the procedure itself". Figuring out which of these two types of facelift is right for you requires a physical examination, a thorough review of your medical records, and a discussion with your plastic surgeon. In this case, it is possible that you will be asked to perform a combined lower body lift.

What incisions and scars will remain after thigh lift surgery?

Medial (inner) thigh lift: The incision is made in the groin area. For patients requiring large volumes of skin to be removed, a longitudinal incision can be made along the inner thigh.

Lateral thigh lift: Depending on the requirements for an outer thigh lift, scars can extend from the groin, around the pelvis, and possibly as far as the gluteal crease. The surgeon will aim to make incisions where the scars will be hidden by clothing, but with this type of operation, the incisions will be more extensive than with a medial thigh lift.

Preparation and conduct of the operation

How to prepare for a thigh lift procedure?

Your surgeon will provide you with preoperative instructions, answer any questions you may have, complete a detailed medical record, and perform a physical examination of your body to determine your readiness for surgery.

Before your surgery, your surgeon will ask you to do the following:

Stop smoking before surgery to promote better healing.
- Stop taking aspirin, certain anti-inflammatory medicines, and certain herbal medicines that can cause more bleeding.
- Regardless of the type of operation performed, for safe recovery big role plays the saturation of the body with moisture, both before and after surgery.
- Your surgeon must ensure that you maintain a stable weight for a significant period of time, as gaining weight can harm the effects of a thigh lift.

What should I expect on the day of my hip lift surgery?

The operation may take place in an accredited hospital, an independent dispensary, or in an office-type surgery room. Most operations of this kind last two to three hours, but may take longer.

During the operation, you will receive medications to ensure your comfort.

As a rule, general anesthesia is used during the operation, although in some cases it is desirable to use local anesthesia, or intravenous sedation.

For your safety, during the operation, various monitors will be used to monitor your heart rate, blood pressure, pulse and the amount of oxygen in the blood.

Your surgeon will follow an operation plan that they will discuss with you before the operation.

After the procedure is completed, you will be transferred to a rehabilitation room where you will continue to be closely monitored. You will have drainage tubes installed. You will be wearing compression garments on the thigh areas where the liposuction was performed. Surgical dressings will be applied over the incision site.

When using general anesthesia, you will stay in the facility overnight for observation purposes. Your surgeon will discharge you when you have recovered sufficiently from anesthesia. If the operation was performed under local anesthesia, you may be allowed to go home after a short observation, unless you and your surgeon have other plans for your postoperative recovery.

Care and recovery after rhinoplasty

Your surgeon will tell you how long it will take to return to normal levels of activity and work. After surgery, you and your caregivers will receive detailed instructions postoperative care, including information on:

Drains, if installed.
- Normal symptoms you will experience.
- Any possible signs of complications

Right after hip lift surgery

Although your new smooth hips will be visible immediately after surgery, there will be a period of bruising, swelling and pain for a while. If the pain is very severe or lasts too long, contact your doctor. Contact your surgeon to find out if the pain, bruising, and swelling you're experiencing is normal, or if it's a sign of a problem.

Recovery time frame after a thigh lift

It is very important that you follow all patient care instructions provided by your surgeon. This will include information about wearing compression stockings, drain care, taking prescribed antibiotics, and safe levels and types of physical activity. Your surgeon will provide detailed instructions about the normal symptoms you should experience and any signs of complications. It is important to understand that the amount of time it takes to fully recover different people differs very much.

First two weeks

For the first 10-14 days, you should limit yourself to only light physical activity.
- This is a critical period for healing and you should watch for any signs of delayed healing and report them to your doctor immediately.
- Heavy lifting, walking, sitting and bending over cause stress in the areas of the seams, so you should move carefully and carefully.
- It is advisable to have someone stay with you during the first days of recovery.

Second to eighth week

You may need to wear compression stockings for the first month to get optimal hip contours.
- Tumors should go down in three to five weeks.
- You can resume driving and walking two to three weeks after surgery, but only if such activity does not cause pain.
- Avoid heavy lifting, and put off jogging for the first six to eight weeks.

How long will the results of the operation last?

If you maintain a stable weight, lead a healthy lifestyle, and engage in fitness, then your results will last for a long time.

