Inner thigh laxity

The thighs are an important and visible part of the anatomy, and modern fashion places a high emphasis on the thigh contour. The thigh consists of taut, elastic skin with a thin layer of subcutaneous fat covering the underlying muscle and bone. When standing with the feet together, the inner thighs should have a slight gap running from pelvis down to the knees. The aesthetic female thigh is one that gently tapers in width from the top of the thigh down to the knees, whereas the aesthetic male thigh is generally cylindrical or fusiform with visible muscle contours.

After successful thigh rejuvenation, individuals have improved body image and self-confidence, permitting them to choose from a wider range of modern fashion.

How Does It Manifest?

Unaesthetic thighs may include excess skin laxity or excess fat or a combination of both. Excess fat manifests as loss of the aesthetic tapered contour in the female thigh or the loss of visible muscle definition in the male. In females, the loss of the thigh gap is considered to be unaesthetic and results from the accumulation of fat in the inner (medial) thigh. Excess skin manifests as loose folds of skin in the inner thigh that drapes vertically downwards.

How does it arise?

The inner thigh skin has naturally few fibrous attachments to the underlying muscle. With weight loss, childbirth, or advancing age, there is thinning of the skin and the subcutaneous fat layer. This results in excess unsupported skin that droops vertically downwards and creates visible deformities. There are also persistent areas of fat deposits in the inner and outer thighs that do not disappear with weight loss; this is due to alterations in the metabolism of adipocytes (fat storage cells).

 

Liposuction and thighplasty

Thighplasty recreates an aesthetically pleasing thigh contour while siting the scar at an inconspicuous location in the inner thigh. Concurrent liposuction may be performed to reduce fat deposits and these procedures work synergistically to restore the thigh aesthetic. 

Thighplasty is an ambulatory procedure that is performed under intravenous sedation or short general anaesthesia. Successful reversal of these anatomical changes helps individuals restore their self-confidence and social functioning.

The following are good candidates for liposuction:

  • Stable weight for at least 3 months
  • Normal or near-normal BMI with localized fat deposits
  • Good skin elasticity
  • Individuals with suboptimal results from previous non-surgical treatment(s), including fat freezing (cryolipolysis) and external lipolysis procedures
  • Individuals with significant amount of skin excess or poor skin elasticity, are recommended to undergo excision of excess inner thigh skin via the thighplasty procedure.

Liposuction sculpts an aesthetic thigh contour by reduction of unsightly localized fat deposits and accentuate the thigh gap through small and well-concealed scars. In cases of excess skin of the inner thigh, a short vertical incision may be required to excise the excess skin and elevate it, to recreate the appearance of a youthful and beautiful thigh. The scar is well concealed when viewed from the front and the back. The overall result is an enhancement of the thigh aesthetic appropriate for the gender. Individualizing the surgical approach produces natural-looking, elegant and bespoke outcomes.

Individuals are advised to stop herbal supplements and traditional medicine, and start special medications 7 days prior to surgery to minimize bruising and swelling.

The location and amount of excess skin and fat are determined preoperatively, and the proposed incision marked out. Liposuction, if required, is performed through small incisions made just above the knee at the inner thigh. It is performed using specialized cannulas that break up, and then aspirate the fat. The excess skin and fat is excised, taking care to preserve important nerve and vascular structures in the inner thigh. The wound closed carefully for optimal postoperative outcome. The amount of skin to be excised is a fine art: sufficient to create a pleasing contour, yet within appropriate limits to avoid excessive wound tension and complications. In individuals requesting for high definition of the thigh, additional small incisions are performed to facilitate liposuction and fat grafting, to accentuate the junctions between the thigh muscles.

Minor postoperative bruising and swelling is expected, which will mostly resolve after the 14th postoperative day. Many individuals are able to return to work after the 3rd postoperative day.

Showering is possible on the second postoperative day in most cases. Bruising may be minimized by avoidance of strenuous activity for the first 14 days. Specific post-operative compression garments may be required in the first 14 days to minimize postoperative bruising and swelling, guide the shrinkage of skin and prevent formation of irregular skin folds. Routine exercise and gym activity may be resumed after 14 days postoperatively. Routine scar management is normally commenced following removal of stitches to optimize the final appearance.

Is Liposuction Safe?

  • Effective and safe treatments are the cornerstones of care delivery at Picasso Plastic Surgery. MOH has a set of stringent regulations governing liposuction to ensure patient safety. In accordance with these regulations:
  • Liposuction may be performed by plastic surgeons, or selected non-specialist practitioners possessing appropriate MOH licensing. Dr Yeo is a plastic surgeon with extensive experience with liposuction for both aesthetic and reconstructive purposes
  • Liposuction cases need to be performed at certified Ambulatory Surgical Centers. Our clinic operating facility has received MOH certification as an ASC
  • Ambulatory liposuction may be performed up to a maximum volume of 2 liters of supernatant fat (the fat fraction after separation from the fluid). Overnight stay in the hospital for monitoring is required for individuals desiring liposuction involving larger volumes. Dr Yeo has specialist credentialing at a broad range of private hospitals to facilitate overnight admission should individuals wish to perform liposuction beyond the 2 liter stipulation

Complementary procedures

    Complementary procedures enhance the result of the thigh liposuction and/or thighplasty, and may be performed at the same sitting. These include:
  • Hip and buttock contouring
  • Mini abdominoplasty (mini tummy tuck), also known as “mommy makeover”
  • Abdominoplasty (tummy tuck), also known as “mommy makeover”

The Picasso Advantage

Dr Yeo uses a proprietary short incision Brachioplasty technique that maximally reduces arm skin while minimizing the scar length. Dr Yeo is privileged to have visited and learnt from some of the foremost overseas experts in this field. He is regularly invited to speak on body, arm and thigh contouring at plastic surgery conferences in the Asia Pacific region.

Our clinic has an en suite operating facility that has MOH certification as an Ambulatory Surgical Center (ASC). This assures your maximal privacy and convenience while keeping facility and equipment costs contained. Our operating room carries a full range of equipment for Brachioplasty tailored to delivering optimal results.

 

Thighplasty & Liposuction in Singapore for Saggy Thighs (Thigh Laxity)