The Deep Anchored Inner Thigh Lift

Abstract

The medial thigh area remains a troublesome region for body contouring in patients with lipodystrophy and/or skin flaccidity. Liposuction has proven effective in patients who have excess fat deposits but do not have a significant degree of skin laxity. The skin in this area of the body is often thin and inelastic, and in most circumstances where skin laxity is present, liposuction alone fails to remodel and tighten the inner thigh. Thus, it is necessary to combine liposuction with skin excision to achieve acceptable cosmetic results. The purpose of this article is to present the authors' technique of inner thigh lift using a novel dermoadipose flap design, which allows an effective anchoring of the inferior flap of the inner thigh to the adductor major tendon at the pubic bone insertion site. This novel approach creates a strong and stable anchoring site for the inferior inner thigh flap. In the authors' experience this technique has proved safe and effective, has a decreased morbidity, and achieves excellent cosmetic results.