Henry A. Redmon, M.D.
Having had plastic surgery to remove loose abdominal skin several years ago, I am considering liposuction to remove fat pockets that have developed at both ends of the scar, above the hips. I also would like to do something to correct the unsightly dimpling on my thighs both front and back. I was wondering if liposuction is the best solution or if perhaps a thigh lift is what I need. When I pull upward on my thighs the dimpling seems to disappear.
The two procedures you are inquiring about accomplish two different things. If you were concerned primarily about the shape or contour of your thigh, then lipoplasty (liposuction) would be the preferred procedure. However, it seems that you are more interested in correcting dimpling. Lipoplasty is not effective for this and can sometimes make dimpling more noticeable. A thigh lift, which tightens skin, is probably the only procedure to make dimpling less noticeable. It does have some drawbacks associated with it. The most noticeable is the necessity for a large incision at your hip. I find this operation to be more effective in minimizing dimpling in the anterior and lateral thigh areas, and less effective on the inside and back of the thigh. The scar can be hidden in a bathing suit, so if you are willing to make this trade off--a smoother skin texture for a scar at the hip--this operation may make sense for you.