Skin flaccidity, stretch marks and saggy  tights are the results of weight loose. Exercise or massages does not correct the structural damage in the skin and only surgery modifies this problem. 

As any medical procedure, the patient must have a complete medical examination, including the vascular structure of the tights and legs in order to evaluate any venous or lymphatic disease that may contraindicate the surgery. General pre-surgical test and in some cases a vascular surgeon evaluation may be necessary before going to the surgical room. The anaesthesiologist must see the patient before surgery to discuss the use of general or regional anaesthesia. 

The surgeon begins the operation doing skin marks in the groin region from the upper and external point down to the sub-gluteal sulcus. Both skin and fat tissue is undermined in some extent down to the middle tight region. 

Deep support structures are identified and fixed to the pelvic bone in order to stretch the inner part of the tight and the skin is re-draped and cut.

The wound is closed with absorbable sutures in the fat tissue and non-absorbable in the skin level.

In some special cases, simultaneous liposuction may be done in the external and inferior part, avoiding any damage on the vascular structures of the tight and leg. 

The wound is covered with sterile pads and a special girdle is designed to use for some weeks. Skin sutures are left in place for 10 to 12 days.

           BEFORE                                                1 WEEK AFETR                                          BEFORE                                 1 WEEK AFTER

The results are visible after 6 months and are permanent if the patient maintains a stable body  weight.

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