Surgically remove the inner thighs. All about femoroplasty: types and course of surgery, rehabilitation and possible complications, photos and prices. Preparation and conduct of the operation

Hip plasty includes a group of aesthetic operations to improve the contours of the legs in their upper part - from the knee to the hip joints. Depending on the existing problem, liposuction, leg lift or lipofilling can be performed during hip plasty. The goal of hip plasty is to eliminate cosmetic defects, improve tissue tone and restore the aesthetic parameters of the hips.

The hip area is subject to changes caused by constitutional, hormonal and gravitational factors, as well as various pathological processes. At the same time, the skin and subcutaneous tissue relax, changing the relief of the inner surface of the thigh, local fat deposits accumulate on the thighs, the soft tissues of the thighs become flabby and sagging. The problems of excessive fullness (or thinness) of the hips, flabbiness of the skin of their inner surfaces are difficult to correct by conservative methods - massage and exercise. These cosmetic deficiencies can be exacerbated by difficulty walking, diaper rash and abrasions on the inner thighs. A radical method of dealing with various types of leg deformities is hip plasty.

When selecting patients for hip plasty, anamnesis data, the state of the musculoskeletal system, and the presence of pathology of the venous system of the lower extremities are taken into account. Each of the plastic surgeries in the hip area has its own strict indications and contraindications for performance. Hip plasty can be combined with bodylifting, which combines a tummy tuck and buttocks lift.

Thigh lift

A thigh lift is an operation to correct the soft tissues of the inner and outer thighs in case of their drooping (ptosis), loss of tone and flabbiness, the presence of excess sagging, uncontracted, stretched skin and subcutaneous tissue. These conditions can be caused by both age-related changes and significant weight loss. As a result of a thigh lift, excess skin is eliminated, the contours of the thigh and tissue tone are improved.

The hip lift surgery is a volume intervention and is performed exclusively under general anesthesia. Several approaches can be used to perform a thigh lift. In one case, the incisions begin in the inguinal folds and then extend to the infragluteal regions. The skin is detached along with the subcutaneous base from the underlying muscle layer 10-15 cm down the thigh. If the hip plasty includes liposuction, then it is performed before the incision is made. Then the excess skin flap is excised, and the soft tissues are pulled up and sutured to the tendons. Hemostasis is controlled, after which the tissues are sutured with an intradermal cosmetic suture. Drainage is installed in the intervention area, which is left for 1-2 days. An aseptic and elastic bandage is applied to the thigh.

Another type of access involves a vertical incision along the inner surface of the thigh with a combined incision in the groin. The length of the incision is determined by the amount of skin to be removed. Various types of incisions are used to lift the back and outer thighs, inevitably accompanied by scarring in these areas. This circumstance should be taken into account by patients when planning hip plasty.

Liposuction of the thighs

Liposuction is indicated in cases where the only problem is the presence of excess fat in the thighs, while skin elasticity is assessed as satisfactory. Excessive fat deposits on the thighs add weight to the lower half of the body, make the contours of the legs uneven and aesthetically unattractive. Hip reduction is performed by removing excess subcutaneous fat.

Liposuction of the thighs, depending on the volume, can be performed in various ways. Minor fat deformities of the thighs can be subjected to a lipolysis procedure. A substance is injected into the correction zones that promotes the breakdown of fat at the molecular level, which does not require its subsequent removal. Injections are performed within a few weeks, after which the problem of local fat deposition in this area disappears. Lipolysis procedures are painless, minimally invasive, but are used only on small areas of the thighs.

Another method of thigh plastic surgery is three-dimensional liposuction, during which fatty tissue is removed using a vacuum through microcannulas several millimeters in diameter. Uniformity and accuracy of fat removal is ensured by 3D computer simulation. At the same time, the preservation of the upper fat layer is achieved, which contributes to giving the tissues of the thighs elasticity and softness of outlines.

The method of vibroliposuction can be used if it is necessary to remove large volumes of adipose tissue. The process of destruction of fat occurs as a result of the vibration of the cannulas, which occurs due to the entry of compressed air into the installation. At the same time, both the procedure of lipolysis and the removal of adipose tissue are simplified, tissue damage is excluded, there are no acute pain sensations, and the rehabilitation period is reduced.

If it is necessary to remove large volumes of adipose tissue, ultrasonic or laser liposuction methods are used. In these cases, the fat is first destroyed by ultrasound or laser to the state of an emulsion, and then pumped out through small punctures in the skin. After large-scale liposuction, excess skin remains, which require an additional thigh lift.

Discharge from the hospital after liposuction of the thighs is possible in a day. For another week, a special compression corset is required.

Lipofilling of the thighs

With the problem of excessive thinness of the hips, a lipofilling procedure is performed - an injection of one's own fatty material in order to form an additional volume of the femoral region. The duration of the hip lipofilling procedure is about 1 hour.

Tiny incisions for thigh plastics with fatty tissues are performed in the areas of natural skin folds (groin or popliteal). To achieve the desired aesthetic result, it may be necessary to repeat the hip augmentation procedure several times, after which a lasting effect is maintained.

Complications and risks

Whatever method is used for hip plasty, it is always associated with the formation of scars of varying severity. The hip area is an area of increased risk for the development of infection and thrombosis, so hip plasty requires the preventive administration of antibiotics and anticoagulants.

After liposuction of the thighs, it is necessary to follow the diet in order to prevent disproportion between slender thighs and areas of the body that have not undergone liposuction. The occurrence of asymmetry after hip plasty may require additional correction.

Flabbiness of the skin on the thighs does not adorn anyone. Therefore, women (and sometimes men) are actively struggling with the “orange peel”, go in for sports, attend various salon procedures. In the most serious cases, it is possible to perform a surgical tightening of the skin in the thigh area. That's all about it and let's talk.

Origins of the problem

Even in utero, a large number of cells are laid in the lower abdomen and thighs. From a biological point of view, this is a kind of "airbag" for the period of forced starvation. Nowadays, there is no longer a need to save energy in reserve, but, nevertheless, we still have to reckon with this feature of our body.

