Plastic surgery & Body Contouring
Body Lift and Body Contouring in Orange County, Los Angeles, Riverside, California
Thigh Lift After Massive Weight Loss
The ideal thigh contour follows certain features that define an aesthetically beautiful and healthy figure. These include thighs that are proportionate to the buttocks, abdomen, and legs. The trunk and outer thighs follow an hour-glass silhouette with pleasing concavity of the waist, rising to a smooth convexity of the outer thighs. From the back, the thigh is demarcated from the buttock with a well-defined fold. From the front, the thighs are smooth and conform to the mass of the underlying muscles. The inner thighs are firm and flat.
Both men and women who have loose thigh skin and tissue will benefit from a thigh lift. The skin is usually saggy, flabby, and/or dimpled. The skin quality is poor and will not respond to liposuction.
There are two different types of thighplasty performed by Dr. Agha for weight loss patients. These procedures include the vertical thighplasty and the Spiral thighplasty. Each procedure targets a certain area for a specific result.
Spiral Thighplasty
A Spiral thighplasty is the signature thigh lift procedure that Dr. Agha has developed for those who require lower body lift surgery. As the name implies, the spiral thigh lift improves the thigh laxity of the front, back, inner, and outer thigh. The procedure starts on the back with an incision below the buttock fold. Through this incision, the excess tissue of the back of the upper thigh is excised. The thigh is then elevated to a higher position and secured to the underlying tissue. The buttock fold is then meticulously reconstructed. The remaining laxity of the front and inner thigh are then corrected by continuing the incision over the groin crease at the junction of the thigh and pubic area. A wedge of excess skin with fat is then removed, and the inner thigh is lifted and secured at a higher position. The groin crease is then reconstructed so that the scars are often undetectable under clothing. This provides a tighter and smoother thigh contour and enhanced skin flow.

In essence, the Spiral thighplasty combines the incisions of the thigh lift with that of a lower body lift to improve the thigh contour circumferentially as well as to lift the buttocks, restore the hour-glass waist, and tighten the lower back and abdomen.

Vertical Thighplasty
A vertical thighplasty is recommended for the treatment of loose thigh skin in a circumferential dimension, especially in mid and lower thighs. The procedure involves removal of a large ellipse of skin and inner thigh tissue through a vertical incision that starts at the groin crease and extends to the inner knee. The procedure is recommended for a select number of patients who have lost significant weight and present with significant thigh laxity. For these patients, Dr. Agha combines the vertical thighplasty and the Spiral thighplasty to obtain circumferential thigh reduction and lift. Whereas the scars after the Spiral thighplasty are covered by most underpants, the vertical thighplasty scar will be seen when the inner thighs are exposed.
