Two Cases of Lower Body Contouring with

Massive weight loss results in skin excess, leading to an unsatisfying body contour. Variousthigh lift procedures can correct flabby skin in the lower leg. We present a lower bodycontouring technique with a report on two patients. The procedure is determined by the bodycontour of the patient. As the skin excess in the thigh area tended to appear mostly on themedial side, a vertical medial thigh lift was considered. Moreover, for patients with a pear/guitar-shaped body contour, we added the spiral thigh lift for skin excess in the buttocks andthe lateral thigh area. The extent of tissue to excise was determined by pinching the patientin a standing position. The inferior skin flap was fixed to non-movable tissue, which was helpfulfor lifting the tissue and preventing the widening of the scar. After the operation, a drain waskept for 3 to 4 days. A compressive garment was used after removing the drain. There wereno complications. The patients were discharged 6 to 8 days after the operation. In conclusion,skin excess, especially in the lower body, can be corrected by a thigh lift combining severalprocedures, varying from person to person.