Keep in touch with your plastic surgeon

For safety reasons, as well as to obtain the most beautiful and healthy result, it is important to visit your plastic surgeon's office at the appointed time for follow-up examinations. In addition, you should contact the surgeon every time you notice changes in your hips. No need to hesitate. Contact your surgeon any time you have questions or concerns.

Possible complications after a thigh lift

Fortunately, serious complications from hip lift surgery are rare. The specific risks associated with such an operation will be discussed with you during the consultation.

But any surgical operation carries a certain degree of risk. Some possible complications of any surgery are:

Negative reaction to anesthesia
- Hematoma or seroma (accumulation of blood or fluid under the skin that may need to be removed)
- Infection and bleeding
- Feeling changes
- Scars
- Allergic reactions
- Damage to internal tissues
- Unsatisfactory results that may require additional procedures.

You can minimize some of the risks by adhering to the advice and instructions of your professional board-certified plastic surgeon, both before and after your hip lift surgery.

Market Analytics

Femoroplasty- this is Plastic surgery, the purpose of which is to eliminate cosmetic skin defects and tighten the inner surface of the thigh. Usually, those who decide to have an operation to lift the skin of the inner surface of the thigh complain not only about the presence of a cosmetic defect, but also about the constant friction of the legs against each other when walking, the appearance of skin irritation and abrasions from friction, and the rapid wear of clothes.

There are plastic surgeons who, under this name, also mean correcting the shape of the hips with implants. Such an operation is in demand among those who believe that the space between their thighs is too large. But there is very little information about such operations. Therefore, there is no information about which implants are used for this, or about how the operation goes.

Most companies that manufacture implants place endoprostheses for testicles, shins, buttocks, and mammary glands in their product catalogs. But no one from our editorial office had a chance to see endoprostheses for correcting the shape of the hips.

Reasons for the formation of skin ptosis

Ptosis is the process of sagging of body tissues. The reasons may be:

  • constitutional feature of the body;
  • sudden weight loss, frequent changes in body weight, obesity;
  • age-related changes in the body;
  • a consequence of hormonal disorders;
  • the consequences of liposuction, in which excess fat was removed without skin tightening.

Features of plastic surgery

Adipose tissue on the inner surface of the thigh is most often located unevenly. Its largest accumulations are most often concentrated in two areas: from above, closer to the inguinal fold, and from below, in the area above the knee.

Usually both of these zones are corrected simultaneously. But any one of the areas, most often the upper one, can be corrected.

When planning an operation, it is important to understand for yourself what part of the volume is formed by adipose tissue that can be removed, and what depends on the structural features of bones and muscles. If you do not get a realistic idea of ​​the possible results before the operation, then after the operation you can be seriously disappointed.

For example, if the area of ​​the knee joints is naturally wide, then one should not expect a significant narrowing of this area from plastic surgery.

Types of surgical interventions

  • Liposuction.

Suitable for those who need to remove excess fatty tissue, and who have sufficient elasticity and contractility of the skin.

Relatively new trend. Allows you to simultaneously remove excess fat and tighten the skin without incisions and scars.

  • Non-surgical liposuction.

It is a hardware procedure, which, nevertheless, contributes to a significant reduction in the volume of the hips.

  • Surgical lift of the inner side of the thigh.

It consists in removing excess skin and adipose tissue. It is used when the excess skin is significant, and it is not necessary to count on the fact that the skin will tighten.

Video: Plastic surgeon about hip plastic surgery

Liposuction

This method allows you to remove adipose tissue, which is located under the skin of the inner surface of the thigh and creates code folds, tubercles, makes the skin loose visually and to the touch.

Procedure Limitations

Don't expect a miracle. This method correction has its limitations, which should be considered when you plan to improve it appearance.

  • The surgeon cannot lose weight for you.

This is the most important limitation of the method, which patients prefer not to know about, and which plastic surgeons do not like to talk about. Remember Alla Pugacheva, when many years ago she made herself a gorgeous figure correction. And then what happened? And then her weight returned to her very quickly.

And all because in cases where more than two kilograms of fat is removed during one procedure, the so-called pituitary response is activated, i.e. the body receives information about a sharp weight loss and rebuilds the metabolism so that in as soon as possible restore body weight to its original level.

