Thigh Lift Los Angeles, CASilicone injection and biopolymer removal expertBodytite and Facetite expertLiposuction Revision and BBL revision expert
Do you have loose skin on your legs or thighs and do not feel comfortable wearing shorts or tighter clothing? Have you had previous liposuction and are left with dimpling, contour deformities, or loose skin? A thigh lift with Dr. Hughes at his surgery center in Los Angeles may offer a solution.
Dr. Hughes offers all variants of the medial (inner), lateral (outer), posterior (back) and anterior (front of) thigh lift procedures, based upon patient desires and anatomical configuration. Medial or inner thigh lifts address loose skin in the inner thigh that usually occurs as a result of weight loss, pregnancy, previous surgery such as liposuction, or up-and-down dieting. Some thigh lifts can be performed with a scar that is hidden in the groin crease. Some may require an incision that extends for a small distance down the inner thigh, which is very difficult to see when placed appropriately. Any additional improvement near the lower part of the thigh and knee will involve an extended medial thigh lift (extended inner thigh lift).
The groin incision thigh lift can be a very powerful tool to improve skin laxity along the inner thighs. The beauty of its design is that the scar can be hidden in the groin crease so that some of these scars are almost undetectable. At the same time, done correctly, inner thigh laxity to the level of the mid-thigh can be improved dramatically. The groin incision inner thigh lift will not improve the skin near the knees.
The extended medial (inner) thigh lift is typically reserved for patients who have undergone massive weight loss. The scar typically extends down the inner thigh so that the scar is difficult to detect upon casual gaze. This allows for maximal removal of skin and maximal tightening for the entirety of the thigh down to the knee.
There are other variants of the thigh lift like the anterior (front), lateral (outer) or posterior (back) thigh lift. These are often done through lower body lift incisions like a tummy tuck with an incision along the upper aspect of the buttocks or can be done with an incision in the gluteal fold (underneath the buttocks). In this manner, the buttocks, back of thighs, and outer thighs can be lifted during the same procedure. Patients may have many areas of skin laxity on the thighs, and Dr. Hughes can tailor any operation to improve that specific area or multiple specific areas.
Dr. Hughes will give the best thigh lift results possible on the surgical table, but any great surgical result can be ruined if the proper postoperative routine is not followed including Dr. Hughes’s nutritional recommendations including consumption of 100 grams of protein each day for the first 6 weeks following surgery. Drinking water and thin soup as the mainstay of postoperative nutrition is unacceptable and will lead to incision separation and opening and possible infection as well as prolonged healing necessitating wound care and need for revision. These complications are almost entirely avoidable by following Dr. Hughes’s postoperative recommendations, abstaining from sex and exercise for 6 weeks, and not placing tension on the incisions with body positioning.
Dr. Hughes will typically see patients at 1 week, at 4 to 6 weeks, and at 3 to 6 months for follow-up. It is not acceptable for patients to not return for follow-up. Dr. Hughes must see you and communicate with you to assure the best results. Dr. Hughes is available by phone and email at all hours of the day and night, including weekends and holidays, so there is NO excuse to not contact the office of Dr. Hughes or Dr. Hughes personally about your recovery. If there is an issue that a patient is encountering Dr. Hughes wants to know about it to provide the optimum treatment. Going to the emergency room to receive plastic surgery treatment or advice is not acceptable as these individuals will not have the vast experience of Dr. Hughes for your specific surgery and management. Many times the treatment or lack thereof received from the emergency room or hospital staff makes Dr. Hughes’s job more difficult or leads to additional need for surgery or revision or other corrective measures.
Dr. Hughes has extensive experience in massive weight loss and body contouring surgery from both his residency and his cosmetic fellowship at Harvard as well as throughout the thousands of body contouring procedures he has performed in Los Angeles and Beverly Hills. Thigh lifts, arm lifts, breast lifts, and tummy tucks are performed with exacting precision and in combination, and his patients have been so grateful.
BEFORE & AFTER GALLERY
Thigh lifts address loose skin in the inner thigh that usually occurs as a result of weight loss, pregnancy, previous surgery such as liposuction, or up-and-down dieting.
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I want a thigh lift, but I am scared of scars. What should I do?
Dr. Hughes has extensive experience in groin incision thigh lifts and concealing those scars. If you have significant skin laxity, the thigh lift can produce a very much improve contour.
I lost a lot of weight and I want other areas improved as well. Can the thigh lift be combined with other surgeries?
Dr. Hughes performs as many combination procedure as any surgeon you will find. He has extensive experience combining procedures in massive weight loss patients, and he can determine what is both reasonable and safe for you.
Thigh Lift and Its Variants
PREPARING FOR SURGERY
- STOP SMOKING: Smoking reduces circulation to the skin and impedes healing. It is best to avoid smoking, second hand smoke and cigarette replacements, such as nicotine patches or gum, in the perioperati ve period. While you should ideally stop smoking for 2 weeks before and after your surgical procedure, YOU MUST NOT SMOKE FOR A MINIMUM OF 24 HOURS BEFORE AND 24 HOURS AFTER SURGERY.
