Arkady Averchenko chronological table briefly. Brief biography of Arkady Averchenko

Thighplasty includes a group of aesthetic surgeries to improve the contours of the legs in their upper part - from the knee to hip joints. Depending on the existing problem, liposuction, leg lift or lipofilling may be performed during hip surgery. The goal of hip plastic surgery is to eliminate cosmetic defects, improve tissue tone and restore the aesthetic parameters of the hips.

The hip area is subject to changes caused by constitutional, hormonal and gravitational factors, as well as various pathological processes. At the same time, the skin and subcutaneous tissue relax, changing the relief inner surface thighs, localized accumulations on the thighs body fat, the soft tissues of the thighs become flabby and sagging. Problems of excessive fullness (or thinness) of the thighs, sagging skin of their inner surfaces are difficult to correct using conservative methods - massage and physical exercise. These cosmetic imperfections can be aggravated by difficulty walking, diaper rash and abrasions on the inner thighs. A radical method of combating various types leg deformities is hip plastic surgery.

When selecting patients for hip surgery, medical history, the condition of the musculoskeletal system, and the presence of pathology in the venous system of the lower extremities are taken into account. Each plastic surgery in the hip area has its own strict indications and contraindications. Thighplasty can be combined with body lifting, which combines tightening the abdomen and buttocks.

Thigh lift

A thigh lift is an operation to correct the soft tissues of the inner and outer thighs when they are drooping (ptosis), loss of tone and sagging, and the presence of excess sagging, unretracted, stretched skin and subcutaneous tissue. These conditions can be caused by: age-related changes and significant weight loss. As a result of a thigh lift, excess skin is eliminated, thigh contours and tissue tone are improved.

Thigh lift surgery is a major procedure and is performed exclusively under general anesthesia. Several approaches can be used to perform a thigh lift. In one case, the incisions begin in the groin folds and then extend to the subgluteal area. The skin is detached along with the subcutaneous base from the underlying muscle layer 10-15 cm down the thigh. If thigh augmentation involves liposuction, it is performed before the incision is made. The excess skin is then excised, and the soft tissue is tightened and sutured to the tendons. Hemostasis is monitored, after which the tissues are sutured with an intradermal cosmetic suture. A drainage is installed in the intervention area and left for 1-2 days. An aseptic and elastic bandage is applied to the thigh.

Another type of access involves making a vertical incision along the inner thigh with a combined incision in the groin. The length of the incision is determined by the amount of skin planned to be removed. Various types of incisions are used to tighten the back and outer thighs, inevitably accompanied by scarring in these areas. This circumstance should be taken into account by patients when planning hip surgery.

Liposuction of thighs

Liposuction is indicated in cases where the only problem is the presence of excess fat in the thighs, and the elasticity of the skin is assessed as satisfactory. Excess fat deposits on the hips add weight to the lower half of the body, make the contours of the legs uneven and aesthetically unattractive. Hip reduction is performed by removing the excess layer subcutaneous fat.

Liposuction of the thighs, depending on the volume, can be performed different ways. Minor fatty deformities of the thighs can be subjected to lipolysis. A substance that promotes the breakdown of fat at the molecular level is injected into the correction zones using injections, which does not require its subsequent removal. Injections are performed over several weeks, after which the problem of local fat deposition in the area disappears. Lipolysis procedures are painless, minimally invasive, but are used only on small areas of the thighs.

Another method of thigh plastic surgery is three-dimensional liposuction, during which fatty tissue is removed using vacuum through microcannulas with a diameter of several millimeters. Uniformity and precision of fat removal is ensured thanks to three-dimensional computer modeling. At the same time, the preservation of the upper fat layer is achieved, which helps to give the tissues of the thighs elasticity and softness of outline.

The vibroliposuction method can be used if it is necessary to remove large volumes of adipose tissue. The process of fat destruction occurs as a result of vibration of the cannulas, which occurs due to the entry of compressed air into the installation. This simplifies both the lipolysis procedure and the removal of adipose tissue, eliminates tissue damage, eliminates acute pain, and reduces the rehabilitation period.

If it is necessary to remove large volumes of adipose tissue, ultrasound or laser liposuction methods are used. In these cases, the fat is first destroyed by ultrasound or laser to an emulsion state, and then pumped out through small punctures in the skin. After large-volume liposuctions, excess skin remains, which requires additional thigh lifting.

Discharge from the hospital after thigh liposuction is possible within 24 hours. You will need to wear a special compression corset for another week.

Lipofilling of thighs

If there is a problem of excessive thinness of the thighs, a lipofilling procedure is performed - the injection of one’s own fat material in order to form additional volume in the thigh area. The duration of the thigh lipofilling procedure is about 1 hour.

Tiny incisions during hip plastic surgery with fatty tissue are made in the areas of natural folds of the skin (inguinal or popliteal). To achieve the desired aesthetic result, it may be necessary to repeat the thigh augmentation procedure several times, after which a lasting effect is maintained.