The conclusion is simple: liposuction can only be used to "polish" the body, which has already been brought to the desired condition with a balanced diet and properly selected physical activity.
  • You can not do during weight loss or immediately after the completion of the diet.

The mechanisms that can affect the result in a slimming body are about the same as those described in the previous paragraph.

In order not to get zero or negative effect, it is necessary to complete weight loss, stabilize body weight at the same level for at least six months, and only after that go for the procedure.
  • Liposuction does not eliminate cellulite.

Its purpose is to eliminate excess subcutaneous fat in fairly limited areas of the body. It is impossible to eliminate skin tuberosity over the entire surface of the thighs and buttocks in one or several procedures. For the treatment of cellulite, completely different methods of correction are more effective.

  • This method does not eliminate stretch marks.

Moreover, the presence of stretch marks significantly reduces the amount of fat that can be removed from one area of ​​the body, since the presence of stretch marks indicates a decrease in the ability of the skin to contract. Stretch marks can also be an indirect sign that sagging skin after a liposuction procedure may increase.

  • There are serious complications that can lead to death.

The risk of dying from the consequences of liposuction, such as thromboembolism, fat embolism, reaction to epinephrine and others, is 1 in 5000 patients. This is 25% higher than the risk of dying in a car accident.

Mandatory list of examinations

To determine the presence or absence of contraindications to surgery, you must perform:

  • general analysis of urine, blood;
  • coagulogram (blood clotting test);
  • biochemical blood test (indicators of the liver, kidneys, electrolytes);
  • blood tests for AIDS, viral hepatitis, syphilis;
  • fluorography.

In the presence of chronic diseases, the list of examinations can be expanded at the discretion of the general practitioner, surgeon or anesthetist.

Contraindications for surgery

The contraindications for liposuction and surgical tightening of the inner thigh are mostly identical, therefore we will present them only once in this article.

Contraindications include:

  • problems with blood clotting;
  • blood diseases;
  • oncology;
  • any acute and exacerbation of chronic diseases;
  • chronic diseases in which the function is impaired and the insufficiency of the work of any of the internal organs develops;
  • colds and infectious diseases;
  • mental illness.

Performing a procedure

Regardless of which area is supposed to be treated, the one that is closer to the inguinal fold, or the one that is closer to the knee, the skin puncture is performed in the popliteal fossa. The region of the popliteal fossa is distinguished by a large concentration of large blood vessels and nerve trunks. Therefore, manipulations in this area require caution.

It is performed under general anesthesia. It takes about an hour in time. When the entire volume of excess fat is removed, the skin puncture is treated with an antiseptic and sealed with adhesive tape.

Recovery period

Immediately after the completion of the operation, the patient is put on a compression garment. It will need to be worn for at least 2-3 weeks.

Target:

  • reduction of postoperative edema;
  • decrease in tissue mobility, which relieves pain;
  • exerting compression (pressure) on tissue to create best conditions for skin contraction and postoperative wound healing.

The first day the patient usually spends in the hospital. But there are clinics that discharge the patient home on the day of the operation, if his condition and well-being allow. Usually pain, numbness of the skin in the area of ​​the procedure, disappear within a maximum of a week.

If necessary, you can take painkillers. Edema, hematomas can persist for up to a month. Only after the swelling has subsided can the results be evaluated.

First time canceled:

  • sports;
  • thermal procedures, including bathing;
  • visiting the solarium;
  • any mechanical effects such as massage or applying healing creams to the area of ​​the procedure.

In the first weeks after liposuction, the doctor can choose a set of hardware procedures that reduce the severity of edema, accelerate healing, and promote skin contraction and lifting.

Photo: physiotherapy apparatus Hivamat 200- Evident

An example would be a rehabilitation course on Himavat 200 Evident.

Complications

As a rule, such a change in sensitivity is not persistent and over time, the sensitivity of the skin is restored.

  • Damage to superficial veins.
Most often, small branches extending from the great saphenous vein of the thigh are damaged. It is almost impossible to completely exclude such a complication, since the structure and location of veins is more variable than the location of arteries and other anatomical structures.

