
Thigh Reduction: Complex Considerations
Dr. Matthew Peters has a deep understanding of body contouring procedures and the thigh reduction is a complex procedure that needs to be keenly aware of considerations in multiple parts of the body, including the medial thigh area, the abdomen, buttock region and also the area just above the knee. Several strategies may be considered to provide the outcome you desire.
What is a Thigh Reduction?
A thigh reduction or thigh lift, sometimes referred to as a thighplasty, is an elective, cosmetic procedure that can improve the appearance, contour and tone of your thighs.
The procedure is designed to remove excess skin and tissue from the thigh area. This procedure is often considered by individuals who have experienced significant weight loss which can lead to an excess of skin in the upper thigh and buttock region, and also excess skin just above the knee area. Patients considering this procedure may also have concerns of proportion and tone after achieving a massive weight loss.
The thighs are an area where there are muscles, there are attachments to the skeleton, and other functional elements that can present limitations to the outcome. We spend a lot of time talking about your expectations.
– Dr Matthew Peters
By removing excess skin and tissue from the thigh and buttock region, functional concerns can be addressed, as well as changing the contour of this area.
This procedure can address concerns such as:
- Excess skin in the medial thigh area that rubs and chaffs
- Tissue laxity in the thigh area
- Aesthetic and cosmetic concerns about appearance
- Functional issues from carrying excess and lose skin, such as impeding exercise or how you wear clothes.
- Irritation and rashes from excess skin and skin folds
Is a Thigh Reduction Right for You?
Ideal candidates for a thigh reduction are typically:
- Adults with excess tissue and significant skin laxity at the thigh region.
- Are in good overall physical and mental health
- Have maintained a stable weight for at least 6-12 months
- Are non-smokers or willing to quit smoking before and after surgery
- Have realistic expectations about the procedure’s outcomes
During your consultation, Dr. Peters will assess your individual needs and discuss whether this procedure is suitable for you.
The Thigh Reduction Procedure: What to Expect
The procedure is performed under general anaesthesia and typically takes about 2 hours depending on the extent of the procedure and if it being combined with other procedures. In very general terms, here’s what you can expect:
- Anaesthesia: The anaesthetist will administer general anaesthetic to ensure your comfort throughout the procedure.
- Incisions:During a thigh reduction, Dr. Peters will make incisions on the inner or back of your thighs, depending on what areas need to be specifically addressed and how much excess skin is being removed.
- Skin Tightening:Liposuction may be a technique that is used to help achieve the desired outcome.
- Closing the incisions:The incisions are closed with internal sutures, surgical tapes are applied to the wounds, and compression garments being fitted to the thighs before awaking from surgery.
The length and positioning of thigh reduction scars is discussed in depth during your consultation. Scars are an inevitable part of any surgical procedure, however this procedure in particular is likely to result in a scar that is visible if wearing shorts and shorter skirts. While Dr. Peters uses advanced techniques to minimise scarring, you should expect scars. These typically fade and improve over time.

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Combining Procedures
In certain cases, a thigh reduction may be combined with other plastic surgery procedures. Common combinations include:
- Breast lift or breast reduction
- Abdominoplasty (tummy tuck)
Combining procedures can potentially reduce overall recovery time and costs. However, Dr. Peters will discuss these options with you during your consultation, taking into account your specific goals and medical history.
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Recovery and Results
Recovery from a thigh reduction is a gradual process that requires patience and dedication. Dr. Peters and his nursing team spend a tremendous amount of time with each patient to ensure they are ready for the recovery process.
You can discuss any concerns you may have about your recovery during your pre-operative consultations.
Immediate post-op
You will need to stay in the hospital for 2 to 3 days as a stand-alone procedure, but potentially 5 to 7 days if a combination of procedures is undertaken.
First week
Rest and limiting your movement is crucial and you will be very reliant on supports for self-care and household activities during this time. Compression garments will be worn on the thighs to manage swelling and physiotherapists will also provide techniques to aid your movement and recovery.
Week 2
You will attend a review appointment with the clinic nurse for wound assessment and reinforcement of your tapes. Activity is encouraged but should be gentle. Certain movements, such as bending over to pick things up, should be avoided so as not to put tension on the incision sites.
Return to desk work and even driving may be possible, again, only if the movement can be restricted to prevent falls or risking the healing of your scars.
Week 3
You will attend a review appointment with a VPS clinic nurse and your tape will be removed and replaced. Activity may be increased slightly to include slowly bending forward to pick things up. On our medical advice, gentle exercise, such as walking or a stationary bike, may be reintroduced to maintain cardiovascular health.
Week 6
You will attend a review appointment with both with Dr. Peters and a VPS clinic nurse where your tape will be removed and replaced. A continue increase into load bearing activities (ie a gradual return to weight training exercises) may be reintroduced.
12 weeks and beyond
You will attend a review appointment with both with Dr. Peters and a VPS clinic nurse. Provided all is going well, you may resume normal activity.
Check-ins with Dr Peters will continue up to 9 months post-operatively and final results typically become apparent after this time, as swelling subsides and tissues settle.
Understanding the Risks
Every surgery has general risks, in addition to the procedure specific risks. The risks associated with a thigh lift – and ways in which to minimise them – will be discussed with you during your consultation with Dr. Peters. He will always allow ample time to discuss any concern you may have. You can also reach out to Dr Peter’s clinical nursing team to assist with any question or concerns you may have prior to and after your procedure.
The Australasian Society of Plastic Surgeons details the potential risks and complications and you may read more here
Adhering to recovery guidelines can help minimise certain risks and complications. Ensuring that you closely monitor how you are feeling and notifying the Valley Plastic Surgery team of any concerns is the best way to mitigate your risk of adverse outcomes.
Your Journey Starts Here
If you’re considering a thigh reduction, we invite you to schedule a consultation with Dr. Matthew Peters. During this appointment, you’ll have the opportunity to:
- Discuss your goals and concerns
- Learn about the procedure in detail
- View before and after photos of previous patients
- Receive a personalised treatment plan
- Discuss any questions or concerns you may have around your procedure.
Remember, the decision to undergo any surgical procedure is personal and should be made with careful consideration. We’re here to provide the information and support you need to make the choice that’s best for you.
Frequently Asked Questions
The incisions used by Dr Peters during your thigh lift will depend on whether you are having an inner or outer thigh lift.
For an inner thigh lift, Dr Peters will place incisions in the groin that extend downwards and wrap around the back of the thigh. Alternatively, he will remove excess skin from an incision made along the inner thigh, from the groin to the knee.
Thigh reduction procedures can be performed in conjunction with other body contour procedures. Dr Peters can assess whether this is a suitable option for you in your initial consultation.
The cost of your thigh reduction surgery is dependent on various factors, such as the complexity of the procedure, hospital fees, and anaesthesia fees. Medicare rebates and private health contributions (if you are insured and have the appropriate level of cover) depend on whether your procedure is considered medical or cosmetic. You will receive a detailed quote and information regarding how to check your eligibility after your consultation if you and Dr Peters decide surgery is a suitable option for you.