What is a thigh lift?
A thigh lift is skin surgery. Liposuction of the inner thigh only reduces the pinch of fat under the skin; it does not tighten or pull the skin. A thigh lift removes the excess skin, with the fat inside it, and re-drapes the inner thigh upward and inward so the leg is smooth from the groin down. The extent varies greatly with your anatomy, from a crescent of skin at the top of the thigh to a long wedge down the inner thigh.
Some patients had excess inner thigh skin after over-aggressive liposuction in the past, the case our revision liposuction page sends here, because more suction cannot fix skin. Our post on what a thigh lift is covers the basics.
Who is a good candidate for a thigh lift?
The test is skin, not fat: thin skin that folds under the fingers needs a lift; thick, springy fat needs liposuction. Good skin elasticity is not required, because the loose skin is removed rather than asked to shrink.
You may be a good candidate if
- Loose, hanging skin of the inner thighs after a large weight loss, after pregnancy or with age
- Thighs that rub and chafe, or skin that gets in the way of shorts and swimwear
- A weight stable for about six months and within reach of your goal, good health, and nicotine stopped
- A scar in the groin crease, and sometimes down the inner thigh, accepted in exchange for a smooth leg
Not yet, or a different plan, if
- Your weight is still coming down: skin removed now loosens again with further loss
- You take a GLP-1 medication such as semaglutide or tirzepatide: it is stopped 1 to 2 weeks before surgery and resumed once healed, at 2 to 3 weeks
- The thigh is full rather than loose, with skin that springs back: liposuction alone is the plan
- You cannot stop nicotine for two months, or a medical condition is not yet controlled
Thigh lift after weight loss
A thigh lift after weight loss is the operation most of Dr. Cat's thigh lift patients have. Skin stretched by weight does not shrink back when the weight goes, and no exercise shortens it. After a large loss the loose skin rarely stops at the thighs: the abdomen, the mons and the breasts have their own operations, planned across separate surgical days within body contouring after weight loss; our post on skin removal after weight loss explains how they differ. Dr. Cat asks weight-loss patients to hold a stable weight for about six months first, because more weight lost afterward means loose skin again.
Mini thigh lift or full thigh lift: which incision?
The incision pattern depends on how much skin has to come out and how far down the thigh it hangs; the pinch test at the consultation decides it.
Medial (inner) thigh lift: the incision hidden in the groin crease
The medial thigh lift, the type Dr. Cat performs most often, removes a wedge of skin and fat from the inner thigh and lifts the thigh upward and inward. The incision looks like the number 7: the front part is hidden in the groin crease, and when more skin has to go a vertical part runs down the inner thigh, hidden just slightly behind the midline so it is barely visible from the front or the back, and only as long as the skin removal requires.
Mini thigh lift: the short-scar groin incision
A mini thigh lift (crescent thigh lift) removes a thin, crescent-shaped strip of skin and fat from the top of the inner thigh through an incision that follows the groin crease, with no vertical part. It suits patients without a lot of excess skin who want the top third of the thigh smoother, with a smaller surgery and a faster recovery; in Dr. Cat's words, patients who qualify for a short scar thigh lift are able to wear shorts.
Full thigh lift: the vertical incision
When the loose skin runs most of the way down the inner thigh, as it often does after a large weight loss, the vertical part of the 7 is needed. The trade is a longer scar for a smooth leg; Dr. Cat keeps it behind the midline and as short as the skin allows.
Outer thigh, lateral thigh and the lower body lift
A medial thigh lift treats the inner thigh and nothing else. The outer thigh is usually a fat problem, treated with liposuction, and the hollow below the hip bone is filled with your own fat in hip dip surgery rather than lifted. Loose skin of the outer thigh and hip after a large weight loss is assessed with the trunk, because the incision of an extended tummy tuck continues past the hip bones toward the back. The practice does not perform a full circumferential lower body lift: in Dr. Cat's experience it has a higher complication rate, especially wound healing or the incision opening, because the patient is always sleeping or putting pressure on part of a scar that runs all the way around.
