THIGH LIFT OR CRUROPLASTY

WHAT ARE THE MEDICAL AND FUNCTIONAL INDICATIONS FOR A THIGH LIFT?

A thigh lift surgery is considered when the skin, thighs, It's not just a cosmetic problem. In this case, the problem is no longer merely aesthetic, but linked to a excess skin, sometimes associated with a greasy, which causes a discomfort day-to-day.

This discomfort may appear at walk, at the’sporting activity or simply by getting dressed. It is often the result of after-effects of weight loss, after major weight loss. Visit friction-related discomfort between the thighs, with irritation or discomfort, are frequent.

A thigh lift is a surgical procedure that combines liposuction (or lipoaspiration) of localized fat masses and skin redraping to tighten sagging skin.

A liposuction alone will never correct excess skin.

THE DIFFERENT TYPES OF THIGH LIFT AND ASSOCIATED SCARS

INNER THIGH LIFT: INDICATIONS, SCARRING AND EXPECTED RESULTS

This is the most common type.

• Process the inner thighfrom inguinal crease (natural groin fold) to the knee.
• Associate liposuction and vertical re-tensioning of the skin.
• The vertical scar is located at the’inner thigh, not very visible from the front or back.
• To process a excess internal skin along the entire length.

EXTERNAL CRUROPLASTY (SADDLEBAGS LIFT): WHEN IS IT INDICATED?

Rarer and heavier.

• Indicated in cases of major deformity of the external face, with persistent saddlebags after weight loss.
• More visible scar, sometimes extending towards the buttock.
• Reserved for patients with severe discomfort, where there is no no effective alternative.

HOW DOES A THIGH LIFT PROCEDURE WORK?

The femoral plasty, or thigh lift, go to takes place under general anaesthetic.
Operating time varies according to the type of facelift and the amount of skin to be removed. 1 h 30 to 3 hours.

OPERATING PROCEDURE: ANESTHESIA, DURATION AND TECHNIQUES USED

• Patient set-up according to the area being treated (inside or outside).
• Preliminary liposuction to remove excess fat or adipose tissue.
• Precise assessment of amount of skin to remove.
• Surgical incision vertical incision (sometimes combined with a horizontal depending on the case).
• Removal of excess skin.
• Re-tensioning fabrics, redrapping.
• Sutures with absorbable sutures and symmetry control.
• Setting up a bandage and a compression garment.

HOSPITALIZATION AND POST-OPERATIVE PERIOD AFTER A THIGH LIFT

After the’intervention, l’hospitalization is usually limited to an overnight stay in a clinic. Le next day, the dressing is checked, the’clinical examination to verify the absence of complications, and the shower is generally authorized, subject to the’agreement from plastic surgeon.

A compression panty, is prescribed as part of the post-operative treatment in order to :

• contain post-operative oedema,
• prevent thromboembolic risk,
• to maintain voltage,
• promote discount fabrics,
• accompany healing.

Walking is encouraged from day one, The aim is to preserve function, limit after-effects and allow the body to recover without undue stress.

The convalescence lasts on average 2 to 4 weeks, with a work stoppage variable, depending on professional activity, scar position, amount of fatty tissue or loose skin treated, and context bariatric possible. During this period, we recommend’stop all sporting activities, d’avoid the sun, to respect prescribed care, and note any side effects unusual.

The back to sport is carried out only after medical advice, often between the 6ᵉ and the 8ᵉ week, to return to normal mobility without compromising the scar, the voltage skin or the final result.

IS A THIGH LIFT PAINFUL?

For the first few days, the moderate pain is mainly due to skin tension and liposuction areas. It looks like deep aches and pains, These are accentuated when standing or moving the legs.

Internal facelifts are often more uncomfortable than external facelifts, especially in the first few days when walking or moving around.

From analgesics are systematically prescribed, providing effective control. Discomfort when walking is common, but rapidly improves with the use of support panty. Pain diminishes significantly after 5 to 7 days, then becomes residual.

WHAT TO WEAR AFTER A THIGH LIFT?

• Panty or support garment day and night for several weeks.
• Loose-fitting clothing, with no aggressive seams at the’aine.
• Avoid prolonged rubbing and tight clothing.
• The support stockings are sometimes recommended to prevent venous risks.

WHAT ARE THE RESULTS OF A THIGH LIFT AND WHEN SHOULD THEY BE ASSESSED?

IMMEDIATE RESULTS AFTER A THIGH LIFT

• Excess skin removed immediately after surgery.
• Refined silhouette, firmer, more harmonious thighs.

