Thigh and buttocks laxity is almost synonymous with weight loss and aging. It remains the most difficult and common problem requiring reconstruction. In women, this need is more common and imperative. Ptosis of the thighs is treated with skin removal and lifting of the remaining tissue from the inner part of the thighs so that the incision may be concealed on the inguen area and covered by underwear. The procedure is performed with general anaesthesia or sedation, while hospitalisation is not necessary. However the patient must be cautious during the next 7-10 days.
In cases where the projection or size of the buttock or calf is insufficient we are able to increase it using a wide range of techniques. Therefore, augmentation may be achieved either with silicon implants of relevant shape, or by adding fat from a different area of the body – this procedure can take place along with liposuction. Finally, a brand new and very promising technique called MACROLANE involves injection of slowly biodegradable hyaluronic acid in the targeted area delivering truly natural results. Each technique has its own advantages and disadvantages which should be discussed separately per case. The procedure is the same as in breast augmentation. Buttock augmentation or lifting allows men and women who have flat or less well-formed buttocks to increase or better shape the area and to achieve harmony between their anterior and posterior profile. Patients feel that clothes have a better fit on them; they feel more attractive and their self-confidence increases. What defines the success of the procedure is correct information and the patients’ understanding of what the procedure has to offer. The best candidates are men or women of any age (over 18 years old) with good body contour, who are not happy with the shape and size of their buttocks and wish to increase their projection.
With modern atraumatic techniques, surgery takes place under local anaesthesia and the patient may resume daily activities without dealing with obvious ecchymosis and swelling.
The procedure is almost painless for the patient both during and after surgery.