Liposuction of Thighs

Thigh Fat

Localized fat on the outer thigh (anterior) and the inner thigh (posterior) is mostly genetic and is the hardest to get rid of through exercise and diet. Usually, a patient with enough fat deposits in the area is likely to have them in the nearby regions, like hips, knees, and buttocks, as well. Surgery liposuction of thighs is a frequent procedure in the US.

Patient Eligibility

  • Essential Qualifications: They are the same as that of a standard liposuction case.
  • Gender: Mostly women go for thigh liposuction, while some men also opt for inner thigh (especially upper) surgery.
  • Fat Deposit Quantity: Ample fat deposits are ideal.
  • Skin Quality: High skin elasticity is highly desirable in thigh treatment, especially inner. The procedure mostly involves large volume liposuction surgery, which may sag the skin, dimple it, and/or may leave it wrinkled. Now, a skin with high elasticity will recover better and will turn supple to quite a degree. However, a skin low on elasticity will turn wrinkled. An already wrinkled skin suffers the worst with the problem intensifying further post plastic surgery. A skin firming process may be needed as a follow up in such cases.


  • Transformed appearance of the legs – slim and smooth contours
  • Reduced rubbing of the thighs

Thighs Liposuction Procedure

The thigh treatment usually consists of tumescent liposuction on local anesthesia or in combination with the laser lipo. The surgery generally lasts for 1.5-3 hours.

  • Some Particulars:
    • Anesthesia Selection: Executing the procedure liposuction on local anesthesia is better as the patient can be turned to the side, which is not possible in systemic anesthesia. In the case of general anesthesia, a breathing tube passes through the patient’s trachea or windpipe. It may get dislodged, disturbing the oxygen supply, if the patient’s position is changed. At the same time, keeping the patient straight may obstruct fat removal from the lower side of the body area, especially the inner thigh. This may lead to incomplete lipo suction. Therefore, fat removal on local anesthesia is the preferred course.
    • Circumferential Liposuction: Circumferential liposuction is the term used for treating the entire thigh at once. It should be avoided as it can prolong healing and the swelling of the leg and foot due to impaired fluid absorption. To decrease the chances of inflammation, pain, discomfort, and even the rare likelihood of deep vein thrombosis (DVT), thigh treatment in stages is preferable.
    • Cannula Selection: The best results are obtained with the help of microcannula or a cannula of small diameter, as it enables the liposuction fat extraction in small amounts. This helps achieve smooth and fine results.
    • Result Requisites: It is important that the surgery is neat with no scars, lumpiness, or irregularities.

The Effectiveness Index

Since the fat deposits vary in amount, thickness, and location, from person to person, surgeons adopt customized strategies for each case. Liposuction on thighs usually delivers high satisfaction to patients. Still, the results are not perfect. In addition, surgeons advise against excessive fat removal, as this may result in skin and contour irregularities.  A detailed consultation with your liposuction surgeon can help you to have realistic expectations.

Liposuction of the Outer Thigh

For a proportionate shape, the outer thighs generally need to be treated along with the posterior upper thigh, lower lateral buttocks, and the hips.

Thigh Liposuction Recovery

A special tape is used for tight compression of the operated area. A ‘girdle,’ which is an elastic compression garment, is then slipped onto further press the skin. This helps bind the underlying tissues, promote faster healing, and eventually achieving the desired smooth appearance. The tape generally is off a week after the surgery, whereas the girdle is good for almost four weeks and should only be briefly removed such as when going to the washroom.

Liposuction of the Inner Thigh

The key issue with heavy inner thighs is that of rubbing, which makes the gait awkward and inconvenient. In addition, the thigh shape looks bad. For an even appearance, inner thighs and the inner knees both are often treated together. It is generally safe to combine these procedures and patient satisfaction is quite high. The fatty deposits of the inner thigh are soft and jellylike with some fibrous tissues. They can be dislodged rapidly and easily from the muscles. The Smartlipo technique is said to deliver good results with minimum invasion. The chances of skin wrinkling are higher in inner thigh liposuction.

Recovery from Liposuction of Thighs

Proper care of the incision site usually includes changing the bandages and dressings and moderate compression to allow fast and profound healing. The patients are generally able to walk up to some distance, 24 hours after the surgery.

To encourage the drainage of the residual tumescent fluid, the skin incisions are not sutured after liposuction. Specially designed super absorbent pads are placed over the slit to absorb the drainage and minimize liposuction related swelling. The drainage usually ceases within 48 hours post surgery. The other side effects  subside within a fortnight of thigh liposuction and the results are visible in around a month’s time.