Complications and risks

No matter what method is used to perform hip surgery, it is always associated with the formation of scars of varying severity. The hip area is a high-risk area for infection and thrombus formation, therefore, hip surgery requires preventive antibiotics and anticoagulants.

After liposuction of the thighs, it is necessary to monitor compliance with the diet in order to prevent disproportions between slender thighs and areas of the body that have not undergone liposuction. The occurrence of asymmetry after hip surgery may require additional correction.

Posting ads is free and no registration is required. But there is pre-moderation of ads.

Thigh lift (thighplasty, femoroplasty)

What is a surgical thigh lift?

A thigh lift involves removing excess skin and fatty tissue from the inner and outer thighs. This procedure is often desirable after significant weight loss, or after surgical weight loss. It is also suitable for those who have been unable to get rid of excess tissue on the thighs as a result of dieting or physical exercise. As a complement to this operation, liposuction can be used to reshape the inner thighs. If you support healthy image life and are of moderate weight, a thigh lift can help restore the desired youthful contour of your thighs.

Thigh lift: pros and cons

When should you consider a thigh lift?

If you want your hips to have a better, more proportional contour so they have a firmer look and feel.
- If you have undergone weight loss surgery or lost a lot of weight.
- If you experience discomfort due to loose, sagging skin on your thighs.
- If your clothes do not fit you well due to heavy hips.

Related procedures

Many women considering a thigh lift also consider procedures such as abdominoplasty, or body contouring after pregnancy and childbirth. Thigh lift surgery may be combined with butt lift surgery in one procedure called a lower body lift.

Decision-making

Behind
- Clothes and swimwear will look better on you.
- Your body will look slimmer and more proportional.
- Your thighs will become firmer, more youthful, and more curvy.

Against
- Visible scars may remain
- When fatty tissue is removed through liposuction, the skin may appear depleted.
- Another subsequent operation may be required to correct the resulting irregularities.

When deciding to undergo a lower body lift, you should weigh the above three main pros and cons. If you intend to focus on those that will be unique to you, then it is advisable to contact your plastic surgeon.

Are you a candidate for a thigh lift?

Some common reasons why people decide to undergo a lower body lift include the following:
- The consequences of age, expressed in the formation of folds, cellulite, and loose skin on the thighs.
- You've successfully lost a significant amount of weight and now want slimmer thighs to match your more proportional, more toned figure.
- Because of your heavy hips, clothes don’t fit you very well.
-Your thighs are making you feel self-conscious and you want to regain your confidence in your body.

If your health is generally good and you have a positive attitude and realistic expectations, then you are likely a good candidate for this procedure.

Thigh lift: photos before and after the procedure

How is hip augmentation surgery performed?

Medial (internal) thigh lift: An incision is made in the groin area through which excess fatty tissue and skin from the inner thighs are removed. Moreover, depending on individual requirements, liposuction can be used (but not necessarily). The contour of the thigh area is corrected from the groin to the knee, and then this procedure is repeated for the other thigh. If a significant amount of tissue is removed, then this procedure is often called hipplasty.

Lateral (external) thigh lift: This is a more complex procedure that usually involves reshaping the contours of the buttocks along with the outer thighs, as well as removing tissue. The scars here are more intense and the skin will be less elastic after surgery, so weight maintenance is necessary.

A thigh lift is aimed at eliminating skin folds and excess fat tissue.

Which thigh lift surgery option is right for you?

There are two different types of thigh lifts: medial (inner) and lateral (outer) lifts. This is described in detail in the paragraph “About the procedure itself.” Finding out which of these two types of lift is right for you requires a physical examination, a thorough review of your medical records, and a discussion with your plastic surgeon. It is possible that you will be offered a combined lower body lift.

What incisions and scars will remain after thigh lift surgery?

Medial (internal) thigh lift: An incision is made in the groin area. For patients who require large amounts of skin removed, a longitudinal incision may be made along the inner thigh.

Lateral thigh lift: Depending on the requirements for an outer thigh lift, scars may extend from the groin area, around the pelvis, and possibly down to the buttock crease. The surgeon will aim to make incisions where the scars will be hidden by clothing, but with this type of surgery the incisions will be larger than with a medial thigh lift.

Preparation and performance of the operation

How to prepare for a thigh lift procedure?

Your surgeon will provide you with preoperative instructions, answer any questions you have, write a detailed medical record, and perform a physical examination of your body to determine your readiness for surgery.

Before your surgery, your surgeon will ask you to do the following:

Stop smoking before surgery to promote better healing.
- Stop taking aspirin, certain anti-inflammatory medications, and certain herbal medications that may cause increased bleeding.
- Regardless of the type of operation performed, hydration of the body plays an important role for safe recovery, both before and after surgery.
- Your surgeon will want to make sure that you maintain a stable weight for a significant period of time, as weight gain can be detrimental to the effects of your thigh lift.

What should you expect on the day of your thigh lift surgery?

The operation may take place in an accredited hospital, an independent outpatient clinic, or in an office-type surgery. Most surgeries of this type last two to three hours, but it may take longer.