A feature of these areas is the fact that fat deposits not only grow rapidly, but also with great difficulty go away when dieting and playing sports. These are a kind of "fat traps", the work with which requires perseverance and constancy.

And if we take into account that the skin of the thighs is not fixed by any ligaments or connective tissue layers, loses elasticity with age or after intensive weight loss, then we can come to a disappointing conclusion: everyone has problems with skin laxity to one degree or another.

Who is shown

Treatment of omission and flabbiness of the skin can be carried out in two categories of patients:

to eliminate a cosmetic defect in cases where sagging skin prevents you from feeling like a queen of the beach and deprives you of confidence in any other situation when you need to undress (in the pool, in the sauna, etc.);
according to medical indications in case of significant severity of fatty deposits and significant omission of tissues, when abrasions begin to appear from constant friction of the legs when walking, diaper rash, circulatory disorders.

Non-surgical methods

The most acceptable option for many. The hip area is easier than other parts of the body to hide under clothing.

Diet and exercise

Stable body weight, lack of obesity, frequent sudden weight loss contributes to the fact that the skin of the whole body and thighs in particular is less prone to overstretching, loses its original shape and sinks to a lesser extent.

Sports activities can affect the condition of the skin and subcutaneous fat by increasing muscle tone and volume and by improving blood flow and lymph outflow from the thighs.

But diet and sports are only good for preventing the development of a significant layer of subcutaneous fat and skin prolapse. If significant flabbiness of the skin has already developed, then these measures can only aggravate the situation.

During sports, the volume of muscles increases, which can “push” accumulations of fat cells to the surface and make the legs visually even more bumpy. Over time, as the percentage of body fat decreases, the fat deposits on the thighs will also decrease. But this is only over time, so you need to be prepared for a possible initial deterioration in appearance from playing sports.

A diet, especially a strict, low-calorie, low-protein diet (namely, such diets are preferred by most modern women) can lead to a rapid loss, first of all, of muscle mass, and only then fat reserves begin to be consumed.

As a result, the volume of the hips will decrease, the subcutaneous fat layer will retain its weight and volume. This creates all the conditions for the skin, which does not have time to shrink in conditions of emergency weight loss, falls under the action of gravity and under the weight of the fat layer.

Manual massage

Do not confuse manual massage, aimed at preventing and eliminating flabbiness and sagging of the skin of the thighs, with anti-cellulite massage. These are completely different things.

For some reason, it is believed that the more aggressive the thigh massage is, the better. A sign of a great massage are bruises on the skin left by the massage therapist. In fact, such an intense effect allows you to smooth out the tubercles, which are accumulations of fat cells. But at the same time, such exposure can damage the lymphatic vessels.

In the worst case, this can be manifested by the appearance of edema on the legs or the front wall of the abdomen. With a lesser degree of violation of lymphatic drainage, the process of fat mobilization from the fat cells of the thighs will slow down. And this means that in the long term, the process of losing weight on the hips will slow down significantly.

Violation of the outflow of lymph is restored over time. But after repeated injuries (and several courses of anti-cellulite massage can be done in a lifetime), lymph and blood flow can be so disturbed that fat deposits on the thighs become cold to the touch, dense and no longer amenable to any influences.

Unlike anti-cellulite manual massage, aimed at eliminating sagging and sagging skin, on the contrary, it is designed to stimulate blood and lymph circulation in order to speed up the metabolism in this area as much as possible and facilitate the separation of fat cells from the fat they contain. Repeated pats and vibrations contribute to the fact that the skin acquires its former tone and tightens.

During the course of such a massage, you should not significantly reduce the calorie intake. You can adhere to reasonable dietary restrictions and engage in those sports that you can afford and enjoy.

Weight loss of no more than 2 kg per month will be considered optimal in terms of weight loss. It is at this rate of weight loss in combination with sports and massage that the risk of developing flabbiness and looseness of the skin is minimal.

Hardware cosmetology

As mentioned above, on the hips we have not just a layer of fatty tissue, on the reeds we have “fat traps”. Therefore, simple procedures such as microcurrents and electromyostimulation may not give any effect.

To get the result, you need to use serious tools and techniques that have already proven their effectiveness in lifting the thigh area. These are endermology LPG, lipomassage, mesotherapy and mesodissolution.

Endermology LPG and lipomassage

Endermology- This is a special hardware technology that is designed to correct the figure and eliminate cellulite.

Photo: endermology LPG

is a complex of special endermological movements, which are especially effective in terms of splitting fat in fat cells and removing it from problem areas.

Photo: lipomassage procedure

The impact is not only on the skin, but also on the subcutaneous fatty tissue, connective tissue structures and muscles.

Effects of endermology LPG and lipomassage:

improvement of skin relief;
local improvement of blood circulation and lymph outflow;
cellulite treatment;
increase in skin elasticity;
general normalizing and relaxing effect.

Cosmetic problems that can be solved with their help:

lifting of the hips and buttocks;
elimination of "riding breeches";
reduction of body fat in the lower abdomen, waist (including the possible elimination of the "beer" belly in men).

It is possible to achieve a significant improvement in body contours in 6-8 procedures. One procedure takes up to 30 minutes.

Mesotherapy

To correct skin flabbiness, prepared or ready-made cocktails of preparations with a lipolytic and lifting effect are used. The goal is to smooth the skin of the body, improve its condition and appearance, tighten the skin.

Examples of ready-made cocktails that can be used to perform a non-surgical thigh lift are:

lipolytic complex MPX produced in Brazil;
Brazilian SlimBodi lipolytic complex: L-carnitine, caffeine, guarana extract, green tea extract;
drug for non-surgical liposuction RevitalCelluform manufactured in Spain: in the composition of phosphatidylcholine, lipoic acid, amino acids.

Mesodissolution

Like mesotherapy, mesodissolution is an injection technique. The difference is that the targets of drugs for mesodissolution are precisely the “fat traps”, which are so difficult to deal with by conventional methods. With mesodissolution, lipolytic drugs (destroying fat) are injected directly into those places where correction is needed.