- TAKE MULTIVITAMINS: Start taking multivitamins twice daily to improve your general health once you have scheduled your surgery.
- TAKE VITAMIN C: Start taking 500 mg of Vitamin C twice dai ly to promote healing.
- START TAKING AN IRON SUPPLEMENT: A good iron supplement, such as Feosol Spansules, is required starting one week before surgery and four weeks following surgery. Bowel movements may appear darker than usual as a result. Feosol is available without prescription.
- DO NOT TAKE ASPIRIN OR IBUPROFEN: Stop taking medications containing aspirin or ibuprofen. Review the list of drugs containing aspirin and ibuprofen carefully. Such drugs can cause bleeding problems during and after surgery. Instead, use medications containing acetaminophen (such as Tylenol).
- LIMIT VITAMIN E: Limit your intake of Vitamin E to less than 400 mg per day.
- FILL YOUR PRESCRIPTIONS: You will be given prescri ptions for medications. Please have them filled BEFORE the day of surgery and bring them with you.
- CONFIRM SURGERY TIME: We wi ll call you to confinn the time of your surgery. If you are not going to be at home or at your office, please call us to confirm at (310) 275-4170.
- PRESCRIPTIONS: Make sure that you have filled the prescriptions you were given and set the medications out to bring with you tomorrow. Make sure to have the number for your pharmacy ready so that if Dr. Hughes and associates need to call in any special medications for you on your day of surgery they wi ll have that infonnation readily available.
- CLEANSING: The night before surgery, shower and wash the surgical areas with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase II I.
- EATING AND DRINKING: Do not eat or drink anything after 12:00 midnight except for a small amount of water to rinse your mouth while brushing your teeth.
- SPECIAL INFORMATION: Do not eat or drink anything! Ifyou take a daily medication, you may take it with a sip of water in the early morning.
- ORAL HYGIENE: You may brush your teeth but do not swallow the water.
- CLEANS ING: Shower and wash the surg ical areas again with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase Ill.
- MAKE-UP: Please do not wear moisturizers, creams, lotions, or makeup.
- CLOTHING: Wear only comfortable, loose-fining clothing that does not go over your head. NO TIGHT PANTS. Remove hairpins, wigs, and jewelry. Please do not bring valuables with you.
- CHECK IN/PREPARATION: Surgery Time:
- You should plan to arrive 45 minutes earlier than your scheduled surgery time. Patients less than 18 years old must be accompanied by a parent or legal guardian. When you arrive at our office on the day of your surgery, give the receptionist the phone number of the pharmacy you would like us to call for any spec ial medications Dr. Hughes and associates might prescribe.
- CARETAKER: Someone must spend the first night after surgery with you.
THIGH LIFT POST-OP INSTRUCTIONS
- The first week you will need to rest frequently. You need to walk around the house as tolerated. Avoid stairs if possible. Avoid frequent sitting and standing as this placed pressure on your incisions. Move carefully and deliberately.
- Sleep on your back with your head elevated.
- Avoid picking anything up greater than 1-2 lbs the first two weeks. The doctor will advise you when you can start lifting anything heavier.
- DO NOT EXERCISE FOR 4-6 WEEKS
- You may not drive the first week or while you are taking pain medication. After that it will depend on your ability to handle a car without causing any discomfort. You should wear your seatbelt at all times.
- Do not engage in sexual activity at least 4-6 weeks after your surgery.
- No smoking. This will interfere with your healing.
- Eat light the first 24 hours, clear liquids advancing to a regular diet as tolerated.
- If you have persistent nausea stick to a bland diet until it subsides.
- Avoid foods that can cause a lot of gas. This can cause abdominal distention and undue discomfort. Small frequent meals are best. Do not eat sweet or salty foods.
- The pain medicine may cause constipation. Drink plenty of fluids. You may take any over the counter laxatives or stool softeners as needed.
- You will have a garment over your dressings. Dressings should be changed as needed. You should wear garment for 4 weeks.
- If the garment is tight and causing pain, please take the garment off or adjust the garment.
- It is normal to have numbness over the surgical sites for several weeks or months.
- Do not use a heating pad or ice around the surgical sites. It could cause a burn.
- You may not shower the first week – sponge bathe only, until told to do so.
- It is normal to see dried bloody drainage on dressings.
- Take your antibiotic until it is completed.
- If the pain medication is a narcotic it should be taken as prescribed. Do not take any Tylenol while on pain medication. The medication we prescribe may already have Tylenol in it.
- Do not drink alcohol or drive a car while taking pain medication.
- The pain medication may cause nausea and should be taken with food at each dose.
- You may resume your regular medication after your surgery except for Vitamin E, Fish oil and Aspirin (wait at least 5 days post-op).
- If you take aspirin or coumadin check with the doctor to see when you may resume them.
CALL THE OFFICE IF YOU HAVE:
- A temperature greater than 101.5 degrees.
- Excessive bleeding from the incision.
- A sudden increase in drainage, pain, or swelling around the incision site or the surrounding area.
- If you have persistent vomiting, have a pharmacy number so that a script can be called in.