If the vein is damaged, it is tied up or its lumen is closed with a clip and the operation is continued. Venous outflow in this case occurs through adjacent veins.

  • The appearance of hypersensitivity of the skin.

Hyperesthesia occurs in approximately 1% of all liposuction patients. The severity of discomfort can be of varying degrees. In some patients, hypersensitivity of the skin persists for life.

  1. Chronic pain at the site of liposuction.
  2. Dead skin.
  3. The appearance or increase in the severity of omission or flabbiness of the skin.

It happens in the case when the skin cannot be reduced enough to provide sufficient smoothness and elasticity of the thighs.

  • Violation of the outflow of lymph with the formation of persistent edema of the lower leg and foot.

A large number of lymphatic vessels pass under the skin of the thighs in the thickness of the adipose tissue, through which the lymph flows to the body from the entire leg.

If during liposuction the outflow of lymph is disturbed, then tissue fluid begins to accumulate in the area first of the foot, and then of the foot and lower leg and forms soft edema.

Usually, the lymph flow is gradually restored and the swelling goes away.

But in some cases, a violation of the outflow of lymph can become chronic, which will eventually lead to the formation of elephantiasis (elephantiasis or pronounced swelling of the legs).

  • Anemia.

It can develop if the amount of adipose tissue removed is large. Removal of adipose tissue is accompanied by bleeding, which in some cases can be very intense.

  • Fat embolism.

It can develop in cases where liposuction is performed simultaneously with a tightening of the skin of the thighs or the anterior abdominal wall. In this case, adipose tissue enters the bloodstream and can block the lumen of the vessel, disrupting the blood supply to the tissue area.

  • Change in skin color and postoperative scars.

Within a few months after the operation, pigmentation of the skin at the site of liposuction may develop. Hyperpigmentation may be persistent and require removal with laser or phototherapy.

  • Washboard effect.

A feature of the location of the fat layers of the thighs, abdomen and chin is that the fat in these areas is located in layers that are separated by fascia - connective tissue formations that look like thin films. Those layers of adipose tissue that are located in the deeper layers differ in the metabolic rate at which fat accumulates quickly and leaves very slowly, even despite a significant decrease in body weight.

This feature is determined genetically. That is why very often these areas are called "fat traps".

At the same time, the presence of connective tissue layers requires the surgeon to perform the procedure correctly. Since the removal of excess fat at different levels can have the opposite effect: instead of eliminating a cosmetic defect, liposuction will create another even more noticeable one.

If the “washboard” effect is nevertheless formed, then repeated liposuction will be required, which not every plastic surgeon is able to perform, in order to correct the “washboard” effect and give the legs the long-awaited smoothness. In some cases, it is no longer possible to correct the defect.

Can you gain weight after liposuction?

You can gain weight after any operation. If we talk about liposuction, then apart from the problem excess weight the patient will additionally receive the problem of body disproportion.

The volume of the body increases because there are cells of adipose tissue under the skin and around the internal organs, and each of these cells increases in volume, accumulating fat in itself.

In those places where liposuction was performed, there are much fewer fat cells than in other places. Fat cells do not restore their number at the sites of liposuction.

Therefore, after the body weight changes, the patient can get a wide back, a large belly and buttocks, knees and shins that have increased in volume. And with all this, thin, thin hips will contrast very strongly.

As a result, instead of the appearance of the PlusSize model, you can get a significant cosmetic defect that will attract attention due to its unusualness.

Currently, it is advertised by some Moscow clinics as an absolutely safe method of removing excess fat and skin tightening with a laser without incisions and scars.

To perform the procedure, a thin tube is used, which is inserted under the skin to a predetermined depth. A laser pulse is delivered through the tube into the tissues, which simultaneously destroys fat cells and seals blood vessels, which reduces the risk of bleeding.

Damaged fat cells can then be suctioned out through a cannula, or they can be allowed to dissolve on their own. The volume of body fat is independently excreted by the body no more than 0.5 liters.

Also, laser radiation stimulates the formation of collagen and elastin in the skin, which contributes to its lifting. The advantages are the possibility of performing it under local anesthesia and a short recovery period. Despite the assurances of surgeons about the absolute safety of the procedure, before its appointment, you need to undergo a comprehensive examination. For this method, all the same contraindications apply as for other types of hip plasty.

