Patients who undergo massive weight loss either from surgery or from lifestyle changes can experience a significant loss of elasticity of their skin of the medial and/or lateral thighs. These conditions most times cannot be improved with liposuction alone and would require excision of excess tissue and repositioning the tissue to a high level with anchorage with the pubic bone fascia. Depending on the degree of excess skin the incisions can be within the groin creases or more commonly after significant weight loss a vertical incision from the groin all the way to the knee on the inner aspect of the leg is required.
These pictures demonstrate the excess skin which is removed after massive weight loss as an outpatient. The scars are placed in the inner aspect of the thighs minimizing the appearance of the visibility of the scars.