Thigh Dermolipectomy

Indication: 

After marked weight loss or alternating periods of weight gain and loss, very often there is a flaccid bulging on the internal region of the thighs. This is due to the excess skin which forms as a consequence of stretching during the overweight period. As the skin on the internal region of the thigh is relatively thin, it does not retract sufficiently after weight loss, leading to the localized excess skin. Thigh dermolipectomy aims at removing this excess skin, providing a more natural e less flaccid thigh silhouette.

Type of anesthesia: 

Anesthesia may be peridural or general.

Length of hospital stay: 

Usually between 24 and 48 hours, depending on the speed of recovery and on the doctor’s orientation.

Postoperative:

Patients should avoid excessive movement, especially opening the legs apart, since the scar is close to the groin and will be subject to tension if such happens. The natural traction exerted on the scar by walking and by gravity usually leads the scar to some widening over the first months. The lower the tension on the scar, the less it will spread.

Complications: 

Among the possible, although infrequent, complications, we should mention: hematoma, seroma, infection, necrosis (skin injury), dehiscence (opening of the surgical wound), cheloid, thrombosis, embolism.
Since these complications are more often found in smoking subjects, patients should refrain from smoking during the 30 days before surgery, in order to minimize risks. If the patient makes use of oral or injectable contraceptives, these should be discontinued one month before surgery, and another contraceptive method being used during this period.

Definitive result: 

The definitive result of a dermolipectomy is reached 6 months after the surgery, this period being necessary for the accommodation of the tissues and for the maturation of the scar.