Non-surgical liposuction

Conducted on the device Split Fat System, which is a cold laser. Under the influence of its impulses in fat cells, the processes of removing fat are stimulated. All the fat that enters the intercellular space is excreted through the lymphatic system.

Usually the course consists of 6-9 procedures. Depending on the initial body weight, it is possible to reduce the volume of the hips by 6-10 cm per course. The greater the weight, the greater the decrease in volume.

Surgical hip plasty

Currently, it is this method that gives a guaranteed aesthetic result that lasts years later.

Examinations and contraindications

We will not dwell on these two points separately. They are the same as those given in this article for liposuction.

Types of plasty of the inner surface of the thighs

  • Internal (aka middle).

The incision for an internal thigh lift passes through the inguinal folds.

  • Vertical.

The incision runs vertically along the inner thigh from the groin to the knee.

  • Combined.

With this method of carrying out a facelift, the incisions go both along the inguinal folds and along the inner surface of the thigh vertically.

The skin incisions form a wedge that converges towards the knee. The areas of skin between the incisions are removed, the edges of the wound are pulled together and sutured.

Methods for fixing the edges of the skin

The main problem for both patients and plastic surgeons is that the hips are a very mobile area. And the scar, originally located in the inguinal fold, stretches from the constant pressure exerted on it and shifts from the inguinal fold down to the skin of the thigh.

In this section, we will consider in detail several methods of tissue fixation, so that any patient, having come for a consultation, can have a substantive conversation with the surgeon and assess the likelihood of obtaining an excellent result, depending on the tissue fixation technique after performing a thigh skin lift. Stitching the edges of the skin wound after removal of excess skin and subcutaneous fat.

In the photo, red arrows indicate the location of the deformed scar. If you look closely, you can see that the scar is wide, with jagged edges and loose. It is located at a great distance from the inguinal fold. On the one hand, such a scar turns into a cosmetic problem, since you don’t want to show it to anyone. This also applies to intra-family relationships, and visits to public places such as the beach, pool, etc.

On the other hand, such a scar deforms the perineal region. In some cases, the scar can move so much that the inguinal folds simply smooth out.

There is no chance that the stitched and not fixed skin will not move, and that the scar will not spoil the appearance of the body. Stitching the edges of the skin wound and fixing the scar to the ligament of the Wheel. The ligament of the Wheel is a section of the superficial fascia of the perineum, a connective tissue formation that is attached to the bones of the pelvis. Fabrics sewn to the ligament of the Wheel exert an unusual load on it. As a result, the ligament is stretched and deformed. Together with it, the tissues fixed to the ligament are displaced, which negatively affects the final result of the operation.

In this photo, the edges of the skin, after removing its excess, are sewn together and fixed to the ligament of the Wheel. As a result, the scars are stretched. And the crotch area is significantly expanded. In a standing position in the perineal region, an unnatural expansion of the gap between the inner surfaces of the thighs is determined.

With this method of tissue fixation, the risk of developing overstretched scars and perineal skin displacement is less than with the first described method. But here, too, the risk of getting a pronounced cosmetic defect is high.

Fixation of the edges of the wound to the periosteum of the pelvic bones. The periosteum and pelvic bones are absolutely motionless formations that can withstand significant loads. Therefore, fixing the edges of the wound to the pelvic bones is a relatively new and promising method for lifting the inner surface of the thigh.

Areas of the pelvic bones are highlighted in red, to which tissues will be sewn after removal of excess skin and subcutaneous fat. The photo shows the appearance of scars after lifting the inner surface of the thigh two years after the operation.

Postoperative scars are thin and slightly whitish. The inguinal folds have retained their natural outlines. The most effective method of tissue fixation in terms of preventing complications. But not all plastic surgeons own it.

See photos before and after labia reduction surgery, and find out all about it in the article - labioplasty.

How to fix crooked legs without surgery? This question is of interest to everyone who has this deficiency. Details.

How is the operation

The operation takes about 2.5 hours.

