The femoral lipodystrophy and the gluteus ptosis are caused from the excessive deposition of fat and skin laxity and the inner thigh surface. Age, obesity, and weight loss are the main predisposing factors promoting the creation of the this malformation. Laxity of the underlying muscles often coexists and must also be corrected. The fat deposits in the thigh region resist to conservative remedies such as diet, exercise and massage and surgery is the only process that can help these patients.
These two malformations in a large number of patients coexist and the surgery is performed simultaneously. With the patient standing the extent of resection is determined. Incisions are made in the natural skin folds so they won’t be visible. Under general anesthesia, skin and fat is excised, thighs are lifted and the muscles are strengthen. Liposuction is performed when needed and finally the wounds are stitched carefully. The area is covered by oppressive bandage dressing.
The patient remains in hospital for 2 days. The drains will remove usually after 4-5 days, and a medical corset will sustain the skin in the new position for at least 3 weeks. Painkillers and antibiotics will reduce pain and the possibility infection. The stitches will be removed in about 15 days and the patient can gradually return to their daily occupation.