The Different Techniques
Inner thigh lift (medial thigh lift)
- Indication: skin excess concentrated on the inner thigh, sometimes associated with sagging above the knee.
- Technique: discreet scar at the level of the inguinal fold (horizontal scar) or, if excess is significant, combined with a vertical incision along the inner thigh.
- Advantages: allows skin tightening and tissue repositioning to improve the inner thigh contour.
- Limitations: visible scar on the inner thigh; a pre-operative assessment is needed to determine the length and placement of the scar.
Outer thigh lift / lateral thigh lift (including lateral buttock lift)
- Indication: laxity on the outer thigh and sub-gluteal fold.
- Technique: scar placed in the sub-gluteal fold and sometimes towards the lateral hip area; allows skin tightening and correction of the lateral thigh contour.
- Advantages: improvement of the thigh-buttock junction and lateral profile.
- Limitations: scar sometimes more visible at the back; attention is paid to positioning to avoid abnormal tension.
Body lift or circumferential lift
- Indication: circumferential skin excess following massive weight loss (bariatric surgery).
- Technique: circular incision around the upper thighs and pelvis; simultaneous correction of multiple areas (abdomen, hips, thighs, buttocks).
- Advantages: comprehensive treatment of skin laxity in the lower trunk and upper thighs.
- Limitations: longer procedure, more extensive scars, longer hospitalisation.
Associated liposuction
- Indication: localised fat excess in addition to skin laxity.
- Technique: combined liposuction allows reshaping and contouring before or during the crural plasty.
- Advantages: improved definition, volume reduction.
- Limitations: liposuction alone does not correct significant skin excess.
Pre-operative Consultation
- Medical interview: motivations, past medical history, desired weight stability, smoking habits, current medications.
- Clinical examination: assessment of skin excess, skin quality, fat distribution, measurements, and photography for monitoring.
- Personalised technical choice: selection of the appropriate technique (mini-lift, inner, outer, or circumferential lift) taking into account expectations and anatomical realities.
- Information and documents: explanation of scars, expected benefits, and limitations; provision of a written quote and informed consent.
- Reflection period: reminder of the mandatory 15-day reflection period before any aesthetic surgery, in accordance with regulations.
- Additional tests: blood panel and possibly other examinations (ECG, anaesthesiologist consultation) depending on age and comorbidities.
Procedure
- Anaesthesia: most often general; sometimes spinal anaesthesia depending on the procedure and its duration.
- Duration: variable, usually between 1.5 and 3 hours depending on the extent of the procedure and whether liposuction is combined.
- Hospitalisation: day surgery possible for limited procedures; short hospitalisation (24–48 hours) may be proposed for more extensive interventions.
- Main steps: pre-operative markings, possible liposuction, skin excision and tissue tightening, layered closure, and application of a compressive dressing.
- Safety and traceability: documentation of the procedure, patient identification, detailed surgical plan in the medical records; adherence to infection and thromboembolic prevention protocols.
- Immediate follow-up: post-anaesthesia monitoring, pain control, and vital sign assessment before discharge or return to the ward.
Post-operative Recovery
- Pain: generally moderate and controlled by analgesics; sensations of tension and tightness.
- Dressings and drains: drains may be placed and removed within a few days; dressings and compression garment recommended.
- Swelling and bruising: common in the first weeks, progressively subsiding.
- Scars: initially red and raised, they fade over 12 to 18 months; local care and sun protection recommended.
- Resumption of activities: return to work on average after 2 to 3 weeks depending on the job; progressive sport resumption after 6 to 8 weeks.
- Medical monitoring: check-up appointments at 48–72 hours, 1 week, 1 month, 3 months, and 1 year depending on progress.
- Specific instructions: smoking cessation before and after surgery to reduce the risk of healing complications; avoid intense effort and prolonged positions that stress the sutures.
Results and Limitations
- Evolution: results are revealed progressively as swelling subsides and scars mature; a stable outcome is generally appreciated from 6 to 12 months.
- Individual variability: the result depends on skin quality, tissue elasticity, weight, subsequent ageing, and lifestyle.
- Durability: the procedure corrects existing laxity but does not halt natural ageing; weight gain may alter the result.
- Possibility of revisions: a minor scar correction or asymmetry revision may be considered after stabilisation, if necessary.
Risks and Complications
- General risks: anaesthetic complications, bleeding, infection, thrombosis/deep vein thrombosis (prevention by mobilisation and sometimes anticoagulants).
- Specific complications: haematoma, seroma (fluid collection), delayed healing, skin necrosis (rare), hypertrophic or keloid scars, residual asymmetry, major sensory loss (often resolving).
- Other risks: dissatisfaction related to the length or quality of scars, need for a revision procedure.
- Additional information: these risks remain rare but will be detailed and individualised during the consultation.
Alternatives and Non-surgical Options
- Non-invasive treatments: radiofrequency, focused ultrasound, lasers, or skin tightening techniques can slightly improve skin tone but have limitations in cases of significant skin excess.
- Cryolipolysis and other fat reduction techniques: useful when the problem is primarily one of fat, but ineffective in correcting true skin excess.
- Combined approach: liposuction alone if skin retains good elasticity; body lift for circumferential post-weight-loss excess.
- Informed choice: the surgeon will discuss these alternatives and their relevance based on the clinical examination and the patient's expectations.