The technique has its contraindications:

pregnancy;
cardiac ischemia;
cholelithiasis;
varicose veins;
arterial hypertension;
kidney disease, accompanied by insufficiency of their function.

The principle of action of preparations for mesodissolution

The drug is injected into the areas of the greatest accumulation of fat cells. Under the influence of the drug:

adipose tissue cells are destroyed;
fibrosis (proliferation of connective tissue) is eliminated;
tissues are tightened;
the skin is smoothed;
volumes decrease;
increases blood flow and lymphatic drainage, which contributes to the rapid removal of decay products of fat and connective tissue cells, stimulates metabolic processes.

Procedure results

According to clinical studies, a course of 6 procedures allows you to get rid of 30% of all fat deposits in the treated area. The result of the procedures lasts up to 12 months, subject to reasonable dietary restrictions.

Threads and implants

A feature of the skin of the thighs is that it is not possible to tighten it with threads due to the fact that this is a very mobile area. When moving, the skin of any of the areas, but especially the inner surface of the thigh, is significantly displaced. And this means that the effect of the threads will be noticeable only in a static position, and when moving, it will cause significant discomfort and unnatural displacement of the thigh tissues.

Implants are placed under the skin or muscles of the buttocks. But at the same time, there is practically no lifting of the hips. Operations with implants are not performed.

Liposuction and Liposculpture

Liposuction can be performed in two different ways:

as an independent procedure;
in combination with surgical techniques for excising excess skin and performing a thigh lift.

Areas for liposuction

area "riding breeches";
inner surface of the thigh;
peritoneal region.

As an independent procedure, it is indicated for those who have a small amount of adipose tissue to be removed and good skin contractility. If the skin after the fat removal procedure cannot be sufficiently reduced, then the patient may receive an even more pronounced cosmetic defect than it was before the operation.

To avoid sagging skin and the appearance of its flabbiness after liposuction, excision of skin sections from incisions in the inguinal fold and skin tightening can be performed at the same time.

How is the procedure

Performed in an operating room. For anesthesia, general inhalation or intravenous anesthesia or epidural anesthesia in combination with sedation is used. The procedure takes about one hour in time. Depending on how much fat and on what area to be removed, one or two skin punctures or small incisions are performed, which, when healed, will not leave scars.

Before the fat is sucked out, it can be broken up using ultrasound. After all excess fatty tissue is removed, the punctures are sealed with a plaster or special glue. The patient is put on compression underwear and sent to the intensive care unit, where he comes out of anesthesia.

Features of carrying out on the outer surface of the thigh

Usually, when we use the term "breeches", we mean all that adipose tissue that can spoil our appearance from the side below the waist. Plastic surgeons have their own way of looking at things and as many as two definitions for deposits of excess fat in the area of the outer thighs. These are the “riding breeches” already known to us and the new definition of “flanks” for us.

“Flanks” are those very “rolls” on the hips. They are located just above the "breeches" and, as a rule, are separated from them by a narrow strip of smooth leather.

During the procedure, fatty tissue can be removed from one or both areas. Here, both areas are marked in the photo. The one below is the "breeches". And the one that is higher and that the surgeon points to with a marker is “flanks”.

Recovery period

Compression underwear is required for a certain time after liposuction. In addition, a large number of procedures are prescribed to improve the condition and contractility of the skin, reduce flabbiness and looseness of the fiber in this area.

Of course, you can refuse rehabilitation procedures, but then you need to be prepared for the fact that the result of liposuction can be spoiled by the appearance of flabbiness of the skin, which could not tighten and shrink sufficiently.

In addition, a standard set of restrictions must be observed, such as:

minimum physical activity;
no thermal procedures, including it is forbidden to take a bath (only a warm shower is allowed);
in the first two weeks, massage is prohibited, you can’t even smear the skin with bruises or accelerators of healing.

Complications

Flabbiness of the skin.

It occurs even in young girls, but much less frequently than in older women. Usually, the surgeon determines the ability of the skin to reduce volume before liposuction, but such a forecast is not always 100% correct. The patient's refusal to perform additional surgical lifting or wearing compression underwear is also important.

Loss of skin sensation.

In the area where liposuction is performed, due to damage to the nerve endings, the sensitivity of the skin may be disturbed. This complication is usually temporary and resolves without treatment within six months.

All the while, while the sensitivity is absent or reduced, the patient is required to pay special attention to the condition of the skin of the thigh and especially the inguinal fold, to select underwear and clothing that will exclude the possibility of rubbing. The fact is that with loss of sensitivity, the risk of significant abrasions in the place where clothes or underwear rubs is very significant.

Edema.

Swelling is an obligatory consequence of liposuction and usually stays normal for everyone for up to two months, gradually decreasing. Compliance with the restrictions of the recovery period and procedures aimed at accelerating rehabilitation after surgery can reduce swelling much faster.

Hematomas.

Rarely are they pronounced. Usually these are subcutaneous bruises that disappear in 1-2 weeks after the operation.

Fixation of the skin to the muscles.

A very unpleasant condition, which often develops through the fault of a plastic surgeon. It usually happens after the removal of fatty tissue in the "riding breeches" zone. Despite the apparent large thickness of the fat layer in the area of the outer surface of the thigh, there is not so much fat there, and it is located in a flat layer. The main volume of the zone of the outer surface of the thigh is still created by the muscles.

Adipose tissue is contoured so much because the muscles simply "push" it to the surface. With excessively careful removal of the fat layer on the outer outer surface of the thigh, the skin adheres to the muscles and loses its ability to move when moving. Hence, the patient can have many problems.

Infection.

In rare cases, an infection can get into the skin punctures, which leads to the development of inflammation and purulent fusion of tissues. An infection can be treated with broad-spectrum antibiotics.

If the formation of pus has begun, then surgical treatment is already being carried out, which consists in dredging and washing the purulent cavity.

