Current Techniques in Medial Thighplasty

Abstract

The medial thigh area remains a troublesome region for body contouring in patients with generalized liphodystrophy and skin flaccidity. Skin laxity is one of the first signs of aging in the thighs and is often a harbinger of significant ptosis in the body. The use of suction-assisted lipectomy to contour the medial thigh can be used in those patients with lipodystrophy without skin laxity. However, this technique fails, in most circumstances, to remodel and tighten the inner thigh when the skin is thin and inelastic. In addition, aggressive liposuction may also result in conspicuous contour abnormalities. Rejuvenation of the medial thigh, in many patients, requires both removal of fat deposits as well as excision and redraping of the medial thigh skin. This is especially true in the massive weight loss (MWL) patient, where the skin laxity can be quite severe and extend down to, and even below, the knee.