During the operation, you will receive medications to ensure your comfort.

As a rule, general anesthesia is used during the operation, although in some cases it is desirable to use local anesthesia or intravenous sedatives.

For your safety, various monitors will be used during the operation to monitor your heart function, blood pressure, pulse and the amount of oxygen in the blood.

Your surgeon will follow a surgical plan that he will discuss with you before surgery.

After the procedure is completed, you will be moved to a recovery room where you will continue to be closely monitored. You will have drainage tubes installed. You will wear a compression garment on the areas of your thighs where liposuction was performed. Surgical dressings will be placed over the incisions.

If you are using general anesthesia, you will remain in the facility overnight for observation. Your surgeon will discharge you when you have recovered sufficiently from the anesthesia. If your surgery was performed under local anesthesia, you may be allowed to go home after a short observation period, unless you and your surgeon have other plans for your post-operative recovery.

Care and recovery after hip surgery

Your surgeon will tell you how long it will take to return to normal level activity and work. After surgery, you and those caring for you will receive detailed instructions on postoperative care, including information on the following:

Drains, if installed.
- Normal symptoms you will experience.
- Any possible signs of complications

Immediately after thigh lift surgery

Although your smooth new thigh contours will be visible immediately after surgery, there will be some bruising, swelling and pain for some time. If the pain is very severe or lasts too long, contact your doctor. Contact your surgeon to find out whether the pain, bruising, and swelling you are experiencing is normal or a sign of a problem.

Recovery time frame after a thigh lift

It is extremely important that you follow all patient care instructions that your surgeon provides you with. This will include information on wearing compression garments, information on drain care, taking prescribed antibiotics, and safe levels and types of physical activity. Your surgeon will provide detailed instructions about the normal symptoms you should experience and possible signs of complications. It is important to understand that the amount of time it takes to fully recover varies different people varies greatly.

First two weeks

For the first 10-14 days, you should limit yourself to light physical activity only.
- This is a critical period for healing and you should watch for any signs of slow healing and report them to your doctor immediately.
- Heavy lifting, walking, sitting and bending cause stress in the suture areas, so you should move carefully and attentively.
- It is advisable to have someone stay with you during the first days of recovery.

From the second to the eighth week

To achieve optimal thigh contours, you may need to wear compression garments for the first month.
- The tumors should go away in three to five weeks.
- You can resume driving and walking two to three weeks after surgery, but only if such activities do not cause pain.
- Avoid heavy lifting, and hold off on jogging for the first six to eight weeks.

How long will the results of the operation last?

If you maintain a stable weight, lead a healthy lifestyle, and exercise, your results will last for a long time.

Keep in touch with your plastic surgeon

For your safety, as well as to achieve the most beautiful and healthiest results, it is important to visit your plastic surgeon's office at your scheduled time for follow-up appointments. In addition, you should contact your surgeon any time you notice changes in your hips. There is no need to hesitate. Contact your surgeon every time you have questions or are concerned about something.

Possible complications after a thigh lift

Fortunately, serious complications As a result, thigh lift surgeries are rare. The specific risks associated with such an operation will be discussed with you during your consultation.

But any surgery carries a certain degree of risk. Some possible complications of any surgery are:

Negative reaction to anesthesia
- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
- Infection and bleeding
- Changes in sensations
- Scars
- Allergic reactions
- Damage to internal tissues
- Unsatisfactory results, which may require additional procedures.

You can minimize some of the risks by following the recommendations and instructions of your professional board-certified plastic surgeon, both before and after your thigh lift surgery.

Femoroplasty- This Plastic surgery, the purpose of which is to eliminate cosmetic skin defects and tighten the inner thigh. Typically, those who decide to undergo surgery to tighten the skin of the inner thigh complain not only about the presence of a cosmetic defect, but also about the constant rubbing of their legs against each other when walking, the appearance of skin irritation and abrasions from friction, and the rapid wear of clothing.

There are plastic surgeons who, under this name, also mean correcting the shape of the hips with implants. This operation is in demand among those who believe that the space between their thighs is too large. But there is very little information about such operations. Therefore, there is no information about what implants are used for this, nor about how the operation is performed.

Most companies that produce implants list endoprostheses for the testicles, legs, buttocks, and mammary glands in their product catalogs. But none of our editorial staff had a chance to see endoprostheses for correcting the shape of the hips.

Reasons for the formation of skin ptosis

Ptosis is the process of drooping of body tissues. The reasons may be:

• constitutional feature of the body;
• sudden weight loss, frequent changes in body weight, obesity;
• age-related body changes;
• a consequence of hormonal disorders;
• consequences of liposuction, in which excess fat was removed without tightening the skin.

Features of plastic surgery

Fat tissue on the inner thigh is most often unevenly distributed. Its largest accumulations are most often concentrated in two areas: above, closer to the inguinal fold, and below, in the area above the knee.