Surgical thigh lift

A hip lift that is performed surgically is called a dermolipectomy. The name of the operation says that in order to perform a lift, part of the skin and subcutaneous tissue of the thighs is removed, and the remaining tissues are stretched and sutured to each other. Thus, flabbiness, skin influxes are removed, the surface of the thighs is smoothed. With seeming simplicity, the attitude to the operation is ambiguous.

Firstly, after the operation, pronounced scars remain, which, although they are located in those places that are covered with underwear, still do not adorn the patient.

And secondly, the operation has a sufficient number of serious complications, such as the development of thrombosis of the superficial or deep veins of the legs, for example. But let's talk about everything in order.

Video: Surgical thigh lift

What plastic surgeries can be performed at the same time

With liposuction.

Surgical thigh lift as an independent operation aims to remove excess skin. If it is necessary to remove excess adipose tissue, then liposuction is performed simultaneously with skin tightening. An example is the very “riding breeches”, which is difficult to remove with the help of only lifting. Then the adipose tissue from the “breeches” area is removed with the help of liposuction, and the skin on the thigh is surgically tightened.

With butt lift.

Simultaneously with a thigh lift, a buttock lift and buttock augmentation with endoprostheses can be performed.

With a lift of the anterior abdominal wall and inguinal region, buttocks.

This operation is called bodylifting. It is convenient that the tightening of all these areas is performed at one time. The disadvantage of this operation is that the amount of damaged tissue is significant. Therefore, the recovery period is more difficult, and the risk of complications increases.

Preparing for the operation

At the first stage, a surgeon is consulted, who determines the indications for surgery, chooses the optimal method of the operation or a combination of methods. Usually, immediately during the consultation, all issues related to the scope of the surgical intervention, possible complications, and the result that can be obtained in each specific case are discussed.

If there are indications for surgery, a consultation with a therapist is appointed, which determines the presence of contraindications for surgery.

To do this, the therapist prescribes a series of tests and studies. The minimum list includes:

general and biochemical blood tests, general urinalysis;
blood tests for syphilis, AIDS and hepatitis;
ECG, fluorography.

This list can be expanded depending on what chronic diseases the patient has. At the second stage of preparation for surgery, restrictions are introduced on the intake of a number of drugs that can affect blood clotting (aspirin, etc.) or the speed of recovery after surgery. A complete list of drugs, from which you need to refrain from taking before the operation, is reported by the doctor at the reception.

At least two weeks before surgery, you must stop smoking to reduce the risk of impaired wound healing and the development of a hypertrophic scar.

It is worth giving up alcohol for a week, as this makes the result of anesthesia unpredictable. Eating should be stopped the day before surgery. On the day of surgery, you can only drink water.

Contraindications

severe somatic diseases with impaired function of internal organs;
infectious diseases;
benign and malignant neoplasms in the body;
autoimmune diseases;
tendency to form keloid and hypertrophic scars;
diseases of the veins and arteries of the lower extremities;
tendency to thrombosis;
blood clotting disorder;
pregnancy;
menstruation and the first few days after it;
inflammation of the veins of the extremities.

Types of surgical lifting

Internal stretch.

This variant of the facelift is also called the median facelift. The incision during an internal lift is carried out along the inguinal folds. Part of the skin from the side of the thigh is removed, therefore, when suturing the surgical wound, the inner surface of the thigh is pulled up. The method is suitable for those who have a slight omission of tissues on the inner surface of the thigh.

Vertical pull.

With this method of carrying out the operation, the incision goes down the inner surface of the thigh from the inguinal fold to the knee itself. Departing from the first incision, the surgeon makes a second incision in such a way that a skin wedge is formed, which narrows towards the knee. The skin between the incisions is removed, the edges of the surgical wound are brought together and sutured. A vertical lift is used when a large amount of stretched and bumpy skin needs to be removed.

Spiral lift.

The incision goes almost around the entire surface of the thigh from the inguinal fold to the outer surface of the thigh, from there to the infragluteal fold and to the groin. A spiral (aka external) facelift is most often used by adherents of extreme weight loss, when a large percentage of body weight is lost in a short period of time. Then the skin of the entire thigh needs lifting, both outside and inside, both in front and behind.

Combined technique.

It is used in cases where the severity of ptosis of the skin of the thigh does not allow correcting the defect using only one type of lift. Which types of surgical lift will be combined is decided by the plastic surgeon based on the degree of tissue omission and the results that the patient expects.

How is the operation

Surgical lifting is performed only under general anesthesia. It can be inhaled or intravenous. Less often, spinal anesthesia is used in combination with the use of sedatives. In terms of time, the operation can take 2-2.5 hours. Incisions and excision of tissues are carried out according to the previously applied markings.

If surgical lifting is combined with liposuction, then liposuction is performed first, and then the skin is tightened. The result of the operation largely depends on how the edges of the wound are fixed.

A feature of the inguinal fold area is a relatively poor blood supply and innervation. Therefore, there is always a risk of slow healing, the formation of a rough "parted" scar.

To minimize the risk of rough scarring, most surgeons have now given up sewing the edges of the skin together. Now there are methods of layer-by-layer stitching of tissues with reliable fixation of the lower skin flap, which in the future will create conditions for the formation of a thin soft scar. After the stitches are in place, they are closed with a sterile dressing. The patient is put on compression underwear, the purpose of which is to reduce tissue swelling and reduce the risk of bruising.

Recovery period

It is necessary to prepare for the fact that the entire recovery period takes about 6 months.

Video:

The initial recovery of well-being to the point where you can return to work takes 2-4 weeks.

Stay in a hospital.

The first 2-3 days the patient spends in the hospital to eliminate the risk of complications of anesthesia and the operation itself, such as bleeding or suture divergence. Then the patient is discharged home and comes to his surgeon for an outpatient appointment.

Postoperative pain.

Pain, burning, numbness may disturb the patient for several days after discharge. Usually, these symptoms are easily relieved by taking painkillers.

Compression underwear.