Preparatory stage

The operation is usually performed on the day the patient arrives at the hospital. Earlier hospitalization is not justified, since all examinations can be done on an outpatient basis, and no preparatory procedures are required. General intravenous or inhalation anesthesia is used. On the operating table, the patient is placed in a gynecological position: the legs are spread, the popliteal fossae rest on special supports.

markup

The marking is applied after the patient is put into a state of anesthesia. The maximum width of the removed skin area in the straightened state should not exceed 8 cm.

Operation progress

According to the markup, operational incisions are made. Excess skin between incisions is removed. The edges of the wound are reduced. The bottom of the wound is fixed with non-absorbable sutures to the pubic bones. A double-row suture is applied to the skin in order to prevent a slight descent of tissues in postoperative period. For the same purpose, the tension of the seams is adjusted so as to visually narrow the perineum. Usually the narrowing does not exceed 5 mm.

Video: Thigh lift

After suturing the wound, the sutures are treated with antiseptic solutions and covered with a sterile bandage. Some plastic surgeons prefer to seal the seams with a special adhesive, which subsequently facilitates wound care and hygiene procedures for the patient. Immediately after the treatment of the wound, the patient is put on compression underwear.

rehabilitation period

In a hospital, the patient spends the first 2-3 days after surgery. This is necessary in order to ensure proper care behind the area of ​​the postoperative wound, make sure that there are no early postoperative complications and complications of anesthesia.

The patient is discharged from the hospital in case of a satisfactory condition. In the next 2-3 months it will be necessary to visit a doctor on an outpatient basis.

If only a skin tightening of the thighs is performed, then on the day of the operation in the evening or the next morning the patient is allowed to sit down, get up, walk. From the first day, hygienic procedures are carried out in the perineum.

If a facelift and liposuction were performed at the same time, then the recovery period becomes longer, and active movements are allowed with more late deadline. This is due to the fact that during liposuction, fascia can be damaged, which normally support the subcutaneous fat layer and through it the skin.

On the third day in a hospital or at home, it is allowed to take a shower. In the first week, a complex of rehabilitation procedures, such as, for example, LPG surge, can be prescribed. The sutures are removed 10-14 days after the operation. Pain in the area of ​​the wound, severe discomfort when moving, sitting, standing up can persist for several months. Usually the condition is normalized enough to return to work within 3-4 weeks. One month after the operation, you can start playing sports.

Femoroplasty Complications

  • The appearance of rough scars.

The most common reason for the development of such scars in the case of tissue fixation to the pelvic bones is friction. If we are talking about seams that run vertically along the inner thigh, then this is friction against the seam of compression underwear. And if about the seam in the inguinal fold, then this is the friction of the seam on the fabric of the perineum when walking.

In both cases, small wounds can develop in areas of greatest friction, which, when healed, create uneven scars. This problem is solved at a consultation with a surgeon who prescribes dressings with healing ointments or the imposition of secondary intradermal sutures.

  • The development of marginal necrosis (necrosis) of the skin.

The blood supply to the skin in the perineum is relatively weak. And the tension of the edges of the skin can be very significant. Under such conditions, the blood supply to the marginal areas of the skin that form the postoperative scar may be impaired. Areas of the skin in which the blood supply is disturbed die off. The seams are coming apart.

In cases where the blood supply is not completely blocked, there may be delayed healing of the postoperative wound with the formation of a stretched hyper- or atrophic scar.

  • Infection.
  • Development of hematoma, seroma.
  • Violation of the outflow of lymph with the formation of persistent edema of the lower leg and foot.
  • Development of asymmetry of the hips and / or genitals.
  • Violations of the venous outflow, thrombosis.

If liposuction is performed simultaneously with plastic surgery, then possible complications complications of liposuction should also be added.

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Photos before and after




Reading time: 27 minutes

Do you want to achieve slender toned legs, but the fat on the inside of the thigh does not allow you to get closer to your desired goal? We offer you a unique selection of exercises for the inner thigh without equipment + ready plan activities that can be done even at home.

Ready-made training scheme for the inner thigh

On the inside of the thigh are the adductor muscles of the thigh (adductors), which are most effectively worked out with the help of isolation exercises. But for weight loss in the inner thigh in addition to strengthening the adductor muscles, you must also eliminate the fat layer, which is located above the muscles.