Usually both of these zones are corrected simultaneously. But correction can also be carried out in any one of the areas, most often the upper one.

When planning an operation, it is important to understand for yourself what part of the volume is formed by adipose tissue that can be removed, and what depends on the structural features of the bones and muscles. If a realistic understanding of the possible results, then after the operation you can be seriously disappointed.

For example, if the area of ​​the knee joints is naturally wide, then you should not expect plastic surgery to significantly narrow this area.

Types of surgical interventions

• Liposuction.

Suitable for those who only need to remove excess fatty tissue and who have sufficient elasticity and contractility of the skin.

A relatively new direction. Allows you to simultaneously remove excess fat and tighten the skin without cuts or scars.

• Non-surgical liposuction.

It is a hardware procedure, which, however, helps to significantly reduce the volume of the hips.

• Surgical lift inside hips.

It involves removing excess skin and fatty tissue. It is used when the excess skin is significant, and you can’t count on the skin tightening.

Video: Plastic surgeon about hip surgery

Liposuction

This method allows you to remove fatty tissue, which is located under the skin of the inner thigh and creates folds, bumps, and makes the skin loose visually and to the touch.

Limitations of the procedure

Don't expect a miracle. This correction method has its limitations, which should be taken into account when you plan to improve it. appearance.

• The surgeon cannot lose weight for you.

This is the most important limitation of the method, which patients prefer not to know about, and which plastic surgeons do not really like to talk about. Remember Alla Pugacheva, when many years ago she made herself a gorgeous figure correction. And what happened then? And then her weight came back very quickly.

And all because in cases where more than two kilograms of fat are removed during one procedure, the so-called pituitary response is activated, i.e. the body receives information about sudden weight loss and rebuilds metabolism so that as soon as possible restore body weight to the original level.

The conclusion is simple: liposuction can only be used to “polish” a body that has already been brought to the desired condition with a balanced diet and properly selected physical activity.

• Cannot be done while losing weight or immediately after completing a diet.

The mechanisms that can affect the results in a losing weight are approximately the same as those described in the previous paragraph.

In order not to get a zero or negative effect, you need to finish losing weight, stabilize your body weight at the same level for at least six months, and only then go for the procedure.

• Liposuction does not eliminate cellulite.

Its goal is to eliminate excess subcutaneous fat in fairly limited areas of the body. It is impossible to eliminate uneven skin over the entire surface of the thighs and buttocks in one or several procedures. For the treatment of cellulite, completely different correction methods are more effective.

• This method does not eliminate stretch marks.

Moreover, the presence of stretch marks significantly reduces the amount of fat that can be removed from one area of ​​the body, since the presence of stretch marks indicates a decrease in the skin's ability to contract. Stretch marks can also be an indirect sign that skin laxity may increase after the liposuction procedure.

• There are serious complications that can be fatal.

The risk of dying from the consequences of liposuction, such as thromboembolism, fat embolism, reaction to epinephrine and others, is 1 in 5000 patients. This is 25% higher than the risk of dying in a car accident.

Mandatory list of examinations

To determine the presence or absence of contraindications to surgery, you must perform:

• general analysis of urine and blood;
• coagulogram (test for blood clotting);
• biochemical blood test (liver, kidney function indicators, electrolytes);
• blood tests for AIDS, viral hepatitis, syphilis;
• fluorography.

In the presence of chronic diseases, the list of examinations can be expanded at the discretion of the general practitioner, surgeon or anesthesiologist.

Contraindications for surgery

Contraindications for liposuction and surgical lifting of the inner thigh are mostly identical, so we will present them only once in this article.

Contraindications include:

• problems with blood clotting;
• blood diseases;
• oncology;
• any acute and exacerbation of chronic diseases;
• chronic diseases in which the function of any of the internal organs;
• colds and infectious diseases;
• mental illness.

Executing the procedure

Regardless of which area is supposed to be treated, the one that is closer to the groin fold, or the one that is closer to the knee, the skin is punctured in the popliteal fossa. The area of ​​the popliteal fossa is distinguished by a large concentration of large blood vessels and nerve trunks. Therefore, manipulations in this area require caution.

Performed under general anesthesia. It takes about an hour. When the entire volume excess fat removed, the skin puncture is treated with an antiseptic and sealed with an adhesive plaster.

Recovery period

Immediately after completion of the operation, the patient is put on compression garments. You will need to wear it for at least 2-3 weeks.

Target:

• reduction of postoperative swelling;
• decreased tissue mobility, which relieves pain;
• applying compression (pressure) to tissue to create best conditions for skin contraction and postoperative wound healing.

The patient usually spends the first day in the hospital. But there are clinics that discharge the patient home on the day of surgery, if his condition and well-being permit. Typically, pain and numbness of the skin in the area of ​​the procedure disappear within a maximum of a week.

If necessary, you can take painkillers. Swelling and hematomas can persist for up to a month. Only after the swelling has subsided can the results be assessed.