Special slimming underwear must be worn for at least 1 month after the operation. It promotes faster resorption of edema, pain reduction, is a prophylactic agent that reduces the severity of subcutaneous hematomas and pressure on surgical sutures.

postoperative sutures.

If the skin is sutured with absorbable threads, then such sutures do not need to be removed. Non-absorbable suture material is removed 10-14 days after surgery.

All the time until the stitches are removed, they must be treated twice a day with antiseptic solutions.

Do not specifically massage the area of the sutures, apply creams or ointments that accelerate healing, as this will increase swelling and may lead to infection of the postoperative wound.

Mandatory restrictions of the postoperative period.

These restrictions include:

playing sports and any other intense physical activity in the first 2 months;
thermal procedures (bath, sauna, warm bath) until the edema is completely resolved;
solarium until the scar is completely formed, so as not to cause its pigmentation (usually the first 12-18 months).

Despite the ban on sports, it is impossible to allow yourself complete immobility, as this can lead to the formation of blood clots in the veins of the legs.

Complications

Deformation of the genitals.

Postoperative incisions that pass through the inguinal folds are sutured in such a way that the skin is in a taut state. This can lead to displacement of the skin in adjacent areas, such as the skin of the groin. Because of this, the genitals can also shift and take an unnatural position.

Formation of rough scars.

The tissues that form the scar are constantly in a taut state, because the scar that forms in the first two to three months is constantly stretched. As a result, instead of a thin whitish scar, a wide, rough, thick, protruding scar can form.

In many ways, modern surgical techniques used by plastic surgeons can reduce the risk of developing rough scars, but at the moment none of these techniques can completely eliminate the risk of such a complication.

Thrombosis.

The risk of developing thrombosis is especially high in those who took antiplatelet agents (drugs that reduce blood viscosity) before surgery and stopped taking them in order not to provoke bleeding during surgery. To prevent complications, it is recommended to avoid a long period of bed rest after surgery and early initiation of minimal physical activity, such as leisurely walking, etc.

Bleeding or development of a seroma.

Usually, accumulations of blood or tissue fluid are defined as a tense bulging tumor at the site of the surgical wound. The growth of the tumor is accompanied by the appearance and intensification of arching pains. In this situation, a drainage tube is installed and the cavity is emptied from the liquid. Performed in a hospital setting.

Infection.

To prevent the development of infection in the wound after surgery, a course of antibiotic therapy is carried out. Also, it is for this that a drainage tube is left in the wound on the first day after the operation. If inflammation still develops, then it is treated in a hospital setting.

Every woman dreams of having toned and slender legs. However, as we age, our skin stretches and is no longer as elastic as it used to be.

Is it possible to find some way out? What if the problem cannot be solved with the help of physical exercises?

A thigh lift is an effective procedure that can get rid of many problems. But how long the result will be saved, and whether everyone can use this method, we will consider below.

Peculiarities

A thigh lift is a procedure in which excess fat is removed from the thighs. Basically, such methods of therapy are resorted to by those who are quickly losing weight, or after certain types of operations.

If no exercises can help you pump up your legs and make them more slender, then a thigh lift will undoubtedly be able to cope with the task. As an addition, liposuction can be used, but only if it is really necessary.

If in the future the patient adheres to the correct lifestyle and controls his weight, then the thigh lift will help to maintain the result for a long time, all the contours lost over the years will regain their strength.

Anatomy of the hips in men and women

In the female, the pelvic region is more powerful and wider, thanks to which they are more stable, because the center of gravity is slightly lower.

This has a significant effect on training. Since women are more flexible, they can perform a wider range of motion. In the lower body, women will be able to build muscle mass much faster.

But nevertheless, when performing some exercises, girls need to be more careful, especially when it comes to lifting weights due to the torso from above.

Since their shoulder joints are slightly narrower than in men, you need to be more careful, otherwise the tension can be very large.

It should be borne in mind that women have more fat deposited in the thigh area than men. This is due to hormonal differences.

However, problems related to excess fat in the thighs can be faced not only by women, but also by men who are overweight. And both of them physical exercises can not always help.

That is why it is necessary to turn to surgeons for help.

Distribution of body fat in men and women

The essence of the problem

Even in the mother’s stomach, the baby’s number of cells is laid in the hips and abdomen.

From a biological point of view, this is a kind of reserve in case of starvation. However, in our time, there is simply no need for such reserves, but nevertheless, the peculiarity of the body still has a place to be.

Fat deposits not only can grow, but if you follow a diet, it is quite difficult to get rid of them. It's like a fat trap, on which you will have to work for more than one month and even a year.

And if we take into account the fact that we do not fix the skin on the hips with anything, then after a while it will begin to lose its former elasticity, especially when a person is losing weight quickly.

It can be concluded that problems with sagging skin somehow bother everyone.

A thigh lift can and should be performed in the following cases:

If flabbiness of the skin leads to severe aesthetic discomfort, you can’t undress on the beach, you can’t wear short things. All this one way or another leads to the fact that there are complexes and self-doubt.
Tightening can be carried out for medical reasons - with a strong severity of fat deposits, as well as with omission of tissues. From rubbing the legs while walking, abrasions and diaper rash may appear, the blood supply will be disturbed.

Naturally, you must first undergo a comprehensive examination and only after that you can start treatment.

Indications and contraindications

Thanks to this procedure, you can significantly change the shape of your buttocks, as well as the upper leg area. However, not all people can carry out such an operation, because there are both indications and contraindications.

So, the indications for the procedure:

The subcutaneous fat layer is very thick.
Excess tissue sags very much in the hip area.
The shape of the buttocks is disproportionate.

Many after such a procedure are really convinced that it is very effective. The contours acquire elegance and smoothness.

But as mentioned above, there are contraindications that also need to be considered:

The patient has poor blood clotting.
There are pathologies associated with internal organs.
Infectious diseases in the acute stage.
Oncological diseases.
Diabetes.
The mental state of the patient is unstable.
Such a terrible disease as heart disease.

Before going for surgery, the patient undergoes a complete examination, during which any contraindications may be identified.

