Thigh liposuction

Thigh Liposuction

We decide how slim to make the thighs by looking at the whole curve from the waist through the hips and buttocks down to the legs.

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If your upper body slims down but your lower body doesn’t

Fat on the lower body tends to be slower to go.

Lower body in leggings, side view (staged image)
Surgery time
Discussed after an examination
Anesthesia
IV sedation
Stitch removal
Discussed after an examination
Final contour
Usually 3 months

Do any of these sound familiar?

If any of these apply to you, please mention it first at your consultation.

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Point 1. From the waist to the legs

In the mirror, you see from your waist to your legs all at once

When you stand in front of a mirror in jeans or leggings, you don’t see your thighs on their own. You see the curve from your waist through your hips and buttocks down to your legs. So we decide how slim to make the thighs by looking all the way to where they meet the buttocks.

Line drawing of the side curve from waist to thigh (illustration)

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Point 2. Fat or muscle?

We first check whether the fullness is fat or muscle

If fat is what makes the thighs look full, liposuction can make a bigger difference; if it’s muscle, the difference is smaller. So we first check the proportion of fat to muscle with a physical examination and ultrasound. We remove subcutaneous fat layer by layer, at the most effective depths.

EpidermisDermisFat: superficial layerFat: middle layerFat: deep layerFascia & muscle

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Point 3. What to leave

Below the buttocks, we first decide what to leave

The fat around the fold under the buttocks supports the buttocks. If too much is removed here, the buttocks can look saggy or extra creases can form. For the inner thighs, too, we first decide how much thickness to leave, then remove fat evenly.

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Areas we examine

What we look at in the thighs

  1. Inner thighsWhere the legs touch when you bring them together. The skin here tends to be the thinnest on the thigh.
  2. Outer thighsThe area running down the side from below the hip. Seen from the front, this forms the outline of the leg. The bulge at the top, often called saddlebags, is here too.
  3. Front of the thighsThe front of the thigh you see when standing. A large muscle lies beneath.
  4. Back of the thighsFrom below the buttocks to the back of the knee. This is where you see the border with the buttocks.
  5. Above the kneeWhere the thigh narrows toward the knee. The fat layer tends to be thin, so removing even a little too much can leave a dent.

Thigh Liposuction: the principles we follow

  1. 01We don’t force a thigh gap

    We don’t remove too much from the inner thighs just to create a gap. We aim for an inner line that looks natural within your natural build.

  2. 02We look at the buttocks too

    If you have hip dips (the dip at the side, below the hip bone) or your buttocks lack volume, we’ll discuss whether to add fat transfer to the buttocks.

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How it works

From consultation to follow-up

  1. 01Consultation

    We decide the extent of surgery after a physical examination and ultrasound.

  2. 02Pre-op tests

    We do the tests needed before anesthesia.

  3. 03Marking

    While you stand, we mark where fat will be removed and where it will be left.

  4. 04Anesthesia

    Surgery is done while you’re asleep under IV sedation.

  5. 05Liposuction

    We inject a fluid that reduces bleeding and pain, then remove the fat.

  6. 06Stitching

    We stitch with the SCAR OFF method to leave less of a scar.

  7. 07Aftercare

    You wear a compression garment, have your stitches removed on the scheduled day and come in for follow-up visits.

Medical note

More about thigh liposuction

From here, we explain how the surgery works, recovery and what to watch for in more detail. It’s written to the standards Dr. Oh uses when he sees patients.

Why is thigh fat slow to go?

Women’s bodies store a lot of energy in the thighs.

Because of hormones, women tend to store fat in the buttocks and thighs. Fat here tends to be slow to go, even when you lose weight. That’s why people say their upper body gets thinner while their lower body stays the same.

Liposuction reduces the number of fat cells that have collected here. It can’t change the shape of muscle or bone. So we first explain what surgery can and can’t do.

What we check before surgery

Besides the proportion of fat to muscle, we check the following before deciding on surgery.

Pelvis & legs
We look at the width of your pelvis and the angle of your thigh bones, and estimate how slim your thighs can become within these limits.
Skin elasticity
We check in advance whether the skin might sag or wrinkle after the fat is removed.
Health
We check the medications you take, any conditions you have and any past surgery.

How is it different from injections or exercise?

The right approach differs from person to person. We decide after an examination, based on how much fat there is, how much change you’d like and how much time you can set aside for recovery.

Exercise & diet
These reduce fat across the whole body and firm the muscles. But it’s hard to target fat in one area, such as the inner thighs or saddlebags.
LINE ON Injection
A non-surgical injection treatment that reduces fat cells and eases puffiness (fluid built up in the body). You can return to daily activities the same day. But there’s a limit to how much one session can reduce, so at most it refines a contour. We recommend 3 sessions, 1 month apart.
Liposuction
Because it removes fat cells directly, one session can reduce more than injections. In return, it needs recovery time and leaves small scars at the entry points.

Where will the scars be?

Liposuction needs entry points for the tube that removes fat. So the marks at the entry points can’t be avoided entirely. Instead, we keep the entry points small and choose places hidden by clothing or skin creases.

For the thighs, the entry points are usually in the groin crease or the fold under the buttocks, where they’re hidden by underwear and skin creases. If the area near the knee is treated too, an entry point may also be placed in a crease near the knee.

Scars usually look red or dark for the first few months, then gradually fade. How much they fade depends on your skin type. At your examination, we mark your body as we explain where the entry points will go and how many there will be.