The following are canceled for the first time:

• playing sports;
• thermal procedures, including taking a bath;
• visiting a solarium;
• any mechanical effects such as massage or applying healing creams to the area of ​​the procedure.

In the first weeks after liposuction, the doctor can select a set of hardware procedures that reduce the severity of swelling, accelerate healing, and promote skin contraction and lifting.

An example would be a rehabilitation course using the Himavat 200 Evident device.

Complications

• Reduction or complete disappearance of skin sensitivity at the site of surgery.

As a rule, such a change in sensitivity is not permanent and over time, skin sensitivity is restored.

• Damage to superficial veins.

Most often the small branches that arise from the great saphenous vein of the thigh are damaged. It is almost impossible to completely eliminate such a complication, since the structure and location of veins is more variable than the location of arteries and other anatomical structures.

If a vein is damaged, it is ligated or its lumen is closed with a clip and the operation continues. Venous outflow in this case occurs through adjacent veins.

• The appearance of increased skin sensitivity.

Hyperesthesia occurs in approximately 1% of all patients undergoing liposuction. The severity of unpleasant sensations can be of varying degrees. Some patients experience increased skin sensitivity for life.

1. Chronic pain at the liposuction site.
2. Dead skin.
3. The appearance or increase in the severity of sagging or sagging skin.

This happens when the skin cannot contract enough to provide sufficient smoothness and firmness to the thighs.

• Impaired lymphatic drainage with the formation of persistent edema of the lower leg and foot.

Under the skin of the thighs in the thickness of the adipose tissue passes a large number of lymphatic vessels through which lymph flows to the body from the entire leg.

If during liposuction the outflow of lymph is disrupted, then tissue fluid begins to accumulate in the area of ​​first the foot, and then the foot and lower leg and forms soft swelling.

Usually, lymph drainage is gradually restored and swelling goes away.

But in some cases, a violation of the outflow of lymph can become chronic, which will ultimately lead to the formation of elephantiasis (elephantiasis or severe swelling of the legs).

• Anemia.

It can develop if the volume of fat tissue removed is large. Removal of fatty tissue is accompanied by bleeding, which in some cases can be very intense.

• Fat embolism.

It can develop in cases where liposuction is performed simultaneously with skin tightening of the thighs or anterior abdominal wall. In this case, adipose tissue enters the bloodstream and can block the lumen of the vessel, disrupting the blood supply to the tissue area.

• Changes in skin color and post-operative scars.

For several months after surgery, pigmentation of the skin at the liposuction site may develop. Hyperpigmentation can be persistent, requiring laser or phototherapy to remove it.

• Washboard effect.

A peculiarity of the location of the fatty layers of the thighs, abdomen and chin is that the fat in these areas is located in layers that are separated by fascia - connective tissue formations that look like thin films. Those layers of adipose tissue that are located in the deeper layers are distinguished by the speed of metabolism, in which fat accumulates quickly and leaves extremely slowly, even despite a significant decrease in body weight.

This feature is determined genetically. That is why these areas are often called “fat traps.”

At the same time, the presence of connective tissue layers requires the surgeon correct execution procedures. Since removing excess fat by different levels can have the opposite effect: instead of eliminating a cosmetic defect, liposuction will create another even more noticeable one.

If the “washboard” effect has nevertheless formed, then repeated liposuction will be required, which not every plastic surgeon is able to perform, in order to correct the “washboard” effect and give the legs the long-awaited smoothness. In some cases, it is no longer possible to correct the defect.

Is it possible to gain weight after liposuction?

You can gain weight after any surgery. If we talk about liposuction, then besides the problem excess weight The patient will additionally receive the problem of body disproportion.

The volume of the body increases because there are fatty tissue cells under the skin and around the internal organs, and each of these cells increases in volume, accumulating fat.

In those places where liposuction was performed, there are much fewer fat cells than in other places. Fat cells do not restore their numbers in the liposuction sites.

Therefore, after the body weight changes, the patient can get a wide back, a large belly and increased volume of the buttocks, knees and legs. And with all this, thin, thin thighs will contrast very strongly.

As a result, instead of the appearance of the PlusSize model, you can get a significant cosmetic defect, which will attract attention due to its unusualness.

Currently, it is advertised by some Moscow clinics as absolutely safe method removal of excess fat and tightening of the skin using laser without incisions or scars.

To perform the procedure, a thin tube is used, which is inserted under the skin to a specified depth. A laser pulse is delivered through the tube into the tissue, which simultaneously destroys fat cells and seals blood vessels, which reduces the risk of bleeding.

The damaged fat cells can then be sucked out through a cannula, or they can be allowed to dissolve on their own. The body independently removes a volume of fat deposits of no more than 0.5 liters.

Laser radiation also stimulates the formation of collagen and elastin in the skin, which contributes to its lifting. The advantages are the ability to perform it under local anesthesia and a short recovery period. Despite the assurances of surgeons about the absolute safety of the procedure, before prescribing it, you need to undergo a comprehensive examination. This method has all the same contraindications as other types of hip surgery.

