Contour deformities of the medial thigh areas are a concern for individuals seeking body contouring. Despite patients' concerns, plastic surgeons were reluctant to perform previous medial thigh lift surgery due to post-operative complications and poor outcomes. Since its description, although many improvements have been made to reduce postoperative complications and increase the predictability of the outcome of the medial thigh lift technique, vulvar distortion has not been completely prevented yet. Medial thigh lift procedures were performed in three female patients presenting with third-degree ptosis utilizing a modified incision design. The level of the intersection points was meticulously determined, and the incisions were positioned within the natural inguinal and perineal creases to preserve anatomical continuity. This technique was designed to maintain the native vulvar contour and minimize distortion of the vulvar anatomy. No evidence of vulvar distortion was observed throughout the postoperative follow-up period.
Ergün et al. (2026) studied this question.