Lifting of Thighs (inguinal-femoral)
This deletes the amount of skin and fat of the inner thigh. Loose skin in this area is most common after a significant weight loss, as a result of pregnancy or simply with the advance of’ age, which can result in sagging skin that can not be improved through regular physical activity and a healthy diet and balanced. It will therefore be possible to improve the internal profile of the thighs giving an aspect of greater taper and eliminate the hassle and l ‘inflammation that sometimes need for the rubbing of the inner surface of the limbs during walking or running.
The lifting effect can be extended on the lateral surface of the thighs and buttocks.
Preparing to intervention
The surgery should not be performed in pregnant patients or nursing. If possible, avoid the days of the menstrual cycle. If being overweight is important and the skin is not fleeting, you first need to lose weight properly.
They should not be taken for two weeks prior to surgery or medications containing aspirin or acetylsalicylic acid, as well as taking oral anticoagulants should be adequately replaced with low molecular weight heparins agreeing everything with the patient’s GP. A month before the ‘intervention must be suspended progestogen therapy (birth control pills) in patients who use it: this to further decrease the risk of deep vein thrombosis in the legs.
If you smoke, you should stop for at least one month before surgery to reduce the chance of post-operative complications.
And it recommended getting right now of elastic stockings.
The night before or the same morning should be carried out thorough cleaning shower, shaved with a razor completely inguinal-pubic region, removed the nail polish for hands and feet.
Observe the fast of at least 8 hours before the intervention.
The lifting thighs surgery is performed under spinal anesthesia, or local with sedation or general anesthesia depending on the case, and usually stays in the hospital for one or two nights. It lasts for 2 to 3 hours depending of the ‘extent of the reduction and the technique used.
During the operation, Dr. Grassetti creates an incision to groin and, except in cases of small removals, on the inner surface of the thigh. Medial inguinal incision will extend until infragluteo groove back. The skin and excess fat are removed and the remaining skin is redistributed. Caudally the incision on the inner surface of the thigh in the most serious cases it can also extend up to the knee: it is in fact to privilege the achievement of a beautiful body contour with “aesthetic” visible scars albeit closely, rather than some centimeter of scar in less , but with an unsatisfactory profile of the thigh or with a result achieved only in half and only in the highest part of the same limb. To limit the extent of further scarring, you can be associated with a liposuction.
The sutures are anchored in depth to limit the subsequent descent of the tissues, and are practiced with resorbable points to make at least the visible scars possible.
At the end of ‘intervention it is placed a drain for each operated side, a groin level, which will be removed after 12-36h.
Is placed a dressing modestly means of elastic compression stocking.
Postoperative You may feel a slight pain: often coincides with the tight feeling of species spreading her thighs. It is easily kept at bay with standard analgesics and in any case will regress within a few days. If the pain may arise suddenly and accompanied by sudden swelling you must immediately inform your surgeon for a possible development of hematoma.
During the first week, and sometimes ten days, they will develop swelling and bruising not only to the thighs, but also the legs and genitals. They are physiological and subside spontaneously. Similarly, data may lead to hardening of scar tissue, that are fixed too ‘them within two months. Dr. Grassetti can recommend some treatments aimed at accelerating the recovery.
The sutures are removed after 10-15 days. At this point it will be possible to perform the first shower (not the bathroom!)
You must wear an elastic compression stocking day and night in the 4 weeks after surgery to support the tissues while the remodeled thighs they settle into their new shape and to decrease the risk of complications.
For the first 4 days after the ‘intervention is recommended riponcedei adductor muscles: do large movements of opening and closing of the thighs. Avoid efforts and to spread apart the lower limbs. Be careful during the act of sitting. The gait should be taken up by the next day, but gradually to small, short steps.
At night it is recommended to sleep with the legs slightly flexed on the pelvis to reduce tension on the scars during the first week.
Should be performed, if required, a prophylactic treatment for thromboembolism for the first week.
And ‘it recommended to keep a detailed personal hygiene level of the anal to the genital areas to prevent the risk of contamination of the wounds.
For the first 2 weeks it is not allowed to drive.
For the first 10 days it will be recommended instead a home resting, always avoiding efforts to biceps muscles, performing instead walks also to ‘open air.
