LOGO-MARC-ILLA

Thigh surgery

Thigh lift, also known as cruroplasty, is a surgical procedure designed to reshape and improve the appearance of the thighs by removing excess skin and fat, as well as correcting sagging in this area. This procedure is popular among people who have experienced significant weight loss, as well as those who wish to improve the appearance of their thighs due to aging or underlying genetics.

The result: slimmer, firmer thighs.

During thigh lift, the plastic surgeon makes strategic incisions on the inner thighs to access excess tissue. Through these incisions, excess skin and fat are removed, and underlying tissues are tightened to create a firmer, more toned contour. Depending on the patient’s individual needs, different lifting techniques can be performed to address specific areas of the thighs, such as the inner or outer thighs.

Once surgery is complete, compression bandages or garments are applied to the thighs to help reduce swelling and promote proper healing. It is recommended that strenuous activities be avoided during the recovery period, which typically lasts several weeks. Patients may experience swelling, bruising, and mild discomfort during this time, but these symptoms usually subside over time.

The results of thigh lift are usually immediately visible, although swelling may partially mask the final results during the first few weeks. As the swelling resolves and the tissue settles, the thighs take on a more defined and toned shape, with a more youthful and aesthetically appealing appearance.

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What is the intervention like?

Liposuction is not a slimming method. Even the best liposuction is not a weight loss procedure. In reality, it is a procedure to modify the shape of the body. It is intended to empty fat accumulations rebellious to diets and exercise. We are talking about the hated love handles and love handles. The fat is aspirated by means of fine cannulas. Although they are reduced when following a weight loss diet, they do not disappear completely. Liposuction achieves a reduction of those specific areas that are harmonious with the whole. It can be completed with liposculpture, liposculpture markings and lipofilling (lipoinjection).

Almost all the liposuction we perform is assisted by ultrasound, with Lipovaser technology (uses VASER ultrasound).

“Imagine that fat cells are like a bunch of grapes. The ultrasound makes them vibrate until they fall from the bunch. Then, with the liposuction cannula, these fat cells that have already been detached from their fibers are extracted, as easily as if they were butter. This provides security and makes the postoperative period easier, as it is a much less aggressive procedure.”

Older liposuction literally ripped fat cells out of the body. This caused a lot of pain, inflammation, bleeding, bruising and worse results.

The Bodytite It is a novel and effective body remodeling treatment that improves body flaccidity. It works with ablative radiofrequency. It is an energetic stimulation. It transmits energy to the tissues, heating them internally and activating the fibroblasts to form collagen again. This generates tissue retraction, it is as if it created ligaments that did not exist and makes the skin retract towards the muscle. The focus of Bodytite's work is not fat, but skin flaccidity. It allows the skin of a 40 or 50 year old person to respond to the result of liposuction as if they were 20 years old, that is, generating good retraction and not sagging.

We use it to extract more fat with liposuction and allow the skin retraction that we need. If we didn't do it, the skin would be flaccid, saggy and wrinkled. We will use it especially on skin that is already flaccid at the base, people over 40-50 years old, and also in areas where we already know that the skin tends to sag after liposuction, such as the skin above the navel, saddlebags, inner thighs, banana roll...

Radiofrequency applied with Bodytite is also the solution for patients who were previously recommended mini abdominoplasties, mini facelifts or mini thigh or arm lifts. Nowadays, we rarely perform these anymore, applying this treatment achieves better results and does not involve surgery with scars.

The fat that is removed does not come back. There are people who have had liposuction and gain weight again. This happens because they accumulate more calories than they expend. This accumulation of new fat will not only be preferential in the area where liposuction was performed. It will be distributed throughout all the fat cells in the rest of the body.

“Even if it gains weight again, it will do so in a more even and homogeneous way, but not concentrated in a specific area.”

We will carry out a specific study that analyses each patient to see where they accumulate the most fat.

Lipofilling (or lipoinjection) is a technique based on using subcutaneous fat from one part of the body and placing it in another. The fat extracted from the patient is cleaned, purified and injected into areas where it is needed. It is part of the liposculpture process.

Ultrasonic liposuction has revolutionized liposculpture. It is a minimally invasive body remodeling technique. The technology we use in this ultrasound-assisted liposuction allows us to selectively emulsify fat cells before their extraction. This allows for optimal control of the procedure and reduces the time of the intervention. In addition, there is also a lower risk of damaging organs with perforations, which is what happened with the documented case of Sara Gómez, the patient who died in Cartagena.

With our technique, since the fat cells are unhooked and emulsified, they can be removed easily and without aggressive procedures. In addition to safety and a better postoperative period, liposuction with VASER ultrasound allows for greater precision. If before, for abdominal marking, it was necessary to scrape the skin until it was completely empty, now it is not necessary to scrape. With the fat cells unhooked, it is much smoother and I can say exactly where I want to remove fat and do it in a homogeneous way.

"For example, if I do a "six-pack", all the lines will be much more even thanks to having previously treated the fatty tissue with VASER ultrasound, and there will be less irregularity," says Dr. Marc illa.

Comprehensive treatment of the silhouette

When we admire the beauty of a painting, a sculpture, music, or the human body itself, we do not focus on each of its individual components, but rather we observe it in an integral way, as a whole.

When planning a surgical intervention, it is important to take this aspect into account. But how do we apply it in body contouring surgery?

