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Thigh and arm tensioning

As man grows old skin elasticity decreases and the skin slackens, the subcutaneous fat layer is reduced and as a consequence of all these changes the face gets less toned. This process happens with the arms and the thighs, especially on their inside. Similar process accompanies rapid weight loss.

Skin on the inside of the thighs and arms forms ugly folds, or in worse cases "hangs". This condition can be repaired by removal of excessive slackened skin.

Sometimes the arms appear too obese. This condition is repaired by simultaneous liposuction and skin tensioning.

In the case of minimum skin slackening the condition may be repaired by very superficial and careful liposuction with a thin cannula which causes spontaneous shrinkage and tensioning of the skin.


Operations of arms or thighs, unlike all recommended non-surgical interventions, bring about actual and long-term effect.

Tensioning of slackened skin: your surgery

Immediately before the operation your surgeon will take photo documentation, draws the area of the intervention on the skin and answers potential questions. The surgery is performed under total anaesthesia mostly separately on the arms or thighs, rarely together.

The principle of the intervention is removal of excessive skin on the inside of the arms or the thighs, skin tensioning and suture of the operation wound. The resulting scar is situated on the arm or thigh inside lengthwise from the elbow to the armpit in the case of the arm and less visibly in the case of thighs where it runs inside the groins under the buttocks. Sometimes it is necessary to perform simultaneous liposuction of the operated area to achieve a stronger effect.

The operation lasts for 1-2 hours.

Tensioning of hanging skin: recovery

The client leaves the clinic on the second day. Accompaniment and car transport must be arranged. Right in the operating theatre we will put on you elastic post-operative compression underwear, which you will have to wear according to the surgeon ´s instructions for a couple of weeks.

The first shower is allowed two days after the operation. The water should not be hot, preferably take a short lukewarm shower. It is recommended to disinfect the wounds after shower on the first couple of days after the surgery. Until the first post-operative visit to the clinic rest is recommended. Sporting activities should be resumed after some weeks at the earliest. Following the surgeon ´s recommendations the operated areas should be massaged by finger pressure. Final result of the intervention may be seen after a couple of months. Scars must be protected against UV radiation for at least 6 months.

Tensioning of hanging skin: possible risks

Like all operations, slackened skin tensioning may be associated with certain risks which you must be aware of.

These are general operation-related risks connected with the total anaesthesia (bleeding - hematoma, infection, pulmonary embolism, poor healing, operation wound splitting, development of colloid  scars etc.) plus intervention-specific risks.

Major risks and complications of these operations include:

  • Fluid accumulation in the subcutaneous area, serom, is the most frequent consequence of failure to observe the recommendation of the rest regime. The fluid usually absorbs spontaneously. .
  • In some cases dehiscence of the wound edges may occur. In the case of minor dehiscence the wound heals spontaneously. In the case of major dehiscence the wound needs re-suturing.
  • Minor differences of shapes of the right and the left side.Irregularity of the skin surface in the operated area.
  • Temporary changes of skin pigmentation – darker maps – mostly after absorption of large hematomas.
  • Rare complications include temporary or permanent reduction of sensitivity of the skin over the operated area.
  • By mistake of the surgeon and excessive bruising of the skin or by dramatic inflammation or infection necrosis may develop in part of the treated area. This complication is extremely rare, though.
  • The operation usually improves cellulite in the treated area, but sometimes this disorder is rather strengthened. This phenomenon is not considered a complication but a natural outcome following from the nature of the intervention.

Corrective surgery may be needed as a consequence of some of the complications.


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