SEBASTIEN GARSON M.D
This fact sheet was developed under the aegis of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOF.CPRE) as an addition to your initial consultation, to try to answer all the questions you can ask yourself if you plan to use surgery baldness. The purpose of this document is to provide you with all the necessary and essential elements of information to help you make your decision with full knowledge of the facts. Also you is it advisable to read with the greatest attention.
• DEFINITION OBJECTIVES AND PRINCIPLES
Where there is a loosening of the skin on the inner thighs, an isolated liposuction is not enough and only a re-skin tension is likely to correct this defect: the crural lifting or lifting the inner side of the thigh.
The intervention is therefore to achieve the removal of the excess skin, reduce fatty infiltration underlying and well suspend the skin depth (the underlying fascial plane).
• BEFORE THE OPERATION
A usual preoperative assessment is conducted in accordance with regulations.
The anesthetist will be seen in consultation at least 48 hours before surgery.
No medication containing aspirin should be taken within 10 days before surgery.
• TYPE OF ANESTHESIA AND CONDITIONS OF INTERVENTION
Type of anesthesia:
The lifting of the inner thighs can be performed under general anesthesia or local anesthesia depth by tranquilizers administered intravenously (anesthesia "vigil").
The choice between these techniques is the result of a discussion between you, the surgeon and the anesthetist.
Terms of admission:
The hospital stay will average 1 to 3 days depending on the case.
Each surgeon adopts a technique of its own and it adapts to each case to obtain the best results. However, it may hold common basic principles:
The incision is located in front, near the groin. It then extends into the groove between the perineum and upper inner thigh, and continues back to the gluteal fold where it ends. It corresponds to the future scar.
Liposuction is associated whenever there is a fatty infiltration of the region.
The excess skin is removed at the request and attachment is deep fascia ligament at the top of the inner thigh, so as to maintain good correction of sagging, prevent scar remains constant and ensure the continuity of normal anatomy and harmonious. The scar is well hidden in a natural crease and will be quite discreet.
After surgery, a dressing is performed with sticky elastic bands, or one puts up a panty liposuction.
The duration of the intervention is, on average, an hour and a half, but it varies depending on the surgeon and the extent of improvement.
AFTER THE INTERVENTION: THE OPERATING SUITES
The output will generally intervene tomorrow or the day after surgery.
In the postoperative course, bruises (blue) and edema (swelling) may occur. They regress in 10 to 20 days after surgery.
The pain is usually minor, limited to a few phenomena tightness and twinges.
The healing period can be a bit uncomfortable because of the tension exerted on the banks of the suture during this period, it will be necessary to prevent movement of brutal stretch.
It is necessary to provide a work stoppage 1 to 3 weeks, depending on the nature of the work.
The practice of sport can be resumed gradually from the sixth postoperative week.
The scar is often dew during the first 3 months and then it fades usually after the third month, and gradually over 1-3 years.
It should not be exposed to sunlight or UV before 3 months.
• THE RESULT
It is appreciated within 6 to 12 months after surgery.
We observe, in most cases, a good correction of the fatty infiltration and sagging skin, which significantly improves the morphology of the thigh.
The scars are usually mild, especially since they are hidden in a natural crease.
Thus, thanks to improved technology and with experience, the results of this procedure, which has long had a bad reputation, have now very much improved.
It is nevertheless a delicate surgery for which the greatest rigor does not in any way immune to a number of imperfections or complications.
• FAULTS OF THE RESULT
Most often, a lifting of the inner thighs correctly identified and implemented makes a real service to the patient (s) with obtaining a satisfactory and consistent with what was expected result.
However, it is not uncommon for localized imperfections are observed without them are real complications:
- These shortcomings include the particular scar which can be a bit too visible, distended or adherent. In case of excessive tension on the sutures, we can observe a reduction or even a downward migration of the scar, putting them at risk of traction on the vulva. We also know that if the scars fade well in general with time, they do not disappear completely. In this regard, we must not forget that, if the surgeon who performs the suture, the scar it is the fact of the patient.
Thus, these scars are subject to the vagaries of any healing with the risk of hypertrophic changes, which require specific treatment.
- The results of liposuction on them can be characterized by a lack of correction, slight residual asymmetry or small surface irregularities. These imperfections result are generally accessible to further treatment: surgical "small repairs" performed under local anesthesia or local anesthesia, but not before the sixth postoperative month.
• POSSIBLE COMPLICATIONS
A A facelift of the inner thighs, although directed mainly for aesthetic reasons, are nevertheless a real surgery, which involves the risks associated with any medical procedure, however small it may be. We must distinguish the complications of anesthesia and those related to the surgery.
For anesthesia, during the consultation, the anesthesiologist will inform the patient himself anesthetic risks. You should know that anesthesia in the body sometimes unpredictable, and more or less easy to control: the fact of using a fully qualified anesthetist working in a surgical context that the risks are statistically almost negligible.
You should know, indeed, that the techniques, anesthetics and monitoring methods have made tremendous progress over the past twenty years, providing maximum security, especially when the operation is performed outside of the emergency and in a healthy person.
For the surgery, choosing a qualified and experienced plastic surgeon, trained in this type of surgery, you limit these risks, without removing them completely. Indeed, complications can occur with the waning of a lifting of the inner thighs which is one of the most delicate operations of plastic and cosmetic surgery. Among these possible complications, it must include:
The thromboembolism (blood clots, pulmonary embolism), although generally rare after this type of surgery are among the most dangerous. Rigorous preventive measures should minimize the impact: port anti-thrombosis stockings, early mobilization, possibly anti-coagulant therapy.
The hematoma, actually quite rare, can justify an evacuation order not to risk secondarily alter the aesthetic quality of the result.
The occurrence of infection is favored by the proximity of natural orifices: the treatment involves surgical drainage and antibiotic prescription.
Sometimes there from the 8th postoperative day, the occurrence of an effusion associated with a lymph flow: such an effusion may need to be punctured and it dries in general no particular sequel.
Skin necrosis is rarely observed: it is generally limited and localized. Prevention of these necrosis is a well-posed indication and the achievement of an appropriate and prudent technical gesture.
alterations in sensitivity, including decreased sensitivity of the upper part of the inner face of the thigh can be observed: the normal sensitivity often reappears within 3 to 6 months after the operation.
In total there should not overstate the risks, but just be aware that surgery, even seemingly simple, still a small share of hazards. The use of a qualified Plastic Surgeon ensures that it has the training and knowledge required to avoid these complications, or effectively treat if jurisdiction.
These are the pieces of information that we wanted to bring you in addition to the consultation. We recommend that you keep this document, read it again after the consultation and reflect "a clear head." This reflection may raise new questions for which you wait for additional information. We are available to talk during the next consultation, or by phone, or even on the day of surgery when we meet in any way before anesthesia.
Phone : + 33344282959
7 impasse de la Passerelle 60300 SENLIS
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