Non-surgical liposuction

Carried out on the device SplitFat System, which is a cold laser. Under the influence of its impulses, fat excretion processes are stimulated in fat cells. All the fat that enters the intercellular space is eliminated through the lymphatic system.

Usually the course consists of 6-9 procedures. Depending on the initial body weight, during the course you can reduce the volume of the hips by 6-10 cm. The greater the weight, the greater the reduction in volume.

Surgical hip plastic surgery

Currently, this method provides a guaranteed aesthetic result that lasts years later.

Examinations and contraindications

We will not dwell on these two points separately. They are the same as those given in this article for liposuction.

Types of inner thigh plastic surgery

• Internal (aka middle).

The incision for an internal thigh lift runs along the groin folds.

• Vertical.

The incision runs vertically along the inner thigh from the groin fold to the knee.

• Combined.

With this method of lifting, the incisions are made vertically along the inguinal folds and along the inner surface of the thigh.

The cuts in the skin form a wedge that converges towards the knee. The areas of skin between the incisions are removed, the edges of the wound are tightened and stitched.

Methods for fixing the edges of the skin

The main problem for both patients and plastic surgeons is that the hips are a very mobile area. And the scar, originally located in the inguinal fold, stretches from the constant pressure exerted on it and moves from the inguinal fold down to the skin of the thigh.

In this section, we will look in detail at several methods of tissue fixation, so that any patient coming for a consultation can have a substantive conversation with the surgeon and assess the likelihood of obtaining an excellent result depending on the tissue fixation technique after performing a thigh skin lift. Stitching the edges of the skin wound after removing excess skin and subcutaneous fat.

In the photo, red arrows indicate the area where the deformed scar is located. If you look closely, you can see that the scar is wide, with uneven edges and loose. It is located at a great distance from the inguinal fold. On the one hand, such a scar turns into a cosmetic problem, since you don’t want to show it to anyone. This also applies intra-family relations, and visits public places such as a beach, swimming pool, etc.

On the other hand, such a scar deforms the perineal area. In some cases, the scar may shift so much that the inguinal folds are simply smoothed out.

There is no chance that the stitched and unfixed skin will not move, and that the scar will not spoil the appearance of the body. Stitching the edges of the skin wound and fixing the scar to the Wheel ligament. The Ligament of the Wheel is a section of the superficial fascia of the perineum, a connective tissue formation that is attached to the bones of the pelvis. Fabrics sewn to the bundle of Wheels place an unusual load on it. As a result, the ligament is stretched and deformed. Together with it, the tissues fixed to the ligament are displaced, which negatively affects final result operations.

In this photo, the edges of the leather, after removing its excess, are stitched and fixed to the Wheel ligament. As a result, the scars are stretched. And the perineal area is significantly expanded. In a standing position, an unnatural widening of the gap between the inner surfaces of the thighs is determined in the perineal area.

With this method of tissue fixation, the risk of developing overstretched scars and displacement of the perineal skin is less than with the first described method. But here, too, the risk of getting a pronounced cosmetic defect is high.

Fixing the edges of the wound to the periosteum of the pelvic bones. The periosteum and pelvic bones are absolutely immobile formations that can withstand significant loads. Therefore, fixing the edges of the wound to the pelvic bones is a relatively new and promising method of tightening the inner surface of the thigh.

The areas of the pelvic bones to which tissue will be sewn after removing excess skin and subcutaneous fat are highlighted in red. The photo shows the appearance of scars after lifting the inner surface of the thigh two years after the operation.

Postoperative scars are thin and slightly whitish. The inguinal folds have retained their natural contours. The most effective method of tissue fixation in terms of preventing complications. But not all plastic surgeons know it.

See photos before and after labia reduction surgery, and find out all about it in the article - labiaplasty.

How to fix crooked legs without surgery? This question interests everyone who has this deficiency. Details.

How is the operation performed?

The operation takes about 2.5 hours.

Preparatory stage

The operation is usually performed on the day the patient is admitted to the hospital. Earlier hospitalization is not justified, since all examinations can be done on an outpatient basis, and no preparatory procedures are required. General intravenous or inhalation anesthesia is used. On the operating table, the patient is given a gynecological position: the legs are spread apart, the popliteal fossae rest on special supports.

Marking

The markings are applied after the patient is put under anesthesia. The maximum width of the removed area of ​​skin in a straightened state should not exceed 8 cm.

Progress of the operation

Surgical incisions are made according to the markings. Excess skin between the incisions is removed. The edges of the wound are drawn together. The bottom of the wound is fixed with non-absorbable sutures to the pubic bones. A double-row suture is placed on the skin to prevent slight tissue sagging in the postoperative period. For the same purpose, the tension of the seams is adjusted so as to visually narrow the perineum. Usually the narrowing does not exceed 5 mm.

Video: Thigh lift

After suturing the wound is completed, the seams are treated with antiseptic solutions and covered with a sterile bandage. Some plastic surgeons prefer to seal the seams with a special glue, which subsequently makes it easier for the patient to care for the wound and carry out hygienic procedures. Immediately after treating the wound, the patient is put on compression garments.

