Buttock Lift/Thigh LiftAs we age or lose large amounts of weight, the buttock, outer thighs, inner thighs and abdominal areas may sag. This is true for men and women. Clothes no longer fit as well so people tend to hide under larger sizes and, in some cases, stop doing enjoyable activities such as going to the beach. An outer thigh/buttock lift or inner thigh lift is like a facelift for the lower extremities. It may be combined with a tummy tuck, called a body lift, to address the front, sides and the back of the torso. 1. Buttock-lift Buttock lift surgery is used to improve the shape and tone of buttock skin. Excess skin and some fat tissue is removed from the buttock area and the skin is advanced and tightened. If the excess skin extends completely around the entire waist, this procedure can be combined with abdominoplasty for optimum results.
Good candidates for this procedure have excess skin and sagging of the buttock tissue with a small amount of excess fat, often caused by significant weight loss. The procedure may incorporate liposuction to achieve balance between the torso, thighs and buttocks. The incision required for the procedure is placed very low on the back, just above the buttocks, or in buttock crease. The scar, which usually heals very well, is hidden by most contemporary underwear and bikini swimwear. Medical conditions such as bleeding disorders, heart disease, hypertension, diabetes, asthma, hernias, or a history of smoking will be of particular concern to the Doctor. Information regarding medications you are currently taking or have taken in the past, including all kinds of pain medications, will be requested by the doctor. Your height and weight will be recorded. You should know that this is not an operation for obesity. Thus, any patients more than 50% over their ideal body weight should consult with our Surgical Weight Reduction department. The Doctor also delineates the site of the planned incision for the buttock lift with you standing in front of a mirror. You will be asked to discontinue medications that could lead to bleeding during the surgery. The specific medications will be reviewed with you at the visit. You are not to eat or drink anything after midnight the night before surgery. Exceptions may be made for certain individuals. You will need to arrange for an adult to drive you to and from our hospital on the day of the operation and for the first visit after the surgery. You should wear loose fitting clothing that will wash easily in the event they are soiled. Do not wear jewelry, contact lenses, or bring valuables to the operating room. Remove all body jewelry from pierced body parts; this can interfere with the procedure and may represent a safety threat to you because of the use of electrocautery during the procedure. Do not shave or wax prior to surgery, as this may increase your risk of infection. Any shaving that is necessary will be done the day of surgery by our staff. The lift is performed through an incision that is above the buttocks through which the underlying tissue is undermined and lifted. Excess tissue is then discarded. This gives a more shapely appearance to the buttock area. Surgery and Recovery Buttock Lift Surgery Buttock Lift Recovery Period Pre-Operative Care The patient considering surgery should be in general good health and weight should be reasonable. The surgery is not a weight control measure though it may be helpful after a large amount of weight is lost and residual sagging skin remains. He or she should not smoke and should be on some type of exercise program. (Running or walking is recommended.)
The Operation Thigh lifts are performed by making an incision in the inner groin crease, along the underwear line, so that the skin can be tightened without a scar on the leg itself. The skin is lifted down to the muscle layer, peripheral excessive fat is excised away, loose excessive skin is removed and the skin is pulled upwards like a pair of stockings. Post-Operative Care Recovery normally entails one to two days in bed, three to five additional days of relaxing and convalescing (during which the patient may begin to get up to shower, etc.), and another three to five days of progressive activity. (Driving, sex, etc. may gradually be resumed during this period.) Twelve to fourteen days is the usual length of recovery. Once the incisions have had some time to heal, you should wear tight bicycle pants to help the skin heal in position.
Dependent on the extent of tissue excess and laxity, considerable improvement in contour and profile can be seen. Discomfort is much less than most patients expect. Any soreness is easily controlled with analgesics. For two days, try to rest as much as possible and stay on a soft diet. Eat lightly, but drink plenty of fluids and eat fruit to prevent constipation. Slight oozing of your incision lines is normal for a day or two, but if you notice excessive swelling or large amounts of blood on your dressings, call the office. During the first several days after surgery, it is not unusual to have drainage from your incisions. At the time of surgery, fluid is injected into your thighs to decrease blood loss and facilitate the liposuction. Much of your drainage will be this fluid. Walking during the first 48 hours is strongly recommended as tolerated. Climbing stairs or activities that produce tension across the wounds such as squatting should be avoided for the first three days. You will be seen back at the office in two to three days for removal of dressings and evaluation of wounds. Wearing the elastic garment is optional at this point. Some patients feel more comfortable with it, while others, especially in the summer, find them unpleasant. There is no data to suggest wearing a garment improves overall outcome. Showering is permitted 48 hours after surgery. The next visit will be at 10-12 days after surgery. This time, the doctor will reassess the incisions and verify that appropriate healing is taking place. Non-absorbable stitches along your inner thighs will be removed. Your thighs will feel "tight" and will be swollen. Most of the swelling should be gone by six weeks after surgery. Individuals with desk-type employment may resume work in one week. Lifting should be limited to 25 lbs. for four weeks. Others with work involving prolonged periods of standing, walking or heavy lifting may need to wait from three to six weeks. Vigorous activities or aerobic exercises should not be resumed for six weeks. The scars will tend to become increasingly red after two weeks and begin to fade after two to three months. The scars will never completely disappear and will take from 12-18 months to reach their final appearance.
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