Skin tightening of the thigh can be divided into 2 categories:
1. Patients with modest skin droop can be treated with a thigh lift procedure leaving a scar around the groin about an inch below the crease.
2. In individuals with extensive skin laxity a more extensive skin reduction with a 'fish pattern' excision resulting in a T scar.
Liposuction is frequently used as an adjunct to thigh reduction to reduce the fat prior to skin excision. This helps to preserve underlying fine structures. It may also be used during the operation to help contour other areas such as around the knee and the hip areas.