Surgical method of thigh lift

This is usually done under general anesthesia. Previously, the necessary markings and incisions will be made on the operated area.

The doctor should discuss with the patient all the nuances of what result would be desirable in the end. You need to understand that you should not expect something perfect, because in the future you will have to work on your body on your own.

Training

At a preliminary consultation, a correction method will be chosen. The surgeon is obliged to tell in detail about how the operation will take place, as well as about the consequences that may also be.

In addition, some time before the operation, the patient will have to adhere to some rules:

It is necessary to give up bad habits.
Avoid any drugs that thin the blood.
The diet should include as many healthy foods as possible.

Before proceeding with the correction, it is necessary to assess the fat layer, skin condition and other nuances.

Anesthesia

Before the operation, you will be given the necessary medicines, under their influence, you will feel more comfortable. In most cases, doctors use general anesthesia.

At the time of the operation itself, your condition will be monitored on special sensors and monitors. When using general anesthesia, patients are left overnight in the hospital in order to monitor their condition.

Methods and technique of the operation

It can be used both to increase the volume of the hips, and to reduce them.

Increasing the internal volume with implants. An incision is made in the desired area, and as surgeons note, there is simply no universal incision, it is determined based on the purpose of the operation. After the implants are implanted, cosmetic sutures are applied. In the future, you will have to adhere to certain rules in order for the rehabilitation period to be successful.
Skin tightening. The purpose of this operation is to remove excess folds and fat on the skin, thanks to which the volume of the hips will be reduced.

Inner thigh tightening areas

Can it be combined with abdomino, cruro, gluteoplasty?

You can combine a thigh lift with the following types of plastic surgery - liposuction,. You must first consult with a plastic surgeon.

Rehabilitation

In order for the recovery period to pass safely, it is necessary to adhere to certain rules.

Restrictions include the following:

The first two months you can not play sports, as well as any physical activity.
Until the edema completely resolves, it is necessary to refrain from visiting saunas or baths.
To avoid pigmentation, do not sunbathe until the scar is fully formed.

But it is natural that the ban on sports does not mean that you just need to sit and do nothing, it is not only possible, but necessary to move.

Non-surgical lifting

Non-surgical lifting can be useful only if the defects on the skin are small. Running cases do not allow the use of such a technique.

Exercises

For the muscles of the thighs and buttocks. In order to tighten the muscles of your priests and buttocks, you can do the following: jumping, running in place, walking in place, while you need to raise your knees high, smoothly swing your legs to the right and then to the left.
For the inner part (surface) of the thigh. There is one very effective exercise, thanks to which you can achieve a positive effect: lie on your back, put your hands under your ass, your back should be pressed very tightly to the floor. Raise your legs thirty centimeters from the floor and spread them apart, then cross. The thighs on the inside should be very tense. It is enough to do this exercise three to four times a day.
Yoga. Stand up straight, and spread your legs hip-width apart, start taking a deep breath, try to be very calm. Raise your right leg, bend, and then place the foot on the thigh of the second leg. Do the same with the other leg. The weight will thus be distributed back and forth. It is not always possible to put the foot immediately on the thigh, in this case, you can put it under the knee.

Pose to strengthen the muscles in the thighs

massage

Many people confuse manual massage with anti-cellulite massage, but in fact they are two different things.

It is believed that the more bruises subsequently remain on the hips, the more effective the massage will be. Due to the force effect, the fat will be able to break down faster. Thanks to this massage, you can quickly get rid of sagging skin and its sagging.

Contour plastic

RF - lifting

This method is based on radio frequency radiation.

During such a procedure, collagen and elastin will begin to be produced, as you know, they are responsible for making the skin elastic.

Threads

Despite the fact that most clinics use a thread lift today, some still doubt its effectiveness.

The thing is that the effect of them becomes visible only in a static state. At the time of movement of the hips, the threads can shift, thereby delivering significant discomfort to the patient.

Possible areas for placement of threads on the thighs:

Mesotherapy

The duration of one session is approximately forty minutes. In order to get the desired effect, you must go through at least twelve sessions.

A positive result lasts a very long time.

The procedure takes place in several stages, initially the skin is treated with special antiseptics, after which injections are administered.

Mesodissolution

This procedure is one of the varieties of mesotherapy. In the area where there are large accumulations of fat, lipolytic drugs are injected.

The peculiarity of this method is that the needle is inserted approximately thirteen millimeters under the skin.

Myostimulation

This is an effective method, as a result of which you can significantly pump up the muscles of your thighs, as well as get rid of excess fat.

Stimulates both the outer and inner thighs.

Such procedures are often combined with lymphatic drainage, as well as massage and body wraps.

At home

Cream Colistar

The cream is aimed at the elasticity of the skin.

It contains only natural ingredients, no chemicals or harmful additives. Due to menthol and red pepper, you can achieve quick results.

With the help of a tightening effect, you can model the skin not only on the hips, but also on the stomach.

linen

Strongly corrective underwear is knickers and panties, which should have corset inserts.

As a rule, it is calculated for those women who have serious flaws in their figure. Thanks to linen, problem areas can be hidden. But you need to take into account the fact that some models of underwear can only be worn for a certain amount of time.

Usually all this is indicated on the packaging, which is why it is necessary to read the instructions.

Power correction

The diet should include exclusively low-calorie foods, during the load period, excess fat can be burned.

No flour, sweet and fried, you will have to forget about it. Eat as many protein-packed foods as possible. Vegetables can be eaten in unlimited quantities.

Try to drink as much water as possible, this will speed up your metabolism. The process of losing weight in this case will be much faster.

Before working on your forms yourself, be sure to consult with a beautician and surgeon.

Prices in Moscow

results

A thigh lift is designed to relieve patients of sagging skin. It can sag due to age or due to sudden weight loss.

Through the operation, you can achieve the following effect:

The thickness of the thighs will decrease significantly.
From the inside, the outline will be clearer.

Another nice thing is that the thighs on the inside will no longer touch each other. You will no longer be bothered by diaper rash and irritation in this area.

