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Avulsion Thighplasty

Technique Overview and 6-Year Experience

Hunstad, Joseph P. M.D.; Kortesis, Bill G. M.D.; Knotts, Christopher D. M.D.

Plastic and Reconstructive Surgery: January 2016 - Volume 137 - Issue 1 - p 84–87
doi: 10.1097/PRS.0000000000001936
Cosmetic: Ideas and Innovations

Summary: When choosing a thigh lift operation, the surgeon also chooses which complications he/she will be managing, and the most dreaded after conventional thigh lifting are those of lymphatic origin such as lymphocele or lymphedema. The authors describe avulsion thighplasty, a technique that spares lymphatics by using aggressive liposuction beneath the planned resection area, and thus minimizes lymphatic complications. The technique is outlined and complications are detailed over a 6-year period with long-term follow-up. The risk of major complications is found to be low and the procedure is found to be safe. Patients must be counseled that the risk of minor complications, such as small wound dehiscence or need for a later scar revision, is substantial.


Huntersville, N.C.; and Reston, Va.

From the Hunstad-Kortesis Center for Cosmetic Surgery; the University of North Carolina at Chapel Hill; and Austin-Weston, the Center for Cosmetic Surgery.

Received for publication March 24, 2015; accepted July 9, 2015.

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Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Christopher D. Knotts, M.D., Austin-Weston, The Center for Cosmetic Surgery, 1825 Samuel Morse Drive, Reston, Va. 20190,

©2016American Society of Plastic Surgeons