Patients come to the consultation with the initial idea of wanting to improve the appearance of their abdomen, but end up wanting to improve their overall body silhouette. Therefore, it is always advisable to carry out a comprehensive treatment by anatomical areas, not by individual components.

Therefore, in many cases, it is necessary to combine treatments applied to the flanks and even the back, such as liposuction, to achieve the desired result.

We can safely say that we have the latest generation of methods in terms of body surgery. This makes us different from other body surgery surgeons and also makes us excellent in this type of surgery. The secret is to use a combination of cutting-edge techniques and technologies. This allows us to approach the intervention taking into account the patient's overall silhouette and not isolated areas.

If you are looking for a clinic to undergo surgery to modify your body contour, you have found us. What makes us different is that we never carry out an intervention that is reduced to removing fat from a specific area, nothing more. The more areas are treated, the more natural the result.

“If liposuction is only performed below the navel, as the only area treated, it will be discordant with the rest of the belly. That is why we always treat complete anatomical areas.”

Dr. Marc Illa says.


Do you want to reshape your thighs?

Frequently Asked Questions

The answer is: IT DEPENDS on each case

  • When to decide “NOT to wait to be a mother”: This is the preferred option for patients who do not feel comfortable or identified with the shape and irregularities of their body at the present time. For many patients, for example at 20 years of age, it is not worth spending another 10-15 years (until the age at which they want to be mothers) with a body that they do not feel comfortable with. It is true that the body changes over the years, with sudden weight changes or pregnancies. For this reason, many patients decide not to wait and to intervene on their body at the moment when they do not feel comfortable with it.
  • When to decide to “Waiting to be a mother”: This option is recommended for women who only want to undergo surgery once. In this case, it is best to wait until you have had all the children you want before undergoing body surgery. The price to pay will be spending several more years accepting the shape and irregularities present in the body that you are not completely comfortable with.

This type of surgery involves remodelling the fat and, usually, the skin of the body. For this reason, it is common to have alterations in sensitivity that usually last at least for the first 6 months, then they usually recover within 12-18 months.

Good candidates for body surgery may include people who:

  • They have specific areas of localized fat that do not respond to diet and exercise.
  • They have experienced significant weight loss and have excess sagging skin.
  • They have areas of sagging or loose skin due to aging, pregnancy, or loss of skin elasticity.
  • They have realistic expectations about the results of the procedure and are motivated to maintain a healthy lifestyle after surgery.
  • They are close to their ideal weight and have a stable body mass index (BMI) within a healthy range.
  • Do not smoke or are willing to quit smoking before and after surgery, as smoking can negatively affect the healing process.

Postoperative

The first postoperative hours The patient is then taken to the hospital's recovery area, where all vital signs are closely monitored. When the patient has fully recovered from the anaesthetic, the pain and dizziness are under control and she is therefore in optimal condition, she is taken to her room with her family and friends. This is where recovery begins in preparation for returning home.

In your room on the ward, the nursing staff will diligently ensure that the patient is comfortable and with minimal discomfort, using the medication prescribed by our anesthesiology team when necessary. The nursing team will help the patient tolerate the intake of liquids and solids, and walking, thus ensuring a safe return home.

The next day we will come to the hospital to check that the patient is in good general condition and that there are no complications of any kind in the areas that were operated on. We will consider the possibility of removing the drains and bandages. If everything is in good condition, we will proceed to deliver the discharge report, which details all the postoperative instructions that the patient must follow and the prescriptions that she will need to give to the pharmacy in order to receive the medication that we recommend.

In the first week after surgery, pain and dizziness are rare, but there are specific times when they can occur and you have to be prepared.

We have to consider them our allies, since they remove the liquid that causes a lot of inflammation if it stays inside and can even increase the risk of complications. They are a nuisance, but there is nothing worse than that. In many of our interventions we leave them, at least until discharge from the hospital. We always leave them longer in abdominal and back surgery than in breast surgery.

It depends on the type of job. Normally, we allow you to start computer work (secretarial work, IT, telecommunications, etc.) two weeks after surgery. Jobs that involve driving or a lot of movement usually start after three weeks.

We usually allow driving from three weeks postoperatively.

We recommend spending the first five to seven days postoperatively at home, and from then on we allow going out for a coffee or visiting family or friends. Driving or taking long walks from three weeks postoperatively. Sports such as going to the gym or running from four weeks postoperatively. Intense sports such as climbing, swimming, triathlon… from six weeks postoperatively.

Most stitches are subcutaneous or intradermal, that is, they are under the skin, they go inside. We do not normally leave external stitches (only those at the ends of the intradermal suture). If there is a need to leave an external stitch, we normally remove it after 7-15 days.

After liposuction or abdominoplasty, the superficial tissues (skin and fat) are separated from the deep tissues (muscle and fascia). Due to the movement during the postoperative period, these two layers of tissue rub against each other, making healing difficult or causing inadequate healing. To avoid this, we always recommend performing a liposuction.

  • Rest for 7-10 days to reduce the amount of tissue friction.
  • Orthopedic compression girdle adjusted to the size of each patient for 30-45 days.

The girdle compresses the tissues, preventing friction and movement, facilitating healing in the area of interest. It also reduces edema (inflammation) and postoperative pain, greatly improving patient comfort.

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