Scars after Thighplasty (Thigh Lift)

What to Expect in Terms of Scars after Thighplasty and How to Manage Them

Thighplasty, also known as thigh lift surgery, is a procedure that reshapes and contours the thighs by removing excess skin and fat. While this procedure can alter the appearance of the thighs, it is essential to understand that scars are an inevitable part of the healing process. In this blog post, Sydney Specialist Plastic Surgeon Dr Bish Soliman will discuss what you can expect in terms of scars after thighplasty and how to manage them for optimal healing.

Potential Complications that Can Occur after Thighplasty Related to Scar Formation

While thighplasty is generally a safe and effective procedure, like any surgical intervention, it does carry some risks and potential complications. Some of these complications can be related to scar formation and can impact the overall outcome of the surgery. It is essential for patients to be aware of these potential issues so they can make informed decisions and take appropriate steps to minimise their risk.

1. Hypertrophic Scarring: Hypertrophic scars are thick, raised scars that remain within the boundaries of the original incision. They can be red, itchy, and uncomfortable, and may take several months to flatten and fade. While hypertrophic scars are not harmful, they can be aesthetically displeasing and may require additional treatment to minimise their appearance.
2. Keloid Scarring: Keloid scars are more aggressive than hypertrophic scars and grow beyond the boundaries of the original incision. They are often darker in colour, itchy, and can be painful. Keloid scars are more common in patients with darker skin tones and can be more challenging to treat. In some cases, keloid scars may require surgical excision, followed by radiation therapy or intralesional steroid injections to prevent recurrence.
3. Infection: Infection is a potential complication of any surgical procedure, including thighplasty. If an infection develops along the incision lines, it can lead to delayed healing, increased scarring, and potential wound breakdown. Signs of infection include redness, swelling, increased pain, warmth, and discharge from the incision sites. Prompt treatment with antibiotics and proper wound care is essential to minimise the impact of infection on scar formation.
4. Wound Dehiscence: Wound dehiscence occurs when the surgical incisions partially or completely open due to poor healing, infection, or excessive tension on the skin. This can lead to delayed healing, increased scarring, and potential need for additional surgical intervention to close the wound. Following Dr Soliman’s post-operative instructions, including activity restrictions and wound care guidelines, can help reduce the risk of wound dehiscence.
5. Scar Contracture: Scar contracture occurs when the scar tissue tightens and pulls on the surrounding skin, leading to a tight, constricted appearance. This can cause discomfort, restrict movement, and result in an uneven or distorted appearance of the thighs. Scar massage, silicone sheets, and other scar management techniques can help minimise the risk of scar contracture.
6. Scar Hyperpigmentation: Hyperpigmentation refers to the darkening of the scar tissue, which can be more noticeable in individuals with darker skin tones. This can be caused by sun exposure, inflammation, or genetic factors. Protecting the scars from direct sunlight and using scar lightening creams or laser treatments can help even out the skin tone and minimise the appearance of hyperpigmentation.
7. Scar Asymmetry: In some cases, scars may heal differently on each thigh, leading to asymmetry in the appearance of the scars. This can be due to factors such as differences in skin tension, variations in healing, or uneven application of scar management techniques. If scar asymmetry is significant, surgical scar revision may be necessary to achieve a more balanced appearance.

Factors Affecting Scar Formation

Different factors can influence the formation and appearance of scars after thighplasty. These include:

• Genetics: Some individuals are more prone to developing hypertrophic or keloid scars due to their genetic makeup.
• Skin type: People with darker skin tones may be more susceptible to hyperpigmentation and more noticeable scarring.
• Incision placement: The location and length of the incisions can impact the visibility of scars.
• Surgical technique: The skill and experience of your surgeon can play a role in minimising the appearance of scars.
• Post-operative care: Proper wound care and following your surgeon’s post-operative instructions can help promote optimal healing and minimise scarring.

Scar Management Techniques

While scars are an inevitable part of the healing process, there are techniques that can help minimise their appearance and promote healthy healing. These include:

• Silicone sheets or gels: Applying silicone sheets or gels to the scars can help flatten and soften them, as well as reduce itching and discomfort.
• Massage: Gently massaging the scars with a moisturising lotion or oil can help break down scar tissue and improve the appearance of the scars.
• Sun protection: Protecting your scars from direct sunlight by using sunscreen or covering them with clothing can help prevent hyperpigmentation and darkening of the scars.
• Compression garments: Wearing compression garments as directed by Dr Soliman can help minimise swelling, support the healing tissues, and promote a smoother appearance of the scars.
• Scar lightening creams: Over-the-counter scar lightening creams containing ingredients such as hydroquinone, kojic acid, or vitamin C can help fade hyperpigmentation and even out the skin tone around the scars.
• Laser treatments: In some cases, laser treatments such as fractional CO2 laser or pulsed dye laser can be used to improve the texture, colour, and overall appearance of the scars.