How long does the effect last?

If after the operation a person leads a correct lifestyle, follows the rules of nutrition, monitors his weight, then the result will please for many years. Therefore, your appearance in the future will depend solely on you.

Features of the structure of some anatomical zones of our body are very difficult to correct by conventional methods. For this reason, many plastic surgeries are primarily aimed at correcting those anatomical areas that cannot be corrected in any other way. Such a zone requiring radical correction is the inner side of the thigh. Plastic surgery to correct the contours of the hips is called femoroplasty.

What is femoroplasty

Femoroplasty is a surgical operation, the purpose of which is the aesthetic correction of the inner side of the thigh and the elimination of cosmetic skin defects. The term femoroplasty comes from the Latin word femur, which means thigh bone.

Usually, femoroplasty is used by those patients who have excessive fat deposits on the thighs and experience discomfort from constant friction of the inner thighs during movement. This fact contributes to the development of irritation and microtrauma from friction, as well as the rapid wear of clothing (trousers, for example). Thus, not only the aesthetic factor can serve as an indication for hip correction.

Unfortunately, the above inconveniences, like sagging skin on the inside of the thighs, occur not only in adulthood, but also in young people. It all depends on the anatomical structure of the body, the hereditary predisposition of the patient and his lifestyle.

It happens that sometimes a person, with the help of diet and constant physical activity, still manages to get rid of excessive fat deposits in the area of the inner thighs, but after massive weight loss, a large amount of excess skin remains, which gathers in folds and hangs down in the form of an “apron”. ". It is impossible to eliminate this defect by any means other than surgical plastic surgery of the hips.

Also, an indication for plastic surgery may be a lack of tissue in the thigh area. Too thin thighs and weak muscles of the inner thigh can also be corrected with femoroplasty.

In what cases resort to femoroplasty

Hip plasty is indicated in the following cases:

excess body fat in the thighs;
after removal of excess skin after massive weight loss or as a result of muscle tissue dystrophy;
with tissue ptosis in the thigh area;
uneven distribution of subcutaneous fat on the thighs (too thin thighs);
weak muscles of the inner thigh;
the presence of "riding breeches" zones (fatty tissue that has accumulated on the outer side of the thigh);
with cellulite (when pits and stretch marks appear on the skin).

With age, even in people with a normal body mass index, ptosis (sagging) of tissues in the area of \u200b\u200bthe inner thighs is observed. The reasons for this process are as follows:

hereditary predisposition;
anatomical constitution of the body structure;
age-related muscle dystrophy in this area;
decrease in skin turgor;
massive weight loss;
decrease in skin elasticity;
after liposuction, when a large amount of fat is removed, but without tissue tightening.

Contraindications for hip plasty

Femoroplasty is not an easy surgical intervention. Therefore, factors that hinder its implementation should be taken into account. Hip correction surgery should not be performed in the following cases:

acute, chronic or infectious diseases in the active stage;
diabetes;
autoimmune diseases;
oncological diseases;
cardiovascular diseases;
thyroid disease;
pregnancy and lactation;
allergic diseases;
skin diseases in the intended area of impact;
age restrictions (up to 18 years).

Preparing for hip plasty

Preparation for the operation includes several stages:

consultation with a surgeon;
comprehensive examination;
laboratory diagnostics.

The first step in preparing for surgery is a consultation with the surgeon. This must be done so that the doctor can find out the wishes of the patient, talk about how the surgical intervention will take place and what the final result will be. If an operation to increase the hips is performed, it is necessary to take measurements for the manufacture of prostheses.

The second stage includes the identification of contraindications to surgery and the presence of allergic reactions in patients. Consultation with related specialists is also necessary.

Laboratory studies include the following tests:

general blood analysis;
blood biochemistry;
Analysis of urine;
analysis for (RW) Wasserman reaction (syphilis);
blood clotting test;
analysis for the detection of HIV infection;
analysis for hepatitis B and C;
fluorography;
electrocardiogram.

It is important to know that if sagging skin has occurred as a result of massive weight loss, then you should not immediately resort to removing excess skin on the thighs. After losing weight, you need to wait until the weight stabilizes, as there is a high probability of recovery of fat complications, which will lead to the original state of the thighs.

Methods of surgical plasty of the hips

There are several methods for performing femoroplasty, depending on the surgical access to this area:

Through an incision in the inguinal folds.
Through incisions on the surface of the thighs;
Through a large incision from the groin to the knee.

The first method is the most gentle, with minimal aesthetic consequences. If the deformation of the tissues on the inner side of the thigh is mild, then it is pulled through small incisions in the inguinal region. Then the excess subcutaneous fat is removed. If the outer side of the thigh needs correction, then the incision is made from the inguinal region around the hip joint. The second method is resorted to with medium volumes of subcutaneous fat, and the latter - with a large excess of excess skin.

If the hip correction is performed in combination with the buttocks, then oval-shaped incisions are made that pass through the thighs and the upper part of the buttocks.

To correct all sides of the thighs (inner, outer and back), an incision is made from the fold line of the buttocks along the inguinal folds.

At the end of the operation, the incisions are sutured. It is very important that the sutures are properly placed, otherwise there is a possibility of tissue displacement or deformation of the external genitalia. If necessary, drainage tubes are placed in the wound, and after the operation, the patient immediately puts on compression underwear.

Femoroplasty is also performed in conjunction with liposuction and abdominoplasty. Liposuction is performed before hip plasty, since during this operation only a small amount of fatty tissue is removed, and the main part of the subcutaneous fat is removed only with the help of liposuction. Correction of the hips primarily involves skin tightening and the formation of clear contours.

Hip correction surgery lasts 2-3 hours, usually under general anesthesia, but sometimes spinal anesthesia is used. If additional corrective manipulations are carried out, then the operation time increases.

Procedure for hip augmentation

Among patients, hip reduction surgery is in special demand, plastic surgery to increase the size of the hips is resorted to much less frequently. Most often, the reason is the uneven distribution of subcutaneous fat on the thighs. Too thin and poorly developed hips are perfectly corrected with silicone implants.

