In an effort to limit unwanted results, the medial thigh lift was modified to allow anchoring of the inferior skin flap to the tough, inelastic deep layer of the superficial fascia of the perineum. Significant actual or potential laxity of the medial thigh tissues remain the standard indication for medial thigh lifting.
However, the final effect of the high lateral tension abdominoplasty might reduce the need for medial thigh lifting in many patients.
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Initial deep liposuction (if needed) is followed by skin-only incision along the superior resection line. Posteriorly, the perineal-thigh crease incision should not extend into the buttock´s fold.
Anteriorly, the incision will leave the crease at the origin of the adductor longus muscle and extend vertically along the lateral border of the mons pubis to varying degrees, depending on the aesthetic deformity. After skin resection, undermining of the inferior flap posterior to the pubic tubercle is performed superficial to fascia of the adductor muscle.
The final results guarantee firmer and refined upper legs to those whose thighs were marked by loose, sagging skin, very often accompanied by fat tissue and cellulite. People who seem to be resistant to diets and exercise or those who have experienced massive weight loss should consider this procedure which offers attractive legs.