Thighplasty is a surgical operation that is made to correct sagging of skin and subcutaneous tissue which occurred in medial parts of legs due to gravity and rapid weight gain and loss or structurally. Fat depositions at medial parts of the legs can be reformed with a localized liposuction if skin is not loosen. Skin and subcutaneous tissues of this area are more loosen than the other parts of legs anatomically. Therefore in this area discomforting sagging appears more often
due to weight changes and gravit. Its uncomfortable to wear swimsuits and shorts at summer for these patients. In advanced deformities, rashes, redness and sours caused from rubbing of medial sides of two legs make these people to wear pants all the time to prevent rubbing. The removal of subcutaneous fat tissue with liposuction techniques makes the sagging more apparent. Therefore thighplasty that involves removal of tissues that causes sagging are combined with liposuction surgery.
How is tighplasty done?
Tighplasty is performed at operating conditions in hospitals with local anesthesia and sedation or general anesthesia. If there is loosening of the tissue with excess fat, subcutaneous fat removal is done first with liposuction techniques. After the liposuction, the excess tissue that causes skin and subcutaneous tissue sagging is removed after it is stretched upwards. Scars are hidden in pubic area to be hidden under underwear. Widening and permanency of the scars depend on the patient’s genetic composition and taking its final form takes about 1-2 years. A vacuumed pipe system called drainage tubes is used to prevent the leakage to build up at operation sites..
How is the postoperative phase of thighplasty?
Drainage is removed in 2-3 days depending on the leakage. Patient is discharged same day or the next day with a prescription for antibiotic and an analgesic. The bruising at the medial sides of legs begins to reduce after first week. Keeping legs above the heart line and resting in general fasten the healing process. Wound healing can be delayed because of the suture line being on pubic region that is one of the wet areas in human body. It recovers fine with dressings. Especially in bariatric patients where sagging appears after extensive weight loss (over 20 kilograms), scars can continue all along through the medial side of legs. For determination of final localization of the scars, a detailed preoperative examination is necessary. .
Patients can continue their active life after 10 days. Sauna, Turkish bath and intensive sportive activities are not recommended before 8 weeks.
Copyright/Main Edition 2012 Limited Revision 2022 Prof. Dr. Z. BURCAK TUMERDEM ULUG
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