Thigh Lift and Thighplasty in Los Angeles and Beverly Hills

Nature of Thigh Distortion after Weight Loss

After significant weight loss, there is a variable degree of thigh tissue distortion that is dependent on the individual's genetic predisposition, gender, extent of weight loss, and the remaining weight. For those patients who have been able to drop most of their excess weight, there is a characteristic presentation. Generally speaking, deflation of the thighs results in tissue laxity in both a vertical and horizontal (circumferential) direction. Almost all weight loss patients will have vertical thigh laxity. This is seen as stretched out thigh tissue at the waist area, loss of waist concavity, an inner thigh roll, and an outer thigh bulge (commonly referred to as saddlebags). With significant weight gain and loss, some patients will also experience circumferential thigh laxity as well as vertical laxity. In these patients, in addition to the changes noted above, the excess thigh tissue forms cascading rolls on the inner surface that progressively diminish toward the knees. Dr. Siamak Agha has noticed that less than half his post-bariatric patients have significant widening of their thighs circumferentially. As women have less muscular mass and more fatty tissue, the changes are typically more profound than in men.

Compounding these thigh changes, the weight loss patient often experiences unique distortion of the lower back and buttock regions. Dr. Siamak Agha believes that it is important to look at these changes in combination with the thighs, and treat these areas surgically in union.