Thigh lift scars: where the scar sits and how Dr. Cat places it
Thigh lift scars sit in the groin crease, under underwear and swimwear, and, in a full thigh lift, down the inner thigh just behind the midline, where neither a front nor a back view shows them. Dr. Cat works through the thinnest incisions she can and closes them in multiple layers, so the scar is thin, flat and low, without bunching, irregularities or step-offs. Scar treatment starts about two weeks after surgery with silicone sheets, then a scar gel; most of her patients never need laser scar therapy. The scar looks its worst between months two and four and at one year is a thin, soft line that keeps improving for up to 18 months; keep it out of the sun for six to twelve months. Our post on thigh lift scars after one year shows each phase.
Thigh lift with liposuction
A thigh lift with liposuction is the usual plan when the inner thigh carries fat as well as loose skin: the liposuction is performed first, by Dr. Cat, with thin cannulas and no heat devices, and the lift then removes the emptied skin; two of the three cases on this page had both. Liposuction of the inner thighs added to a thigh lift is $3,500 plus one hour of operating room time, quoted at your consultation. Our post on loose skin after lipo explains why fat removal alone can make a loose thigh look looser.
How Dr. Cat does it
Dr. Cat is a board-certified plastic surgeon who completed two surgical residencies, one in head and neck surgery, microvascular and facial reconstructive surgery, and advanced training in general plastic and reconstructive surgery, Harvard-educated and UCLA trained. A thigh lift is an operation about skin: how much to take, where to hide the line, and how to keep the two legs matching.
The markings
Before surgery Dr. Cat marks you with a surgical pen, so you know exactly where the incision will be before you are asleep.
The technique: measured, tailored, compared
If liposuction is part of the plan, it is done first. Dr. Cat then makes the thigh lift incision, elevates the tissues carefully, measures the amount of skin that can be removed and tailors the flap to create the best possible shape, comparing both legs throughout to create as much symmetry as possible. Several further technical details of her own produce a thin, nearly invisible low scar, closed in multiple layers.
Anesthesia, surgery day and the first night
The thigh lift is performed under general anesthesia with a board-certified physician anesthesiologist, in Dr. Cat's QUAD A accredited surgery center on Rodeo Drive, with a numbing solution in the treated area. The surgery takes four to seven hours, depending on how much skin is removed, how far down the thigh the incision goes and whether liposuction is added, and the operating room is booked for longer than the surgery itself, for anesthesia, positioning and the garment; Dr. Cat schedules one major surgery per surgical day and performs every step herself. A measured compression garment goes on before you wake, and the first night is spent in a plastic surgery aftercare center with a nurse, with gurney transport from the surgery center.
Preparing for surgery
Dr. Cat's team gives you the pre-operative instructions: smoking and every nicotine product stopped two months before surgery, because nicotine restricts the blood supply the groin incision depends on; aspirin, anti-inflammatories, supplements and alcohol stopped two weeks before; medical clearance and blood tests 14 days before; nothing to eat or drink after midnight; and someone to drive you and stay with you after the aftercare night.
Bilateral medial inner thigh lift with liposuction: Dr. Cat in the operating roomReal surgical footage, shown with the patient's consent.
Thigh lift recovery, week by week
With the gentle technique Dr. Cat has developed there is minimal pain and a quick recovery; the thighs feel tight but should not be painful. She provides a prescription for a few pain pills in case, and most patients never need it: those medications cause constipation and bloating, and Tylenol is enough.
- The night of surgeryYou go by gurney to a plastic surgery aftercare center, where a nurse looks after you and gets you up to walk, carefully, that evening. Tylenol for most patients.
- Day oneThe aftercare center brings you to the office for your first post-op visit with Dr. Cat, then home with someone to stay with you.
- The first two weeksWalk very carefully, with no wide steps or stretching of the groin; swelling is normal for a few weeks. Allow two weeks before returning to work, sooner if you work from home.
- Two weeksDr. Cat checks the incisions and starts scar treatment with silicone sheets. Out-of-town patients stay at least two weeks after surgery.
- Six weeksStrenuous exercise resumes; the measured compression garment comes off at six to eight weeks.
- Three to six monthsNoticeable swelling settles by four to six weeks; mild residual swelling can linger for three to six months. The contour you see now is the shape you keep at a stable weight.
- One yearThe scar is a thin, soft line that keeps improving for up to 18 months. The skin removed does not come back; a stable weight protects the result.
