Liposuction can be performed on the thighs and is a common body contouring procedure used to remove localized fat deposits that do not respond to traditional diet and exercise. This surgical technique is designed to reshape the leg, not to serve as a weight-loss method. Thigh liposuction helps create a more balanced lower body silhouette by permanently eliminating fat cells from specific areas of the leg.
Defining Thigh Liposuction
Thigh liposuction addresses specific anatomical zones where fat tends to accumulate, largely due to genetic and hormonal factors. The most commonly treated areas are the inner (medial) thighs, where excess fat can cause the legs to rub together, and the outer thighs, often referred to as “saddlebags.” Fat in these regions is resistant to overall weight loss efforts.
A procedure can also target the fat deposit directly beneath the buttocks, known as the “banana roll,” which contributes to a less defined transition between the thigh and the gluteal area. Additionally, small fat pockets just above the knee, called the supranees, are often treated to achieve a smoother, more continuous leg line. Surgeons often treat the entire circumference of the upper leg to ensure a harmonious and natural-looking result.
Determining Candidacy
Thigh liposuction is primarily for contouring rather than significant volume reduction. The quality of the patient’s skin, particularly its elasticity, is the most important factor. Good skin elasticity is necessary for the skin to retract smoothly and conform to the new, slimmer contour after the fat is removed.
Patients with poor skin elasticity, often due to age or sun exposure, may experience skin laxity or sagging, which could necessitate a secondary thigh lift procedure. Ideal candidates should be close to their ideal body weight and have maintained a stable weight for several months. They must also be in good overall health, without medical conditions that could impair healing, such as poor circulation or a compromised immune system. Candidates should be non-smokers, as nicotine use restricts blood flow and can lead to poor wound healing.
The Procedure and Techniques
Thigh liposuction typically begins with the administration of anesthesia, which may be local with sedation or general anesthesia, depending on the procedure’s extent. The most common approach involves the tumescent technique, where a medicated fluid is infiltrated into the targeted fat. This solution contains saline to expand the fat tissue, lidocaine for pain relief, and epinephrine to constrict blood vessels, minimizing blood loss and bruising.
Once the tumescent fluid has saturated the area, small incisions are made, often hidden in the groin crease or buttock fold. A thin, hollow tube called a cannula is then inserted through the incisions. The surgeon moves the cannula to mechanically loosen the fat cells, which are then suctioned out of the body using a vacuum pump or syringe.
Modern techniques are employed to enhance fat removal and promote skin tightening. For example, VASER liposuction uses ultrasound energy to liquefy the fat cells before removal, resulting in less trauma to surrounding tissues. Alternatively, laser-assisted lipolysis utilizes a laser fiber to heat and liquefy fat cells, simultaneously stimulating collagen production in the overlying skin to encourage contraction.
Recovery and Final Results
Following the procedure, patients are immediately fitted with a medical-grade compression garment. This garment applies continuous pressure to the treated area, minimizing post-operative swelling and bruising. The compression garment supports the skin as it redrapes over the newly contoured tissue, promoting optimal adherence and a smoother result.
Patients can expect moderate swelling and bruising that will gradually subside in the initial weeks after surgery. Most individuals can return to light daily activities within a few days, but vigorous exercise is restricted for four to six weeks. While initial contour improvements are noticeable once swelling resolves, final results are typically not apparent until six months or more post-procedure. Long-term maintenance depends on the patient maintaining a stable weight, as significant weight gain can cause the remaining fat cells to enlarge.