The materials from which prostheses are made are distinguished by their strength and safety, as well as high biological adhesiveness to the tissues of the human body.

With hip augmentation, incisions are made in the subgluteal fold, which will make the sutures completely invisible in the future. Also, cosmetic seams should be aesthetically pleasing.

rehabilitation period

After the operation, the patient spends some time in the hospital under the supervision of a doctor. In the early days, you can not get up, walk and even sit. During this period, the patient experiences pain, an increase in temperature, tissue swelling, and a feeling of discomfort in the operated area. The swelling goes away within a week. The sutures that were placed on the inner side of the thigh are made from biodegradable threads and do not require removal. External stitches are removed after 7-10 days.

In order to make the recovery period as comfortable as possible. You must follow a few simple rules:

pay special attention to the seams, with proper care they will heal faster;
immediately after the operation, the patient should wear compression underwear, which contributes to the rapid recovery of tissues;
regardless of the patient's condition, mandatory antibiotic therapy is carried out;
you should not visit baths, saunas, pools and solariums;
do not take hot baths;
avoid direct sunlight;
for a long time in the area of \u200b\u200bthe scars, discomfort may occur when walking, squatting and getting up;
avoid intense physical activity.

The effect of femoroplasty will become effective a year after surgery.

Possible complications after hip plasty

As with any plastic surgery, a number of possible complications develop after femoroplasty. As a rule, they appear in the form:

Hematoma and gray. This complication happens quite often. It occurs due to damage to a large number of blood vessels and lymphatic capillaries. This leads to the accumulation of both serous fluid and blood in the wound cavity. Large seromas and hematomas are excised surgically, small ones resolve on their own.
Necrosis of the skin on which the scar is located. Usually, tissue necrosis occurs due to poor circulation in the area of the inner thighs and strong tension on the edges of the wound. This leads not only to tissue necrosis, but also to the divergence of the seams.
Violation of the lymphatic and venous outflow. The complication develops due to damage to the lymphatic vessels and impaired lymph microcirculation. Under the skin of the thighs there is a large accumulation of lymphatic vessels, through which the lymph flows to the lower extremities. As a result, there may be prolonged swelling in the legs. In some cases, the violation of the lymphatic outflow can become chronic, leading to elephantiasis (its large accumulation in the legs).
Infection and suppuration of wounds. The complication is caused by a bacterial infection, tissue necrosis and the formation of hematomas and seromas. Eliminated by antibiotic therapy.
Partial or complete loss of sensation. This complication is temporary and gradually disappears completely.
Increased skin sensitivity. This phenomenon is called hypertension. Sometimes hypersensitivity persists for life.
Unsuccessful result. Unfortunately, this also happens. It develops as a result of the fact that the skin is not able to contract to the extent that it provides the necessary firmness and elasticity.
Fat embolism. A complication develops when elements enter the blood or lymph that are not found there under normal conditions. Fat embolism often causes vascular occlusion, which causes disruption of local circulation. This is the most formidable complication that leads to a terminal state.
Change in skin color of postoperative scars. In place of scars, persistent pigmentation may occur. It can be removed only by special cosmetic methods.
Displacement of inguinal scars in the thigh area. The displacement and stretching of the scars makes them very visible. This happens with a large-scale surgical intervention.
Asymmetry of the genitals. This complication occurs due to the strong tension of the tissues.

The occurrence of complications after hip plasty depends both on the professional training of the surgeon and on the patient's compliance with the rules during the rehabilitation period.

Advantages and disadvantages of femoroplasty

Like any surgical intervention, this method has some advantages and disadvantages.

Advantages of hip plasty:

long effect of the procedure (10-15 years);
return to tissues of elasticity, and to the legs of harmony;
getting rid of excess subcutaneous fat forever (subject to a lifelong diet and constant body weight);
the acquisition of harmony, harmony and proportionality of the hips.

deep scars and scars;
if liposuction is performed, then only in conjunction with a thigh lift, otherwise the skin will hang in unaesthetic folds;
after plastic surgery, bumps and bumps on the skin may appear, which implies additional correction of the hips;
long rehabilitation period;
high risk of complications.

Every woman wants to have beautiful and toned hips. Women's slender legs have always attracted the attention of men. Therefore, the unaesthetic, unattractiveness of the hips often upsets a woman.

The appearance of the hips can deteriorate due to severe weight loss, due to age-related changes, a decrease in skin elasticity, due to hormonal failure and a number of other reasons. Excess skin in the thigh area is a common indication for aesthetic surgery - thigh lift.

Some women are not satisfied with only the inner thighs, where the skin is often less elastic and the tissues are more loose. Due to friction on the inner surface of the thighs, irritations on the skin are often observed and, in general, inconvenience is felt when moving.

Of course, the expediency of the operation is discussed at the consultation, after examination by a plastic surgeon.

According to the indications, a tightening of the inner and / or outer thighs is performed.

The most frequent types of operations:

tightening of the inner surface of the thigh;
tightening of the outer surface of the thigh;
tightening of both outer and inner thighs.

The location of the incisions is discussed during the consultation. As a rule, postoperative scars are hidden under linen.

Operation

The volume of the upcoming correction entirely depends on the initial state of the patient's hips, as well as on his wishes for their appearance after the operation.

According to the indications, liposuction of the thighs is additionally performed.

A thigh lift is performed under general anesthesia. The duration of the operation is on average about 2 hours. At the end of the operation, cosmetic sutures are applied.

The patient stays in the hospital for 1 day or more (if necessary).

After a thigh lift, it is mandatory to wear special compression underwear for a month.

Recovery after a thigh lift

Recovery after a surgical thigh lift takes approximately 3 months. During the rehabilitation period, you must strictly follow all the recommendations of your doctor.

The first weeks should be more rest. Minor physical activity is allowed 2 weeks after a thigh lift. Active sports - not earlier than in 2-3 months. At least a month it is forbidden to visit the sauna, bath, solarium, expose the operated area to direct sunlight.