When to Seek Professional Help Regarding Scars after Thighplasty

While most scars will improve over time with proper care, there are some instances where professional intervention may be necessary. If you experience any of the following, it is essential to contact your surgeon:

• Signs of infection, such as redness, swelling, excessive pain, or discharge from the incision sites.
• Scars that are excessively raised, itchy, or painful.
• Scars that continue to worsen or darken over time, despite proper care.

Your surgeon can assess the scars and recommend additional treatments or interventions to help improve their appearance and manage any complications.

If you have any concerns about your scars or the healing process, do not hesitate to reach out to Dr Bish Soliman. As a highly experienced specialist plastic surgeon, Dr Soliman and his team are dedicated to providing personalised care and support throughout your journey to help you achieve optimal results.

Additional Tips to Promote Scar Healing after Thighplasty

In addition to the scar management techniques mentioned above, there are a few additional tips that can help promote healthy healing and minimise the appearance of scars after thighplasty:

• Eat a balanced diet: Consuming a diet rich in vitamins, minerals, and protein can help support the healing process and promote healthy skin. Foods high in vitamin C, such as citrus fruits, berries, and leafy greens, can help boost collagen production, which is essential for skin elasticity and scar healing.
• Stay hydrated: Drinking plenty of water helps keep your skin hydrated and promotes optimal healing. Aim for at least 8 glasses of water per day, and more if you are physically active.
• Avoid smoking: Smoking can impair circulation and slow down the healing process, which can lead to more noticeable scarring. If you smoke, it is essential to quit or refrain from smoking for at least a few weeks before and after your surgery.
• Be patient: Scar maturation is a gradual process that can take several months to a year. It is essential to be patient and consistent with your scar management techniques, as improvement will occur slowly over time.
• Follow up with your surgeon: Attend all scheduled follow-up appointments with Dr Soliman to ensure that your healing is progressing as expected. He can monitor your scars and make recommendations for additional treatments or interventions if necessary.

FAQs about Scars after Thighplasty

How long does it typically take for scars to mature and fade after thighplasty?

• Scars can take several months to a year to fully mature and fade. The healing process is gradual, and you may notice improvements in the appearance of your scars over time. It is important to be patient and consistent with your scar management techniques to achieve optimal results.

Can I use over-the-counter scar treatment products, or do I need prescription-strength solutions?

• Many over-the-counter scar treatment products, such as silicone sheets, gels, and scar lightening creams, can be effective in managing scars after thighplasty. However, in some cases, Dr Bish Soliman may recommend prescription-strength solutions or medical-grade products for optimal results. It is best to consult with your plastic surgeon to determine the most appropriate scar management approach for your individual needs.

Will my scars be noticeable when wearing shorts or swimwear?

• The visibility of your scars will depend on factors such as the location and length of the incisions, your individual healing process, and the scar management techniques used. In most cases, scars from thighplasty can be strategically placed in less visible areas, such as the groin or inner thigh. As scars mature and fade, they will become less noticeable over time. However, it is important to have realistic expectations and discuss any concerns about scar visibility with Dr Bish Soliman.

Can I undergo laser treatments for scar management immediately after my thighplasty?

• Laser treatments for scar management are typically not recommended immediately after thighplasty. It is important to allow your scars to heal and mature for several months before considering laser treatments. Dr Soliman will assess your scars and determine the appropriate timeline for introducing laser therapy, if necessary, to achieve the best possible results.

How can I minimise the risk of scar-related complications after thighplasty?

• To minimise the risk of scar-related complications after thighplasty, it is important to choose a qualified and experienced plastic surgeon, follow your surgeon’s pre- and post-operative instructions carefully, and maintain a healthy lifestyle. This includes eating a balanced diet, staying hydrated, avoiding smoking, and protecting your scars from direct sunlight. Additionally, being proactive with scar management techniques, such as silicone sheets, massage, and scar lightening creams, can help promote optimal healing and minimise the appearance of scars.

Further Reading about Body Surgery with Sydney Specialist Plastic Surgeon Dr Bish Soliman

• Read Dr Bish Soliman’s Blog about Recovery after Thigh Lift
• Read Dr Bish Soliman’s Blog about FAQs about Thigh Lift Surgery
• Read Dr Bish Soliman’s Blog about Guide to Compression Garments after Body Lift Surgery
• Read Dr Bish Soliman’s Blog about Plastic Surgery after Major Weight Loss
• Read Dr Bish Soliman’s Blog about Abdominoplasty vs. Liposuction or Combined Procedures

Medical References about Scars after Thigh Lift

• Complications Associated With Medial Thigh Lift
• Medial thigh lift in the massive weight loss population
• Thighplasty in the Weight Loss Patient
• Silicone gel sheeting for treating keloid scars
• Laser therapy for treating hypertrophic and keloid scars