We offer you a ready-made training scheme that will help you not only work out the adductor muscles qualitatively, but also enhance the fat burning process.

This scheme includes 3 types of exercises for the inner thigh:

  • Standing exercises (squats and lunges)
  • Cardio exercises (with a focus on inner part hips)
  • Floor exercises (lifts and leg extensions)

It means that your workout should be divided into three segments, roughly equal in time. For example, if you train for 45 minutes, then give each group of exercises 15 minutes. If you train for 30 minutes, then each segment will last 10 minutes. Thanks to this scheme of exercises for the inner thigh, you will tighten the muscles, reduce the fat layer, and improve the lines of the legs.

Below are illustrative pictures of exercises for the inner thigh and ready-made execution schemes. You can take our version of classes, or you can create your own program. But before we go directly to the exercises, let's clarify some points on the features of training on the inside of the thigh.

Questions and Answers on Inner Thigh Workouts

1. What if I am a beginner?

If you are just starting out, then allocate no more than 15-20 minutes a day for training. Take breaks, keep a moderate pace, and gradually increase the time of the sessions, the number of repetitions and the complexity of the exercises.

2. What if I don't like cardio?

5. How can the proposed exercises be made more difficult?

You can easily make your inner thigh exercises more difficult by using leg weights or (although dumbbells are not suitable for all exercises). You can also use a fitness elastic band - this is one of the most effective devices for strengthening leg muscles.

6. How often do I do inner thigh exercises?

Exercise no more than 2-3 times a week. On average, it is enough to devote about 1 hour per week to the problem area. It is also very important to train not only the adductors, but also the quadriceps, hamstrings, muscle corset and gluteal muscles. It does not make sense to deal with only a separate muscle group - you need to train the whole body as a whole. Be sure to check out:

The first segment of the workout: exercises for the inner thigh while standing

During squats and lunges, watch your posture, your back should remain straight, your knees should not go beyond your toes. Also, try not to tip your back forward and do not bend your lower back, otherwise the load on the muscles of the legs will decrease. If you do not have enough eversion in the hips (knees do not look in opposite directions), that's all right. Choose the most stable position possible for you. Do your inner thigh exercises to the best of your ability.

If you have trouble keeping your balance in a plie squat (with legs wide apart and feet turned), then you can use a chair as a support. This selection of exercises will help you work out not only the inner side of the thigh, but also the gluteal muscles and quadriceps.

2. Plie Squats with One Toe Raise

Execution scheme

We offer you 3 options for combinations of exercises to choose from. The number of repetitions is indicated next to the exercise. If you are a beginner, do the minimum number of repetitions.

Your workout will consist of 6 exercises that are repeated in 2-3 circles. Rest between exercises 15-30 seconds. Rest between rounds 1 minute.

Example 1:

    25-35 times 20-30 times 20-30 times 10-15 times on each side

Example 2:

  • Plie squats with one toe raise (right leg): 20-30 times
  • 10-15 times on each side
  • Plie squats with one toe raise (left leg): 20-30 times
  • Lateral lunge on toes (right leg): 10-20 times
  • 20-30 times
  • Lateral lunge on toes (left leg): 10-20 times

Example 3:

    20-30 times
  • Side lunge (right leg): 15-25 reps
  • 20-30 times
  • Side lunge (left leg): 15-25 reps
  • 10-15 times on each side 25-35 times

You can alternate between the 3 inner thigh combinations, choose just one, or create your own exercise plan. After completing the squat and lunge segment, move on to cardio exercises for the inner thigh.

The second segment of the workout: cardio exercises for the inner thigh

Plyometric (jumping) training is one of the most effective ways to burn fat in the lower body and shape slender legs. If you have no contraindications, then cardio training should definitely be part of your fitness plan.

The presented cardio exercises for the inner thigh are formed level from simple to complex. You can choose only a few exercises that suit your level of difficulty or alternate groups of exercises with each other. Perform exercises only in sneakers!

3. Plank jumps with leg extension

Execution scheme

We offer you 2 options for combinations of cardio exercises for the inner thigh: for beginners and advanced.

