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May 18, 2011 3:39 PM
The answer to your question was provided many years ago by the masters of liposuction Fournier, Illouz, and Gasparotti. The thigh is a difficult area to work if you do not understand that
The answer to your question was provided many years ago by the masters of liposuction Fournier, Illouz, and Gasparotti. The thigh is a difficult area to work if you do not understand that there are 4 different types of fat. The anterior portion can be worked fairly aggressively, except to be cautious just above the knee to not remove too much. The lateral aspect can actually be worked very aggressively with great results. The posterior portion should only be worked superficially and not deep. If you work it deep you will damage the support for the buttocks and likely end up with "banana rolls" under your buttocks. These are almost impossible to correct, even surgically. The medial portion is unforgiving if overworked, because this area has very little connective tissue. (Have you ever noticed how much softer the inner thigh is to the touch?). It is best worked from the posterior aspect of the medial thigh, where you can get some good skin retraction and not leave loose hanging skin like if worked aggressively from the front. The exception on the medial aspect is the knee, which can be worked aggressively with great results.
If you are considering liposuction of the thigh, make sure your doctor is familiar with these differences.
I hope you have found this helpful.
Mark E Johnson, MD, PhD