Removal of skin folds on the inner surface of the thigh. All about femoroplasty: types and course of surgery, rehabilitation and possible complications, photos and prices. What is a thigh lift

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Femoroplasty (thigh lift)

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Medial femoroplasty is a surgical intervention, the purpose of which is to tighten the skin of the thighs from the inside. Sagging skin or excess fat on the thighs is practically not eliminated by diet or fitness.

Indications for surgery

Before and after femoroplasty

Sagging skin on the inner thighs can be observed even at a young age, especially after childbirth or sudden weight loss. In adulthood, this problem is observed in most people. In addition, a certain category suffers from excessively thick thighs, which rub strongly against each other when walking, causing discomfort and premature wear of clothing. Such symptoms make many go under the surgical knife.

So, what can a client get from medial femoroplasty:

elimination of excess adipose tissue in the thigh area;
removal of part of sagging skin;
reduction of the hips in the circumference;
cellulite removal.

Contraindications

Medial femoroplasty is not considered an easy operation, so the possibility of its implementation depends on many factors. First of all, you should consider contraindications to a thigh lift:

Before and after hip plasty

diabetes;
varicose veins on the legs;
oncology;
cardiovascular diseases;
thyroid disease;
poor blood clotting;
pregnancy;
some viral diseases;
age up to 18 years.

Preparing for the operation

Preparation for femoroplasty does not involve any special actions. The exception is the category of people who have dramatically lost weight. If sagging skin occurred as a result of such a sharp weight loss, then you should not immediately rush to a plastic surgeon. After losing weight, it is important to stabilize the weight, otherwise, after the operation, it is quite possible to quickly restore the fat layer and return to its original form. Therefore, between weight loss and femoroplasty there should be a time interval of six months to a year. During this time, the weight should remain stable.

The result of medial femoroplasty

Admission to the operation is possible only after urine and blood tests. Blood is checked for clotting, the presence of viral hepatitis, syphilis. The work of the liver and kidneys is also checked through a biochemical blood test. Naturally, fluorography and an electrocardiogram are performed.

Only if all indicators are normal, the surgeon can prescribe an operation.

Operation

A thigh lift takes place within two to three hours. The specific duration of the operation depends on the problems being solved.

Femoroplasty is performed under.

If the operation involves the removal of excess fat mass, then they start from it. Liposuction is performed through an incision in the popliteal cavity.

After removing excess adipose tissue, proceed directly to the tightening of the inner side of the thigh. The procedure can be carried out according to one of three possible options:

median method - incisions are made along the inguinal folds (used with minimal skin tightening). It is considered the most gentle way, and the scars are successfully hidden under underwear;
vertical method - a continuous vertical incision is made from the inguinal folds to the knee, excess skin is excised;
the combined method includes a vertical incision and incisions in the inguinal folds. It is used when it is necessary to remove large skin flaps along the entire inner surface of the thigh.

After removal of adipose tissue and excess skin, the incisions are sutured.

Postoperative problems and complications

Vertical Femoroplasty Method

As after any surgical intervention, long-term pain and a number of possible complications are observed after femoroplasty.

Depending on the quality of the operation performed and the postoperative condition, the patient will stay in the clinic for 2 to 4 days. This time is needed to monitor the condition of the operated patient and prevent negative postoperative consequences.

After the operation, for a long time (in some cases 2-3 months) you will have to wear compression underwear, which will help to minimize pain during movement, and will also create conditions for smooth tightening of scars.

The stitches are removed after two weeks. Painful sensations, as well as numbness in the operated areas can last up to 2 months.

During the first month, it is better to refrain from sudden movements and physical exercises.

Possible complications after a thigh lift may include:

Underwear after thigh lift

Necrosis of skin areas forming a scar. Skin necrosis can occur due to insufficient blood supply to the skin in the perineum and excessive tension on the edges of the scar. In this case, the seams may diverge;
Violation of the lymph flow. There may be significant and prolonged swelling in the lower legs;
Infection of the wound during or after surgery;
Displacement of inguinal scars on the thigh, which makes them too noticeable.