Rehabilitation period

The patient spends the first 2-3 days after surgery in a hospital setting. This is necessary in order to ensure proper care of the postoperative wound area and to ensure that early postoperative complications and anesthesia complications do not arise.

The patient is discharged from the hospital if his condition is satisfactory. In the next 2-3 months you will need to visit a doctor on an outpatient basis.

If only thigh skin tightening is performed, then on the day of surgery in the evening or the next morning the patient is allowed to sit down, stand up, and walk. From the first day, hygiene procedures are carried out in the perineal area.

If lifting and liposuction were performed simultaneously, the recovery period becomes longer, and active movements are allowed with more late date. This is due to the fact that during liposuction, the fascia that normally supports the subcutaneous fat layer and the skin through it can be damaged.

On the third day in the hospital or at home, you are allowed to shower. In the first week, a set of rehabilitation procedures, such as LPG surge, may be prescribed. 10-14 days after surgery, the sutures are removed. Pain in the wound area, severe discomfort when moving, while sitting, and when standing up can persist for several months. Usually the condition normalizes enough to return to work within 3-4 weeks. One month after the operation, you can start playing sports.

Complications of femoroplasty

• The appearance of rough scars.

The most common reason for the development of such scars when tissue fixation is used to the pelvic bones is friction. If we're talking about about seams that run vertically along the inner surface of the thigh, then this is friction against the seam of the compression garment. And if it’s about a seam in the inguinal fold, then this is the friction of the seam against the tissue of the perineum when walking.

In both cases, small wounds may develop in areas of greatest friction, which, when healing, create uneven scars. Is being decided this problem in consultation with a surgeon, who prescribes dressings with healing ointments or the application of secondary intradermal sutures.

• Development of marginal necrosis (death) of the skin.

The blood supply to the skin in the perineal area is relatively weak. And the tension on the edges of the skin can be very significant. Under such conditions, the blood supply to the marginal areas of the skin that form the postoperative scar may be disrupted. Areas of skin in which the blood supply is disrupted die. The seams come apart.

In cases where the blood supply is not completely blocked, delayed healing of the postoperative wound may occur with the formation of an extended hyper- or atrophic scar.

• Infection.
• Development of hematoma, seroma.
• Impaired lymphatic drainage with the formation of persistent edema of the lower leg and foot.
• Development of asymmetry of the hips and/or genitals.
• Violations of venous outflow, thrombosis.

If liposuction is performed simultaneously with plastic surgery, then possible complications complications of liposuction should also be added.

Prices

Photos before and after

Dreams of beautiful, toned buttocks push many girls to experiment with their appearance, including surgical interventions.

Modern procedures correction of hips and buttocks are carried out not only for aesthetic purposes, but also for very serious reasons.

These include:

• flat, saggy buttocks,
• tissue atrophy (resulting in too small volume),
• loss of volume after sudden weight loss,
• asymmetry,
• deformation of the buttocks as a result of injury,
• loss of elasticity with age-related changes.

If you need quick and long-term results the best option becomes buttock surgery. We will look at those proven over the years surgical methods butt lifts.

The most common types of correction include the following:

1. – this type correction involves the implantation of implants that allow you to create buttocks of the required size and shape.

Implants are placed under fatty tissue in upper area buttocks, or under a large muscle. Gluteoplasty is performed for sagging and drooping skin, asymmetry, and congenital defects.

2.Surgical lift – aimed at improving the shape, as well as eliminating ptosis (drooping) of the buttocks. A plastic surgeon will be able to restore lost volume by removing excess tissue and tightening the skin.

The procedure is indicated for cellulite and slight tissue ptosis. After filament lifting, no scars remain, but the effect lasts for an average of 5 years, after which the correction will have to be repeated.

4.Lipofilling– correction is performed by injecting the patient’s adipose tissue into problem areas. Fat tissue is removed from the patient's body, then processed and injected into the area that needs correction.

The effect of the procedure is more voluminous, toned buttocks; if you follow the doctor’s recommendations, it lasts for a long time. long years. Traces of the intervention are invisible, and the correction itself takes no more than 2 hours.

Contraindications to any surgical correction of the buttocks are:

• endocrine diseases,
• oncology,
• bleeding disorder,
• exacerbation of chronic diseases.

Buttock lift surgery can only be performed by an experienced doctor, so it is important to pay attention to the choice of clinic and specialists to whom you will entrust your health.

Ask to provide documents and licenses for this type of activity, read reviews from other patients.

VIDEO INSTRUCTION

An alternative to plastic surgery - hardware correction of the buttocks

If you are not ready to go under the plastic surgeon's knife, pay attention to the following non-surgical methods:

1.Macroline– a filler designed specifically to increase the volume of the buttocks and breasts. This gel based on hyaluronic acid, getting under the skin, fills hollow areas and creates additional volume.

