Incomplete Liposuction On Inner Thighs 2 Months Post Op. How Can I Fix This? (photo)

 

                  It’s not unusual for patients to be concerned about
the appearance of their inner thighs. 
When this problem occurs localized, fat accumulation is often
accompanied by skin with poor elasticity. 
For this reason surgeons are conservative when performing liposuction on
the inner thighs.  When aggressive
tumescent liposuction is performed on this area, skin sag is often the result.

                  When
tumescent liposuction is performed it’s not unusual for post-operative changes
to occur for several monthly following surgery.  These changes occur for a variety of reasons including
prolonged swelling, scarring of the deep tissue and the elasticity of the
overlying skin.  For this reason
revisional surgery should be delayed for at least six months following the original procedure.

                  Your
pictures suggest the presence of inner thigh skin sag, but it’s difficult to
know for certainty without performing a physical exam.  If your skin snaps back after six
months you may be a candidate for additional tumescent liposuction.  If loose skin persist the only available
option may be a thigh lift procedure.

                  It’s
important to discuss these issues with your plastic surgeon.  It’s important to be patient, because
wound healing is a dynamic process that takes months to stabilize.  When your surgeon feels that you have reached
maximal recovery a treatment plan can be formulated to address residual issues.

I commonly treat the inner thighs using tumescent liposuction without general anesthesia. The fat there numbs quite well using the tumescent solution. Adding lorazepam or another mild tranquilizer keep you comfortable yet allows turning during the procedure so that the front AND the back of the inner thigh can be suctioned properly.

Unfortunately, many surgeons were trained and continue to use general anesthesia.  Under general anesthesia, a breathing tube is put in your throat which makes turning almost impossible.

Next time, look for someone, possibly a dermatologic surgeon who can do your small amount of liposuction totally under local anesthesia.

Inner thigh liposuction should be done conservatively in most cases. the skin is very thin and if done too aggressively, can make the area appear very loose.

You still have some fat in the medial thigh. There is no other good position to put the patient in to access the medial thigh. Some times I frog the legs , some times I lift the legs at the ankle (special devise), some times I have the assistant hold the leg up.

However one should never be aggressive with liposuction of the inner thigh, because the ski is very thin , even in young people, and it can easily destroy the inner thighs, with over liposuction, dents irrigularities and excess skin

Thank you for the question and pictures.

Liposuction of the inner thighs is a relatively risky  endeavor. The skin in this area  is relatively thin and the potential for problems such as skin contour irregularities  and contour deformities is relatively high. For this reason, I do not perform liposuction of the medial thighs for most patients who request it.

I would agree with Dr. Rand's suggestion that, in your quest to improve a problem area,  you avoid  another problem that is very difficult (if not impossible) to correct.  BE CAREFUL!

I  hope this helps.

I would not agree with the statement you quoted or with Dr. Day. The fat can be removed while lying down and patients can be turned over easily while asleep

The only role for liposuction in the inner thigh is conservative.  I have seen at least 7 patients come to me after going elsewhere for aggressive inner thigh lipo who were basically destroyed for life because the thin poorly elastic skin (look at what you are pinching in your photo) doesn't shrink well and leaves a horrible loose, baggy, or scarred result.  So maybe all you should do is try to smooth out the difference but don't try to get too aggressive here or you may well create a situation far more devsatating to you than what you have now.