Unwanted fat accumulates on the thighs in many women. It usually collects on the inner and outer thighs but can localize to the front and backs of the thighs as well. Fat on the outer thighs is often referred to as saddle bags.
Thigh fat can usually be easily removed by many different liposuction techniques and is often best done by liposuction using local anesthesia only.
Prior to liposuction surgery, the areas to be sculpted are outlined. Careful attention is given to the area where the outer thigh meets the buttock to be sure the result looks natural and smooth. Then, the areas are numbed using a dilute solution of local anesthesia. Once numbed, the patient is positioned and the fat removed. An advantage of sculpting the thighs using local anesthesia only is that patients can move during surgery allowing the surgeon the best access to the fat.
Most patients return to work in 1 – 2 days and get back to exercising within the first week after the procedure especially if it is performed using local anesthesia only. There can be bruising which lasts for 1 – 2 weeks, but it is usually mild. Many patients see significant improvement right away, but final results can take several months to appear.
If there is a large amount of fat, it may be wise to remove it over two procedures. There is a theoretical concern that removing too much fat can trigger enough swelling in the thigh to constrict and limit blood flow in the leg back to the heart. This could make it more likely for a blood clot to form in the leg.
Also, some people’s saddle bags may be from a combination of both unwanted fat and the way their muscles are positioned. When the muscles of the buttocks are relaxed, they may create a bulge in the outer thighs in the same area where fat collects. This cannot be corrected using liposuction.
Many people are concerned that they will have excess loose skin after liposuction. This is usually not the case especially if the skin is not very loose to begin with.
Removing fat from the thighs is very rewarding. Liposuction of the thighs is a straight-forward procedure that can dramatically improve the contours of the body and change the way clothes fit.