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Semin Plast Surg 2006; 20(1): 038-048
DOI: 10.1055/s-2006-932448
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Thighplasty in the Weight Loss Patient

Dennis J. Hurwitz1
  • 1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
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Publication History

Publication Date:
26 January 2006 (online)

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ABSTRACT

Thighplasty after massive weight loss is daunting. The deformity is complex and difficult to treat. The therapeutic index is narrow. A range of only centimeters of medial thigh skin resection width can mean the difference between residual skin laxity and unsightly descended scars. Wound closure is awkward. The scar from vertical extension excisions is exposed. Delayed healing is common. Prolonged edema and thrombophlebitis loom. Disappointed with prevalent lower body and thigh recontouring procedures, I evolved a comprehensive approach, which includes the “L thighplasty.” The “L” relates to the shape of the excision and resulting scar with the long limb along the medial thigh and the short limb between the thigh and labia majora and mons pubis. The planning, technique and selected results are presented.

KEYWORDS

Medial thighplasty - weight loss surgery - lower body lift

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Dennis J HurwitzM.D. F.A.C.S. 

Clinical Professor of Surgery (Plastic), Department of Surgery, University of Pittsburgh Medical Center

3109 Forbes Avenue, Pittsburgh. PA 15213

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