The best candidates for a thigh lift are those patients who have lost the majority, if not all of their excess weight so that only the extra skin remains. In these cases, no additional liposuction needs to be done and generally more skin can be removed making for a tighter, smoother result.
As is true with any cosmetic procedure, the best candidates are those who are healthy, near their ideal body weight, motivated and in the right frame of mind at the time of surgery.
Most patients who have a thighplasty have lost their weight through bariatric surgery. As a result, they may have certain nutritional deficiencies that must be corrected prior to surgery. A blood count must be checked to ensure that they have adequate red blood cells for surgery. Iron deficiency anemia is common with bariatric patients and extra iron intake may be necessary to maintain adequate blood levels. For proper healing and to fight infection, patients should be in positive nitrogen balance going into surgery. Satisfactory protein intake in necessary for this to happen and can be checked by evaluating a patient’s blood level of pre-albumin prior to surgery.
Those who have only lost a small amount of weight, particularly in the upper inner thigh area may be better candidates for a smaller thigh lift where the scar is better hidden in the groin and buttock creases. Patients who have lost in the area of 100 pounds or more would not normally be satisfied with a small lift because of excess folds of skin that reach down to the knees.