How we perform this surgery

01

We plan around the shape of your buttocks

If you have full buttocks, slimmer thighs alone can make your buttocks look fuller, so liposuction alone may give you the line you want. If fat transfer to the buttocks is added, we plan it as Lower Body LINE ON, our signature surgery that combines liposuction of the thighs, buttocks and love handles with fat transfer to the buttocks.

More about Lower Body LINE ON →

02

SCAR OFF: stitching to reduce scarring

The entry points where the cannula (a thin tube used to remove fat) goes in and out are protected with Protect, a device of our own design. We stitch the inner layer of the skin first, and stitch the surface with as little pull on the skin as possible.

More about SCAR OFF →

IncisionIf only the surface is pulledtension builds on the surface① Inner stitchesThe inner layer is joined firstso it takes the pulling force② Low-tension outer stitchesThe surface is just brought togetherto keep the scar narrower

Who this surgery suits, and who it doesn’t

  • Your weight is fairly stable, but subcutaneous fat has collected on your thighs
  • Your skin still has reasonable elasticity

When we don’t recommend it

  • You’re already very slim and want to lose more (removing more can actually spoil the line)
  • A physical examination and ultrasound show there isn’t much fat that can be removed
  • You’re hoping for a result beyond what your natural frame allows
  • Your thighs look full mainly because of muscle, or your legs are bowed because of bone shape
  • You’re pregnant or breastfeeding, you take medication that affects blood clotting, or you have an uncontrolled medical condition (whether and when surgery is possible is decided after an examination)

Recovery

SwellingDay 02 weeksBruising mostly gone1 monthMost swelling gone3 monthsRemaining swelling gone
Bruising
Usually almost gone within 2 weeks.
Swelling
Most swelling goes down in about 1 month, and the rest in about 3 months. If a lot of fat was removed or there was more tissue trauma, it can take 3–6 months. Even so, the shape usually doesn’t look very wrong in the meantime.
Pain
The treated areas may ache, like sore muscles, for 1–2 weeks.
Recovery for the thighs
How much fat is removed from the thighs varies so much from person to person that recovery time differs too. The final contour usually shows after about 3 months. Even so, after just 1 month, the thighs are much slimmer than before surgery.

Precautions

  • Wearing a compression garment alone won’t improve your result. While wearing it, stretch the treated area and exercise moderately to give the skin steady stimulation that helps its elasticity.
  • Alcohol and smoking slow recovery. Please avoid them for the period we advise.
  • If you don’t exercise enough and keep overeating after surgery, the results can fade. Please keep up exercise and a healthy diet.
  • Please wear your compression garment for the period we advise. If it bunches up and presses on one side or feels too tight, tell us right away.
  • Don’t stay lying down after surgery. Take short, easy walks often, without overdoing it. Better circulation helps swelling go down.
  • Salty and spicy foods can increase swelling. Cut back on them while you recover, and drink plenty of water.
  • Please wait until we’ve checked your progress before firmly massaging or rubbing the treated area. The same goes for saunas and hot baths.
  • Contact us right away, without waiting, if you have a fever, if one side is unusually swollen and painful, or if pus or blood keeps coming from an incision.
  • Sitting with your legs crossed or standing for a long time can increase swelling. When resting, keep your legs slightly raised.
  • If you also had fat transfer to the buttocks, avoid putting pressure on your buttocks. Transferred fat is sensitive to pressure. For at least a month, avoid tight clothing, sleeping on your back and sitting for long periods.

Results and recovery vary from person to person. Whether a treatment suits you is decided after Dr. Oh examines you in person.

Thigh Liposuction: frequently asked questions

Will I get a gap between my thighs?

If inner-thigh fat was what kept a gap from showing, a gap may appear after liposuction. But a gap also depends on your pelvic width, the angle of your thigh bones and your inner-thigh muscles, so not everyone will get one. Removing too much from the inner thighs to create a gap can cause sagging or lumpiness.

What if my thighs are big because of muscle?

Liposuction doesn’t reduce muscle. If a thick layer of fat covers the muscle, the thighs can get slimmer by that much. But if most of the size is muscle, the change won’t be large. We’ll tell you before surgery how much difference to expect.

Can bowed legs look straighter?

Liposuction doesn’t change curved bones. If fat on the inner and outer thighs makes the legs look more curved, the line may look a little different. How much varies from person to person. We’ll tell you after an examination whether the cause is fat or bone.

Will the skin sag if fat is removed from the inner thighs?

The skin on the inner thighs is thin, so removing a lot of fat, even from the superficial layer, can make it sag or look uneven. If the area became lumpy or saggy after surgery elsewhere, it can sometimes be improved by combining fat transfer and liposuction, or with filler. But there are limits to how smooth it can become again, which vary from person to person, so we’ll discuss this after an examination.

Will the swelling move down below my knees or to my ankles?

After surgery, swelling and bruising can move downward because of gravity and show below the knees or even at the ankles.

When is it OK to walk or sit?

While the treated areas are sore, you may feel a pull when you sit down or stand up. For Lower Body LINE ON, which treats the thighs, buttocks and love handles together, liposuction takes 2–3 hours and you can return to daily activities the next day. If only the thighs are treated, we’ll tell you the surgery time and when you can return to daily activities once we’ve set the extent after an examination.

Will it get rid of cellulite?

Cellulite is when fibrous tissue under the skin pulls on the fat, making the surface look bumpy. Liposuction doesn’t smooth it out. It can even become more noticeable as the fat is reduced, so we tell you this before surgery.

More questions answered by Dr. Oh