Dr. Amit Agarwal begins by making preliminary surgical markings on the skin to be excised. General anesthesia is administered by a highly skilled anesthetist and intensivist.
There are three types of incisions, depending on the specific areas to be treated and the extent of correction required:
- Transverse Incision: This type of incision is typically used when the correction required is minimal and the excess skin primarily extends horizontally (as seen in the majority of medial thigh lift cases). The incision is made in the groin area and extends downward, wrapping around the back of the thigh.
- Vertical Incision: When there is a substantial vertical excess of skin, a vertical incision is made along the inseam on the inner aspect of the thigh. This incision usually begins at the perineal crease and may extend down to just below the medial condyle of the knee.
- Transverse with Vertical Component: In cases of severe deformity with excess skin in both horizontal and vertical directions, skin ellipses are removed using both transverse and vertical incisions. These incisions are strategically placed to ensure they can be concealed by various types of clothing.
Excess pinchable skin and soft tissues are carefully removed from the thigh area. Lymphatic vessels are preserved, and the incision is closed with absorbable sutures and skin adhesives. After surgery, you will notice some initial swelling and bruising, which will gradually subside.
Liposuction may be included in the procedure, depending on your specific requirements.