The work can be resumed after 10-15 days, except in case of major physical effort.
For about a month it should be avoided any type of sports activity, smoking, the sexual activity and exposure to the sun or heat (sauna, sun lamps, etc.).
For a few months there will be some reduction in skin sensitivity on the area treated.
POTENTIAL COMPLICATIONS GENERAL
As with any surgery, albeit modest and performed on patients in good health, you may encounter:
A modest bleeding wound is normal. If important entities may require surgical reintervention.
wound infection. It is manifested by pain, swelling, warmth and redness of the skin, whether or not accompanied by fever. Any infection can usually be treated with antibiotics and local wound dressings, but may result in poor quality scars.
The appearance of a hematoma in the first hours after the surgery is rare and is treated with immediate or suction drainage (whence the ‘importance of the positioning of a safety drainage). However, it can occur up to a week after surgery. It is manifested by severe pain and sudden increase in volume and hardness of the arm that should be reported immediately to the surgeon, as well as bruising on the overlying skin in the following days. If modest it reabsorbed spontaneously. If larger may require the evacuation including by reopening the wound in the operating room.
The formation of seromas consists in accumulation of a yellow and transparent liquid called serum, entirely similar to that which forms in blisters and bubbles of burn victims. Small amounts are absorbed spontaneously, while gathered more conspicuous that should form when the drains are no longer present may require ‘aspiration or surgical drainage as in the case of major hematoma.
Dehiscence (reopening) of the wound is very rare. Usually it heals spontaneously with outpatient medication; more rarely it may require a new suture. And ‘more common in diabetics, smokers and obese.
albeit rare, phlebitis and pulmonary embolism: the ‘incidence increases if the patient is not mobilized early, but can be prevented by subcutaneous therapy with low molecular weight heparin.
POTENTIAL COMPLICATIONS SPECIFICATIONS
Necrosis and subsequent ulceration of the skin. It ‘a very rare circumstance, but fearsome and due mostly to problems not reported at the time of the visit or to patients who smoke heavily or very large thighs and perishable. It can also result in a remote surgical treatment to revise the scar.
Necrosis of part of the adipose tissue (liponecrosi) can manifest with early leakage of oily liquid from the wound, or at a distance of time with possible formation of fibrous nodules, indurations, calcifications or depressions of the surface, often asymptomatic.
Nerve injuries: sever picole sensitive nerve endings is inevitable during action for a few months and involves reducing sensitivity to the thighs and the groin (pins and needles) also asymmetrically between the two sides. The corruption of larger nerve fibers instead, Sebben rather rare, can result in much more prolonged anesthesia (12 months) and sometimes permanent.
Asymmetry of the profile between the two thighs skin elastic tone, fatty deposits, bony prominence, and muscle tone may contribute to it. It should also be said that a perfect symmetry in the volume of the thighs is realistically impossible to obtain.
Ripples on skin, albeit modest, are quite frequent.
Lymphedema. It is a posthumous swelling of the lower limbs due to lymphatic vessel section. It is usually transient and resolved with lindo-draining massages.
The improvement effect is immediately evident, returning youth and toned thighs, although the final result should be evaluated after six months, as well as any “tweaks”. It must be said that the lifting inguinal-femoral does not stop the normal aging process, so it is inevitable that with age the skin relax or determine a new increase in size with weight gain. However, even without subsequent retouching, the appearance of the thighs will still be better than you would if the ‘intervention had not been executed!
Inevitably the ‘intervention produces permanent scarring of the extension of which depends on the amount and the site of tissue to be removed, but that improve over time. Facelift minor thighs involve only a scar in the groin, concealable under a swimsuit. If instead the more extensive scar extends longitudinally on the inner surface of the thigh and, in large obese, up to the knee. They may also be evident when the patient splays the nferiori arts. In addition some patients, due to excessive skin reactivity can develop reddened scars, enlarged or hypertrophic and therefore easily visible. They are treatable by surgery or require revision surgery after one year.
Over time it is possible that in women the skin flaps sutured at the level of the groin, under the effect of gravity, pulls the labia of the vagina, spreading a little.