In recent years, the incidence of thigh tightening has increased dramatically due to progress in successfully treating obesity via surgery ( gastric bypass , stomach stapling , … ).
There are two methods available:
- crescent-shaped incision in the groin region
- crescent-shaped incision in the groin region expanded by a straight cut along the inside of the thigh towards the knee.
The method with the crescent-shaped incision reduces the amount of the thigh only slightly, but is able to tighten the skin on the inner thigh.
The method with the extended cut along the inside of the thigh is very effective; it significantly reduces the amount of the thigh.
In the majority of my patients, the excess skin is not serious, so the long incision is rarely necessary therefore the crescent-shaped cut in the groin area is sufficient. The scar is placed so that it comes to lie exactly in the crotch and remains covered in underwear/swimwear.
An important aspect of the thigh lift is to prevent the skin tension in the groin region, which can lead to a further relaxation of the skin and (for women) lead to a downward misalignment of the outer labia. To this end, the taut skin must be attached with a dermis flap to the tight connective tissue of the pubic bone (“Cool’s fascia”).
1. Can a reduction in thigh circumference also be achieved with liposuction?
If there is no excess skin or when the skin is still firm, quite a good result can be achieved with liposuction alone.
2. What methods of thigh lift are there?
There are basically two methods that depend on the extent of the excess skin to be corrected. With low to moderate skin excess, the procedure can be limited to the groin region, if there is more to do, then the procedure will be extended to the thigh.
3. Where do the scars remain in a thigh lift?
Depending on which method is used, either the scar runs from the groin, starting along the inside of the thigh towards the knee or is limited to the groin region.
4. How noticeable are the scars?
If the skin incision is limited to the groin region, the scar is only visible with a shaved intimate and with legs apart. In the long incision, the scar is clearly visible, but almost always softly heals.
5. Is the surgery performed under local anesthesia or general anesthesia?
Both methods of thigh surgery must be performed under general anesthesia.
6. Does the health insurance cover the cost of the procedure?
Only very rarely. In extreme cases, the friction on the inside of the thighs results in such soreness that the costs of the surgery are covered by health insurance.
7. How long is the hospital stay?
In general, you should expect to stay from one to three nights.
8. What complications can occur?
The most common medical complications are bleeding or infection. Both are largely preventable with careful implementation of the procedure. Aesthetic complications may include asymmetrical scars, pulling out the anchoring sutures, distortion of the outer labia, dog-ear formation and keloids. Apart from the keloids, the correction of aesthetic complications by surgery is relatively simple.
9. When are you mobile after a thigh lift?
Barring complications, it usually takes about 10 days to return to normal. For a period of three months, physical activities should be avoided that lead to tension on the inner thigh (stretching, etc.).
10. What are the long-term results after a thigh lift?
If weight fluctuations are avoidable, the long-term results are excellent in general.
The first consultation takes up to 30 minutes and costs EUR 180. For consultations lasting longer than 30 minutes EUR 250 will be charged. All other consultations are free of charge.
If you purchase the Enzyklopaedia Aesthetica book “Oberarm- und Schenkelstraffung” (Upper arm lift & Thigh lift) ( EUR 29.90 ) the first consultation is free of charge! You can purchase the book during your first visit in the ordination or order it online.
Surgical preparation for performing the procedure under general anesthesia
The surgical preparation includes a blood test (so-called ” complete blood count “), a chest X-ray, and a surgical release by a general practitioner or internist. If you are insured in Austria and the procedure is medically indicated, there are no additional costs. The same applies to the OP-release by an internist or general practitioner, who is contracted with the usual social security institutions in Austria. In our medical center, there is an internist that the insurance considers a physician of choice. In this case, the insurance will cover about 50% of the cost.
Hospitalization – inpatient (overnight)
EUR 1.300 – 3.500, – depending on duration of operation, number of nights, room type (suite, single, triple) and hospital.
In general, since the procedure is performed under general anesthesia, an anesthesiologist must be brought to the operating room. The cost of the anesthesiologist varies depending on the duration of the operation and is between EUR 500 – 1000. An average cost of EUR 600-700 is to be expected.
Depending on which method is used (short or long cut), the surgical fee is between EUR 3.000-6.000.
Visits are included in the surgical fee.
Check-ups are included in the surgical fee.
A thigh lift should always be performed in an ISO-certified operating room of a hospital.
For a period of 14 days before the operation anticoagulants (aspirin, Marcoumar, vitamin E, etc.) should be avoided as this can delay blood clotting. Also alcohol and sleeping pills should be avoided as far as possible, because they reduce the coagulating ability of the blood and thus increase the risk of bleeding. The consumption of cigarettes should be reduced to a minimum as much as possible. Nicotine has a vasoconstrictive effect, which can lead to impaired wound healing.
The operation is performed under general anesthesia, therefore, you need the following tests:
- Chest X-ray and ECG
- Complete blood count coagulation, blood type, HIV testing and hepatitis A, B, C
- Surgical release by a general practitioner or internist
Please note that the test results may not be older than 10 days at the time of surgery. Please bring all the results for the procedure to the hospital.
Please come 2.5 hours before the procedure on the day of surgery to the hospital and sign in at the porter. After completing the admission formalities you will be placed in your room. On request, you will receive an infusion, which reduces your thirst.
In a thigh lift you should count on a hospital stay between one to three nights.
- OP-date plan
- OP-date set (take vacation, compensatory time or sick leave, arrange for child care if necessary, etc.)
- Two weeks before the surgery, complete the necessary preoperative exams (blood lab, chest X-ray, ECG, surgical release).
- A preoperative interview will take place the day before the surgery. It will assess the findings, discuss final details and sign the consent form. An instruction sheet will be given to you by the assistant to complete and bring to the hospital.
- Arrive at the hospital 2.5 hours before surgery to complete admission formalities. If requested, an assistant can accompany you to help shorten the time before the surgery.
- Discharge from the hospital usually happens on the day of the surgery. Please do not drive yourself. Take a taxi or let yourself be picked up.
- At home, relaxation and recovery should be in order. Avoid strenuous activities.
- 1st Follow-up Visit (about 5-7 days after surgery)
- 2nd Follow-up Visit (approximately 10 days after surgery): Removing the stitches.
- 3rd Follow-up Visit (approximately 20 days after surgery)
- 4th Follow-up Visit (approximately 30 days after surgery)
- Further follow-up visits will take place after two and six months.
- Final follow-up control after one year.