Preparing for Surgery
In preparing for thigh lift surgery, patients may be asked to:
- Get lab testing or a medical evaluation
- Take certain medications or adjust their current medications
- Stop smoking
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Preparing for surgery with a clear, complex-carb rich beverage will keep you strong and enhance your recovery. Drinking ClearFast PreOp prior to your medical procedure is a safe way to speed up recovery time, nourish your body, and reduce post-operative nausea and vomiting. It is available at Hometown Pharmacy on N. Sawyer Street, Oshkosh at $8 a bottle. The recommended dosage is one bottle the night before your surgery once you are in the fasting window, and a second bottle two hours before surgery. However, please get final clearance from your anesthesiologist before taking the beverage at all.
Smoking Warning
Smokers are always at high risk for health troubles, but particularly so during and after surgery. Overall, smokers face longer healing times, blood clots, wounds that break open, and greater risk of infection. For these reasons, FVPS requires that smoking cease one month before and one month after for thigh lift surgeries, which are adversely affected by the decrease in blood flow caused by nicotine. Read our comprehensive explanation of how smoking impacts healing.
FVPS will notify patients if they are affected by this policy. At the pre-operative appointment which normally occurs two days before surgery, patients must take a cotinine test, which detects the presence of nicotine. The quick blood test immediately gives the test results. If the test is positive, the office will cancel the surgery and charge the patient a cancellation fee in accordance with our Financial Policy, which we include in patient paperwork. Smokers, who cannot quit smoking, should not schedule a surgery.
At this time, the surgeon may perform thigh lift surgery in an accredited office-based surgical facility, licensed ambulatory surgical center, or a hospital. If the surgeon performs the thigh lift on an outpatient basis, patients need to arrange for a ride to and from surgery, and to have someone stay with them for at least the first night following surgery.
Initial Recovery
It will be difficult for the patient to walk after surgery. We advise patients to get a walker before surgery to assist in walking. A raised toilet seat is also helpful in the first few days because sitting expands the thighs, which can be very painful. Patients may feel sleepy for the 24 hours after surgery due to the medication that was administered during the operation. It is important that patients not drive, operate machinery, or use power tools in this same time span. Patients should not drink any alcoholic beverages, make any important decisions, or smoke after surgery.
During recovery from thigh lift surgery, your care team will apply dressing or bandages to the incisions. Furthermore, to support the new contours and minimize swelling during healing, they may wrap you in an elastic bandage or compression garment. Also, your surgeon may place small, thin tubes under the skin to drain excess fluid or blood that may collect.
For some patients, this is a painful surgery from which to recover. You will experience swelling, pulsating and throbbing. Elevation is extremely important, as the swelling will go down the entire leg. Additionally, staying hydrated helps reduce swelling. However, the balance between walking and resting/elevating will need to be maintained. The compression garments can cause the thighs to rub and stick to each other. Our care team will give specific instructions that may include how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for, and when to follow up with the plastic surgeon.
Continued Recovery
It is important that the patients not subject surgical incisions to excessive force, swelling, abrasion, or motion during the time of healing. Patients should restrict clothing choices during the initial recovery until the incisions close. Patients need to cushion the thighs well when resting and elevating them.
The first two weeks are critical after a thigh lift. Removal of tissue from the inner thigh or medial thigh requires 3-4 weeks of healing. It is not uncommon to have small separations in the incision, requiring additional healing time. Most do not require surgical closure as a second follow up operation. Larger thigh reductions may require 4-6 weeks of recovery. The longer the incision, the longer the time required to allow them to heal.
Returning to Work After Surgery
Patients should generally take off at least one month from work. Following a thigh lift, skin quality is dramatically improved both in appearance and feel. Some visible scars will remain, but the overall results are long lasting, provided that the patient maintains a stable weight and general fitness. As the body ages, it is natural to lose some firmness. However, most of the initial improvement should be relatively permanent. Although we expect good results from the procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
Get your questions answered at a personal consultation. Contact Fox Valley Plastic Surgery today at 920-233-1540 to request a consultation.