You can evaluate the results of femoroplasty no earlier than three months after the operation, although the complete tightening of scars can last much longer. The results of the operations can be assessed by viewing the photo of the thigh lift.

Operation cost

The price of a thigh lift, which includes only tightening and removal of excess skin, fluctuates around 130 thousand rubles.

For surgery, the patient will have to pay an additional 80 thousand rubles.

Rates may vary depending on the status of the clinic and the experience of the surgeons.

Operation video

Femoroplasty is a 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 of correction has its limitations, which should be considered when you plan to improve the appearance of this.

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 the shortest possible time to 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 a 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 anesthesiologist.

Contraindications for surgery

Contraindications for liposuction and surgical lifting of the inner surface of the 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;
providing compression (pressure) on the tissue to create the 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 contribute to skin contraction and lifting.

Photo: physiotherapy apparatus Hivamat 200- Evident

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

Complications

Decreased or complete disappearance of skin sensitivity at the site of the operation.

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.

Chronic pain at the site of liposuction.
Dead skin.
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 in addition to the problem of 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 so that there is no slight omission of tissues in the 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 of the postoperative wound area, to ensure 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 lift and liposuction were performed at the same time, then the recovery period becomes longer, and active movements are allowed from a later date. 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 complications of liposuction should be added to the possible complications.

Prices

Photos before and after

Hip plasty is a plastic surgery aimed at removing fatty subcutaneous deposits and flabby skin. The need for an operation arises with a strong weakening of the skin tone in the thighs. The operation can last 1.5-3 hours, depending on medical indications.

Indications for hip plasty

Excessive amount of subcutaneous fat deposits on the inner thighs, combined with sagging skin;
unaesthetic large skin folds;
sagging, loss of elasticity, flabbiness of the skin, caused by rapid weight loss;
the presence of many wrinkles on the skin due to age-related changes;
pronounced discomfort during movement, the appearance of abrasion and diaper rash of the skin;
excess weight caused by a rapid increase in the amount of fiber under the skin.

Operation

Lifting can be carried out independently or in combination with other methods aimed at correcting excess weight. Hip plasty begins with the removal of fat located under the skin. The surgeon then makes an incision along the perineofemoral sulcus and excised the excess skin mass. The tissues and skin of the inner thighs are slightly tightened. The surgeon applies a "cosmetic" internal suture. The patient is put on a compression garment.

Contraindications for surgery

SARS (viral, colds, infectious diseases);
somatic diseases in a complex form;
diabetes;
pregnancy and lactation;
menstrual cycle;
violation of the process of blood clotting;
a sharp exacerbation of diseases that have a chronic form;
diseases and disorders in the work of the cardiovascular system;
herpes in advanced and active form;
oncological diseases of any etiology.

Rehabilitation after surgery

Hip plasty is usually performed on an outpatient basis using general anesthesia. After the operation, the patient stays in the clinic for 1-2 days under the supervision of a specialist. The rehabilitation period lasts 7-10 days, depending on the individual characteristics of the body.

The patient needs to wear tight underwear for the first 2 weeks after plastic surgery. Within a few weeks, the patient may experience slight swelling in the operated areas; sensitivity is usually reduced, and there may be discomfort when walking. But all these consequences quickly pass, provided that the patient follows the recommendations.

All postoperative sutures are removed. The patient can return to sedentary and office work after 1-2 weeks. Full physical activity can usually be restored in 4-6 weeks. During this time, the patient should be constantly monitored by a doctor who monitors the correct formation of scars and gives recommendations regarding physical activity. If necessary, the doctor takes corrective measures aimed at preventing the displacement of scars.

Hip plastic results

Tightened, elastic, elastic skin in the area of the buttocks and thighs;
high aesthetic and effect (improvement of the contours of the buttocks and thighs);
high cosmetological effect (after six months, postoperative sutures become almost invisible);
effective weight management;
increase in skin tone;
feeling of lightness during walking and active loads.

The final result of hip plasty can be assessed after 4-6 months. After the operation, the patient will develop new fat deposits evenly. The created contour of the figure will not be deformed. A high effect will be achieved only if the patient follows all the recommendations of his doctor (healthy diet, active lifestyle, regular physical activity).