An example of a cardio workout for the inner thigh for beginners:

  • Plank jumps with leg extension

Exercises are performed according to the scheme: 30 seconds of work + 30 seconds of rest (e.g. Jumping with arms and legs 30 seconds, then 30 seconds rest, then move to Plyometric Side Lunge - 30 seconds, then 30 seconds rest, etc.). We repeat the exercises in 2 circles, in the second circle we perform a side lunge on the other leg. 1 minute rest between rounds. This type of cardio workout will last 10 minutes.

Advanced Inner Thigh Cardio Workout Example:

  • Plank jump with leg extension

Exercises are performed according to the scheme: 45 seconds of work + 15 seconds of rest (e.g. Jump into a wide squat for 45 seconds, then rest for 15 seconds, then move on to Jump in the plank with legs apart - 45 seconds, then 15 seconds rest, etc.). We repeat the exercises in 2 circles, between circles 1 minute of rest. This type of cardio workout will last 10 minutes.

After cardio exercises, we move on to exercises for the inner thigh on the floor.

The third segment of the workout: exercises for the inner thigh on the floor

These inner thigh exercises are done on the floor. They are low-impact and do not put a load on the joints and blood vessels, so you can perform them if you are worried about your knees or varicose veins. While exercising, try to keep your leg muscles tense and your stomach toned.

Thank you youtube channels for the gifs: mfit, Linda Wooldridge, Jessica Valant Pilates, Christina Carlyle.

Execution scheme

We offer you 3 options for combinations of exercises for the inner thigh to choose from. The number of repetitions is indicated next to the exercise. If you are a beginner, do the minimum number of repetitions.

Your workout will consist of 8 exercises that are performed in 1-2 circles. Rest between exercises 15-30 seconds. Rest between rounds 1 minute.

Example 1:

    25-35 times
  • Inner thigh leg lift (right leg): 15-25 reps
  • Leg lift for the inside of the thigh (left leg): 15-25 times
  • 30-40 times

Example 2:

  • Circular movements lying on your side (right leg): 15-30 times
  • Circular movements lying on your side (left leg): 15-30 times
  • Shell complicated (right leg): 15-25 times
  • 20-25 reps for each leg
  • Shell complicated (left leg): 15-25 times
  • Raise of the closed legs (right side): 10-20 times
  • Raise of the closed legs (left side): 10-20 times
  • 15-25 times

Example 3:

  • Adduction of the thigh lying on its side (right leg): 20-35 times
  • Adduction of the thigh lying on its side (left leg): 20-35 times
  • Shell (right leg): 20-30 times
  • 15-25 times
  • Shell (left leg): 20-30 times
  • Leg raises with a chair (right leg): 15-25 times
  • Leg raises with a chair (left leg): 15-25 times
  • 20-30 times

You can alternate between the 3 inner thigh combinations, choose just one, or create your own exercise plan.

Basic rules for exercises for the inner thigh

  1. Always start your workout with a warm-up and end with a stretch. Never train without warming up, otherwise you risk injury!
  2. During the exercises for the inner thigh, you should feel the target muscles. Keep the body collected and concentrated, do not perform the exercises thoughtlessly and loosely.
  3. Try to change exercises periodically, do not constantly perform the same exercises. Don't let your muscles adapt to the load.
  4. If cardio exercises are especially difficult for you, then you can start your workout with them, and not with squats and lunges. But do not put cardio at the end of the session, exercises for a local zone are best done after aerobic exercises to increase blood circulation in the target area of ​​​​the body.
  5. Remember that the inner side of the thigh will only decrease with overall body weight loss, so reasonable dietary restrictions are a prerequisite for getting rid of fat in this area.
  6. Isolated adductor exercises are very helpful for targeting the problem area on the inner thighs, but don't forget to work the rest of the leg and core muscles as well. With a balanced work on all muscle groups, you will reach your goal much faster.
  7. Remember that fat does not melt in the part of the body that you pump hard. The whole body is emaciated. But you can help him eliminate the problem area by doing interval training and working on body tone.
  8. If you like doing ready-made video workouts, then be sure to check out our selection: Top 25 Best Videos for the Inner Thigh.

Video for the inner thigh in Russian

1. How to make a gap between the thighs

2. Exercises for the inner thigh

3. Inner thigh