It is known by this term the surgical technique aimed at improving the appearance of thighs by removing excess dermograso tissue from the inner face of the thighs, which can lead to both aesthetic and functional alterations (walking discomfort, skin irritation , excessive sweating, etc.), achieving through surgery eliminates all these problems, recreating firm thighs, without skin laxity and well formed, making them very attractive.
This cutaneous and fatty excess usually occurs in the upper and inner thighs, secondary to large weight losses, and the correction of which implies in many cases to combine the cruroplasty with a liposuction of the area, and thus to achieve better results.
Being at an appropriate weight, regardless of sex, and flaccidity is present on the inner side of the thigh, which gives rise to great laxity of the dermograso tissue at that level, no doubt can be considered that candidate for cruroplasty and should consider it, either for aesthetic or reconstructive reasons will improve the shape and texture of the legs.
The patient should be realistic in their expectations regarding the results with this procedure, as well as understand and accept the formation of residual long scars, but which are hidden.
It has an average time of approximately 3 hours, and is usually performed with regional anesthesia (epidural block) plus sedation for the patient’s tranquility and relaxation.
The incisions in the cruroplasty are realized at the level of the inguinal fold and in some cases depending on the degree of flaccidity the necessity to extend vertically by the inner side of the thigh, from the groin to even a few centimeters above the knee, through which the traction of the skin in a superior and medial sense will be made, leaving the scars not visible and even imperceptible, since they are located in the natural fold of the groin or in the inner side of the thigh, obviously they will be more notorious when separating the legs.
It is important that the patient knows that in all cases of cruroplasty a drainage is left through a punctate wound, which will be removed later.
The patient is usually kept for 24 hours in the hospital, since this allows, in addition to keeping him under surveillance, to be able to carry out a better management of postoperative pain, which is controlled by an external infusion pump connected directly to the epidural catheter that was placed in his column for the surgery, and through which special drugs are administered in a continuous form that will allow the patient during the first hours a greater comfort, being removed the following day just before being discharged from the center.
The person should plan to stay at home keeping relative rest and avoid making sudden movements with his legs, take the prescribed drugs as directed, eat normally according to tolerance and drink plenty of fluids.
You must make daily washing on the operative wounds, maintaining the proper care of the dressing and drainage, it is recommended to periodically raise the lower limbs to try to reduce the inflammation and edema that could be generated by the surgery and avoid being exposed to the sun during at least the first 8 weeks.
This period implies that the patient must maintain a bandage that will keep his thighs covered, which will be removed between the 4th and 5th day after surgery along with the drainage, from which time he will have to use a special medical belt 24 hours a day for 8 weeks, and because of the potential for inflammation of this procedure the patient is subjected to ultrasound and post-operative lymphatic drainage therapies.
Absorbable sutures are usually used for these procedures, thus avoiding the patient’s discomfort from withdrawal, and can say that the average recovery time is about 10 days, returning it to its daily activities two weeks after the procedure not exposing to physical exertion or excessive movement with his legs.
Thighs surgery involves a very low percentage of risks, but complications such as infection, seroma, bleeding or defective enlarged or hypertrophic scarring (especially in smokers) can be present, which later require a surgical remodeling of the thigh.