[Thigh liposuction]“Are all thighs like this?” Finding the answer with thigh liposuction — results comparison
Hello, this is Dr. Yongseung Seo
from Lesarts Plastic Surgery.
“I thought thighs are naturally like this, nothing could be done.”
During consultations for thigh liposuction, we often hear similar concerns.
Inner thighs that touch, bulky front thighs affecting clothing fit,
and protruding saddlebags widening the outer leg line significantly.
In fact, most of these concerns have existed for a long time.
People simply accept them, thinking everyone has this to some extent.
However, at a certain point, personal standards begin to change.
Photos make the lower body look thicker than expected.”
You start avoiding fitted outfits and notice slimmer people more often.
These small changes gradually make the concern feel more significant.
Even with consistent exercise and strict diet control,
the areas that remain are always exactly the same.
Especially in the thighs, achieving real contour change is difficult.
Effort alone rarely creates a visible difference in the overall line.
At this stage, the question begins to shift in perspective.
Not “should I try harder,” but “should I change the method?”
The patient in today’s case had the same long-standing concern.
After years of 고민, she visited Lesarts Plastic Surgery for clearer results.
[Patient Information]
Age: Mid-20s
Height: 163 cm
Weight: 61.6 kg
BMI: 23.3
Body fat percentage: 34.7%
* Results may vary even in patients with similar body conditions.
Preoperative physical examination before thigh liposuction – Lesarts Plastic Surgery
[Preoperative assessment for thigh liposuction]
The patient was taking oral contraceptives and dietary supplements regularly.
Certain medications and supplements may negatively affect surgical outcomes.
Therefore, discontinuation was advised prior to liposuction surgery for safety.
The inner thighs were completely touching, with no visible gap present.
The anterior thighs appeared rounded and projected forward in an arc.
The outer thighs showed less protrusion compared to other areas.
However, the contour appeared uneven and lacked smooth definition.
The posterior thighs showed significant cellulite, affecting overall skin texture.
On ultrasound examination, fat thickness measurements were as follows.
Saddlebags: 41 / 40 mm
Inner thighs: 20 / 20 mm
Anterior thighs: 15 / 16 mm
Posterior thighs: 11 / 10 mm
Knee area: 11 / 10 mm
Overall, a significant amount of fat distribution was confirmed.
[Design plan for thigh liposuction]
The patient had maintained a previously increased body weight over time.
Her main concerns were the inner thighs and anterior thigh fullness.
She desired a visible thigh gap and a straight leg contour.
These goals were planned to be achieved through liposuction design.
Lesarts thigh liposuction design – inner thigh
To create a thigh gap,
fat in the upper inner thigh was maximally reduced.
However, a thigh gap
cannot always be guaranteed after surgery.
Depending on pelvic structure
and muscle anatomy,
results may vary significantly.
In some cases,
the gap may be minimal
or not form at all.
The possibility of
skin folds due to
laxity was also explained beforehand.
Additionally, removing
all inner thigh fat
is not recommended.
Excessive removal
can expose muscle lines
and disrupt natural contours.
This may prevent
a straight leg line
and reduce aesthetic balance.
Therefore, fat was
partially preserved
along the mid-inner thigh boundary.
This area corresponds
to the natural muscle division
and supports a smooth contour.
Such a design helps
create a more natural
and refined straight line.
For the anterior thighs,
the focus was on maximal fat reduction.
Rather than contour design,
priority was given
to volume reduction.
However, when muscle asymmetry
between left and right sides is significant,
visible thickness differences may occur.
In such cases,
leaving a small amount of fat
on one side was explained.
This approach helps
reduce stress
from asymmetrical appearance postoperatively.
For the saddlebag area,
maximum fat removal
was also planned carefully.
However, it must connect
naturally with the hip line
to maintain smooth contours.
This connection
makes the legs appear
longer and slimmer visually.
The patient understood
this concept clearly
and agreed with the design.
Regarding posterior thigh
cellulite, liposuction alone
cannot eliminate the fibrous cause.
This was explained
in detail
to set realistic expectations.
While fat reduction
may make cellulite
less noticeable visually,
volume increase
from weight gain
can make it more apparent again.
[Before-and-after comparison of thigh liposuction]
(Photos taken 5 months after surgery under identical conditions)
Correcting leg contours with thigh liposuction – Dr. Yongseung Seo, Lesarts Plastic Surgery
Before-and-after comparison of thigh liposuction – Dr. Yongseung Seo, Lesarts Plastic Surgery
After surgery,
a modest thigh gap
was created medially.
The overall leg line
became noticeably straighter
than before surgery.
Fortunately,
inner thigh sagging
was minimal after the procedure.
Reducing thigh fat with liposuction – Lesarts Plastic Surgery
Before-and-after difference of inner thigh liposuction – Lesarts Plastic Surgery
The contours of
other thigh areas
were also refined smoothly.
Overall thigh size
showed a clear
and noticeable reduction.
Before-and-after of anterior thigh liposuction – Dr. Yongseung Seo, Lesarts Plastic Surgery
Circumference reduction effect after thigh liposuction – Dr. Yongseung Seo, Lesarts Plastic Surgery
Compared to
before surgery,
the legs appear
slimmer and longer,
with a smoother
overall contour.
The overall balance
of the lower body
has also improved significantly.
In this case,
the patient had difficulty
managing weight consistently
due to a busy schedule
and lifestyle limitations.
It is understandable
to want surgery
to complete all changes.
However, liposuction
is not simply
a fat removal procedure.
It helps reduce
the effort required
for dieting long term.
It also provides
faster visible results,
supporting motivation
to maintain
the desired body shape
after surgery.
Understanding this
is essential
before undergoing surgery.
Only then can
the results be achieved
and maintained properly.
The patient
was encouraged
to continue dieting
and maintain
healthy habits
after the procedure.