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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 a surgical operation, 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 the anatomical structure of the body, the 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 fatty 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:

Through an incision in the inguinal folds.
Through incisions on the surface of the thighs;
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 the outer side of the thigh needs correction, then the incision is made from the inguinal region around the 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 frequently. 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:

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.
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.
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 the lower extremities. As a result, there may be prolonged swelling in the legs. In some cases, the violation of the lymphatic outflow can become chronic, which leads to elephantiasis (its large accumulation in the legs).
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.
Partial or complete loss of sensation. This complication is temporary and gradually disappears completely.
Increased skin sensitivity. This phenomenon is called hypertension. Sometimes hypersensitivity persists for life.
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.
Fat embolism. A complication develops when elements enter the blood or lymph that are not found there under 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.
Change in skin color of postoperative scars. In place of scars, persistent pigmentation may occur. It can be removed only by special cosmetic methods.
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.
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.

Not only age-related changes violate the natural contours of the thigh, sometimes individual structural features need to be adjusted. Patients often come to the Beauty Doctor clinic with complaints of skin abrasions on the inside of the thigh: discomfort, pain, rapid wear of clothes. All these problems are designed to solve the operation to lift the thighs.

Very often, women prefer to delay the moment of the operation as long as possible, preferring to wear corrective underwear, they try to hide imperfections under their clothes, but sooner or later physical discomfort makes itself felt. So why deny yourself the pleasure of wearing an open swimsuit this season?

Indications for surgery

Loss of skin elasticity

Significant sagging with the transition to the front and back of the thigh,

aesthetic discomfort.

Contraindications

Determined by your surgeon at the initial consultation. However, there is a general list of diseases when hip lift surgery is not recommended:

Severe forms of diseases of internal organs,

Mental disorders,

Chronic diseases in the acute stage,

Blood clotting disorders and diabetes mellitus.

Operation

During the operation, the skin-fat flap in the upper part of the thighs is truncated. It is customary to distinguish between several types of thigh lifts.

Internal thigh lift (sometimes also called the middle one).

The incisions are made in the area of the inguinal fold. This type of thigh lift surgery is the most popular, as the suture is the least noticeable aesthetically.

vertical facelift. The surgeon makes an incision from the groin to the inside of the knee. This method solves the problem of accumulation of a significant excess of fat and skin, but is not recommended for all patients, since the suture on the inner side of the thigh can be very noticeable after healing.

outdoor facelift. The incision runs from the groin and through the upper thigh.

Spiral hip plasty. Recommended for significant weight loss. An incision from the gluteal fold reaches the inguinal bend in the area where the thigh adjoins the pubis. During the surgical intervention, the anterior, posterior and inner thighs are simultaneously formed.

Laser liposuction. One of the safest and least traumatic methods of thigh lift is the method of laser liposuction. During the operation, the surgeon performs only small punctures, which heal very quickly. Using a special apparatus, the surgeon treats problem areas of the skin, removing fat cells, and then stretches the skin from the inside. As a result - no seams, smooth and elastic skin (without bumps and irregularities), a significant reduction in volume.

Please note that the operation "laser liposuction" is possible only by a qualified surgeon. If the technology is violated, the result can be extremely unsatisfactory.

Anesthesia

A thigh lift is performed under general anesthesia, in the presence of an anesthesiologist. A prerequisite is a preliminary consultation with the anesthesiologist of the Beauty Doctor clinic, as well as the provision of all necessary tests.

Recovery period

Takes approximately 1-3 months. To achieve the result, it is necessary to wear compression underwear according to the schedule, which the doctor will specifically prescribe for you.

Patients of the clinic "Beauty Doctor" receive as a gift a free rehabilitation course of procedures on the device "Khivamat 200 Evident", which promotes speedy healing and reduces swelling.

Operation cost

Please note that the final cost also includes the necessary list of procedures for recovery after surgery.

A special price applies when paying for two or more transactions at the same time.

Doctors performing a thigh lift


Z. Bytdaev	S. Kharitonov

Photoresults