With the help of pulsed currents, it is possible to influence hard-to-reach muscles, including those that are not subject to stress in normal life.

3. Radio wave lifting – the results of such correction are often compared with the results of liposuction. Tightening the skin, eliminating cellulite and excess fat, returning the skin of the buttocks to its former elasticity - this can be achieved using a special device with radio waves.

It has a thermal effect and warms the skin up to 45 degrees. As a result, the production of elastin and collagen fibers is activated, volumes are reduced, and skin elasticity is restored.

4. Vacuum massage– aimed at warming up tissues and affecting fat stagnation. The device used during the session has special attachments: a vacuum “tightens” the skin and tissues and exerts a mechanical effect on them, an RF lifting attachment warms up the subcutaneous layers, and infrared heating “destroys” fat and removes it through the lymphatic system.

To achieve maximum effect from vacuum massage, a course of 6-12 procedures is recommended.

5. LPG massage– carried out on special apparatus to eliminate fat deposits, strengthen and tighten the skin of the buttocks, and fight cellulite. The doctor assesses the condition of the buttocks, selects the necessary programs, and changes them depending on the results achieved.

These non-surgical methods of buttock correction are carried out in many beauty salons and beauty salons. Contraindications to them are minimal, and if followed proper nutrition And physical activity These types of lifts give good results.

How to tighten your buttocks without resorting to plastic surgery and hardware techniques

You can tighten your buttocks and improve their shape using traditional methods that are quite accessible to everyone.

• Proper nutrition. Avoiding fatty, salty, and sweet foods will help reduce the appearance of cellulite and get rid of excess weight. Enrich your diet with fruits and vegetables, drink 1.5-2 liters of water per day.
• Physical exercise. Fitness instructors will help you choose exercises to build muscle mass in the buttocks. You can perform exercises not only in the gym, but also at home. Fast walking, jogging, swimming, and dancing are also useful.
• Cosmetic procedures. At home, wraps with special creams and gels for figure correction will be useful.
• Shapewear. The stores offer a large selection of slimming breeches, shorts, and bodysuits that will visually tighten problem areas; underwear with a push-up effect with sewn-in inserts is very popular. This “overlay” will help create additional volume, which will not be superfluous if you want to wear tight clothes.

EXERCISE VIDEO

In the pursuit of the perfect “butt,” all means are good. Both traditional methods, plastic surgery, and hardware cosmetology give excellent results.

Well, if there is a special event coming up, buy high-quality shapewear to look irresistible.

06.03.2016

Every woman wants to have perfect figure. To make their bodies even more beautiful and attractive, women go to gyms, go on diets, visit massage and beauty salons, and some resort to methods plastic surgery. The most problematic areas are the thighs and buttocks. Therefore, several methods have been developed to correct this particular part of the body.

Lifting of thighs and buttocks

Lifting the thighs and buttocks is carried out by two methods: special gymnastic exercises or surgery. Since it is not always possible to eliminate excess fat deposits only through sports, many women still resort to surgical lifting. This type of plastic surgery is aimed at getting rid of excess unevenly distributed fatty tissue and tightening the skin in the problem area.

The operation is quite lengthy and is performed under general anesthesia. Lifting in the hips and buttocks area is performed by making incisions in the lumbar region and gluteal folds, removing excess skin and applying a cosmetic suture. This technique for correcting the hips and buttocks is used quite rarely, since it leaves scars or can lead to the development of serious complications.

Liposuction of thighs and buttocks

The liposuction technique is aimed at correcting the hips and buttocks by destroying and removing excess subcutaneous fat. Surgical liposuction can be vacuum, ultrasound, laser, tumescent or water jet. All these techniques are performed under general anesthesia. Generalized liposuction is often used, involving the transfer of fat tissue from one area of ​​the body to another, for example, to the chest.

In addition, there are non-surgical methods of liposuction. These include mesotherapy and cavitation. Mesotherapy is carried out by introducing a special drug into the subcutaneous fat layer that stimulates lipolysis naturally. The cavitation method is based on the destruction of lipocytes using ultrasonic waves on adipose tissue.

Massage "Brazilian buttocks"

The “Brazilian buttocks” massage is based on the use of vibration techniques. For this, the massage therapist uses special whisks and bamboo sticks. At the end of the procedure, a relaxing massage is performed and warm pebbles are applied to the massaged areas of the skin. After a series of sessions, the muscles become more elastic and the skin becomes tighter.

Gymnastic exercises

To tighten the hips and buttocks with the help of gymnastics, use exercises aimed at raising the legs high and tightening the gluteal muscles. Squats, exercise on an exercise bike and stepper are also effective.

Thigh and buttock lift

You can tighten your hips and buttocks not only through active sports, but also by surgical intervention. Reducing the volume of the thigh and tightening the skin in this area is carried out using flankoplasty. Tissue tightening is carried out towards the intergluteal fold. This technique is used for moderate forms of obesity or, conversely, after strong weight loss for tightening sagging skin and correcting the shape of the thighs and buttocks.