Abstract

Introduction: The curvaceous woman is in vogue again. Breasts are getting bigger, buttocks are getting fuller, and there is increasing demand for a fuller, more curvaceous look to the thighs. Some women have very slender thighs because of genetics or a vigorous exercise program. For those who have this problem, we have designed a solution: a custom implant that slides beneath the fascia lata and gives a bit more curve to the lateral thigh region. Materials and Methods: A 3-cm incision is made in the transverse plane of the thigh, and dissection is carried down to the fascia lata. A pocket is created below the fascia using blunt dissection. Once the pocket is created, a custom-made lateral thigh prosthesis (AART Corp, Reno, Nev) is inserted into the subfascial plane. Closure is then performed in layers. Results: To date, 18 patients have received lateral thigh prosthesis implantation. All patients were satisfied with the procedure and had no major complications associated with the procedure. One patient presented within 1 week of surgery complaining of some tightness in the area of the implant, raising the concern of compartment syndrome. The patient was observed and her symptoms resolved without further sequelae. No other complications or reoperations were noted in the study period. Conclusions: This implant procedure helps the average woman achieve a fuller appearance in the thigh without significant risk or morbidity.

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