THIGH LIFT: WHAT HAPPENS BETWEEN 3 AND 12 MONTHS

To say that the final result of a thigh lift is visible after one year is factually correct, but totally insufficient to understand what the patient is really going through in the meantime. Between the 3ᵉ and the 12ᵉ month, The body goes through several normal, but often poorly anticipated, phases. After an initial period of maximum voltage, In this case, the tissues may appear to relax slightly, causing unnecessary concern.

This phase of secondary relaxation is physiological and corresponds to the gradual adaptation of the skin and deep layers.

At the same time, the scar remodelling is slow, evolving and sometimes asymmetrical, with firmer or more sensitive areas. It is precisely for this reason that the result may seem “less good” before stabilizing.

Understanding this temporality helps to avoid hasty conclusions, unnecessary frustration and unrealistic expectations. Thigh lift surgery is a slow transformation, not an instant, fixed result.

WHAT ARE THE POSSIBLE RISKS AND COMPLICATIONS OF A THIGH LIFT?

Like all plastic or reconstructive surgery, cruroplasty is not without risks:

• delay or disorder of healing,
• small skin tears caused by friction,
• local infection,
• hematoma or seroma (rarer),
• transient sleep disorders sensitivity,
• venous complications (prevented by compression therapy and anticoagulants),
• very rarely, cutaneous necrosis in high-risk situations.

A regular post-operative follow-up helps prevent and treat these complications at an early stage.

COSTS, RATES AND SOCIAL SECURITY COVERAGE

HOW MUCH DOES A THIGH LIFT IN PARIS COST?

The cost of surgical thigh reshaping depends mainly on the extent of excess skin, the detachment zonefrom operating time and type of hospitalization.

In Paris 16, the Dr Djian thigh lift with a minimalist anatomical approach to reduce traction on the internal scar.

The rates below correspond to the surgeon's fees and vary according to the aesthetic or restorative indications.

Dr Djian's fees

*Plastic surgery prices are given as an indication and are non-contractual.
The first cosmetic surgery consultation at the practice in 16ᵉ Paris is priced at 100 euros.

IS THE THIGH LIFT COVERED BY HEALTH INSURANCE?

The covered by the French Assurance Maladie is only possible in very specific situations. It mainly concerns patients with a major disabling skin excess, secondary to a significant weight loss after bariatric surgery (bypass, sleeve).

The CCAM reference used is QZFA011 (removal of excess thigh skin), indicated if the excess causes functional discomfort, maceration or chronic dermatitis.
The procedure involves a prior agreement addressed to the medical advisor.

Without a written agreement, cruroplasty is considered to be a "medical procedure". aesthetic act and no refunds will be given.
Even in the event of agreement, only the CCAM procedure-related expenses are covered. Patients are responsible for any extra charges, clinic costs or additional fees.

For a personalized assessment and a precise quotation, you can make an appointment with Dr Djian to determine whether cruroplasty is cosmetic or reparative.

HOW TO CHOOSE A SURGEON FOR A THIGH LIFT?

It is essential to consult a qualified plastic surgeon, experienced in post-weight loss body contouring surgery.

The choice is based on :

• l'experience of the surgeon,
• its reputation,
• the quality of preoperative consultation,
• the clarity of the’received information,
• a precise quotation and detailed.

A first consultation to define the indication, the type of facelift, the expected scars and the surgical project.

A thigh lift, or cruroplasty, is a technically demanding surgery. The surgeon must be qualified plastic surgeon, registered with the Ordre des Médecins, and regularly practise post-weight loss body contouring surgery.
The consultation must include a precise clinical examination, a skin quality analysis and a clear explanation of scars and result limits.
A speech that minimizes scars or promises a perfect result is a red flag.
The quotation must be precise, detailed and consistent, including actual costs and post-operative follow-up.
A good surgeon is one who also knows how to refuse an inappropriate operation.

THINGS TO REMEMBER BEFORE CONSIDERING A THIGH LIFT

Considering thigh slimming isn't about ticking a cosmetic box. personal surgical project, Each situation is different, depending on skin quality, weight history, expectations and life constraints. Every situation is different, depending on skin quality, weight history, expectations and lifestyle constraints.
The only way to get a clear picture is to use a specialized consultation, based on a precise clinical examination, an exchange without excessive promises, and honest information about what is and isn't possible.

The Doctor Djian, Our Paris-based team sees patients in consultation to analyze the indication, establish a realistic framework and, if necessary, draw up a personalized quote before making any decisions.