Thigh lift before and after: what to look for
In thigh lift before and after photos, look at the space between the thighs from the front and the line of the inner thigh from the back: a good result reads as a smooth, straight inner line without folds and no scar visible from either view, photographed six months or later. The three cases on this page are medial inner thigh lifts: THL-TL1 lost about 150 pounds and THL-0710 lost 70 pounds, both with liposuction of the inner thighs; THL-TL2 is a young woman lifted without liposuction. See the thigh lift before and after photos for every view.
Risks of a thigh lift, and how Dr. Cat reduces them
A thigh lift carries the risks of any surgery plus the ones the groin adds.
What can go wrong
- Wound separation at the groin crease, where the incision sits in a moist, moving fold under tension
- A scar that widens, thickens or migrates down the thigh, or holds pigment longer on darker skin
- Lymphatic swelling: a fluid collection in the thigh, or prolonged swelling of the lower leg
- Asymmetry, residual loose skin, or numbness of the inner thigh, usually temporary
- Distortion of the labia when a lift is pulled too tight at the groin
- Bleeding, infection, blood clots and anesthesia reactions, all rare
How Dr. Cat reduces these risks
- Careful selection: a stable weight for about six months, nicotine stopped two months before, medical clearance and lab work
- The incision in the crease and behind the midline, the skin removal measured, and a closure in multiple layers
- The tension set so the groin closes without pulling on the labia, and both legs compared throughout
- A physician anesthesiologist in her QUAD A accredited surgery center, one major surgery that day, and the first night with a nurse
- Careful walking, the garment, scar treatment from two weeks, and follow-up visits through the first year
Revision thigh lift
A revision thigh lift corrects a thigh lift done elsewhere that healed badly: a scar in front of the midline where it shows, a scar that widened or migrated down the thigh, folds left at the top of the thigh, asymmetry, or a lift pulled so tight that it distorts the labia. A scar already present is revised, not erased, skin that was removed cannot be put back, and a second surgery through scar tissue has a longer recovery than a first. Dr. Cat's surgeon's fee for a revision thigh lift is $75,000 to $95,000; the operating room and anesthesia are quoted at your consultation, and the revision consultation is $1,500, credited toward surgery.
How much does a thigh lift cost in Beverly Hills?
Dr. Cat's surgeon's fee for a thigh lift is $55,500 to $82,500; the operating room and anesthesia are quoted at your consultation, because the operating time depends on your anatomy and on what is treated together. Surgeon's fees are typical ranges: a more complex case can cost more, and your fee is set at your consultation and is final only in your written quote. What moves the fee is how much skin is removed and how far down the thigh the incision goes; a larger frame or more skin sits toward the top of the range.
The quote is itemized: the surgeon's fee, the operating room and anesthesiologist, the aftercare night with gurney transport, your measured compression garment (a compression pant to below the knee) and Arnica, and every follow-up visit. Liposuction of the inner thighs adds $3,500 plus one hour of operating room time. The quote is valid for six months; insurance does not cover a thigh lift.
The price reflects one surgeon who marks, measures, tailors and closes both legs herself, one major surgery per surgical day, a physician anesthesiologist for the whole case and an accredited facility; a revision costs more than the operation done well. Our cost guides explain what a quote from this practice is made of.
Consultation fee, deposit and financing
A consultation with Dr. Cat is $500, or $1,500 for a revision consultation, credited in full toward your surgery. Your date is booked once the quote and the pre-op paperwork are signed and the $2,500 deposit is paid. To pay over time, the practice partners with Cherry, its primary financing partner, and also accepts CareCredit and Alphaeon Credit; see financing and payment plans.
Your consultation with Dr. Cat
It starts with a free 15-minute discovery call with our Patient Concierge, who books your consultation: in person on Rodeo Drive or, for out-of-town patients, a private video consultation through OnPatient, the HIPAA-secure patient portal, with photographs of the thighs. Dr. Cat examines the inner thighs standing, pinches the skin to judge how much can be removed and whether fat is part of the problem, looks at the outer thigh, the mons and the abdomen, and tells you which incision your thigh needs. You leave with an itemized written quote.







