Thigh Lift

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ANESTHESIA

You will be administered anesthesia to ensure your comfort throughout the procedure.

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Incision

The specific incision pattern will depend on the extent of correction needed and the areas being treated.

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Incision closure

Dr. Domanski will meticulously close the incisions using absorbable sutures.

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Postoperative recovery

Thigh lifts are an outpatient procedure and patients go home the same day.

A thigh lift, also known as thighplasty, is a surgical procedure that aims to improve the appearance of the thighs by removing excess skin and fat and tightening the remaining tissue.

A good candidate for a thigh lift is typically an individual who is bothered by the appearance of their thighs due to excess skin, fat, or sagging tissue and desires a more toned and proportionate contour.

OVERVIEW OF THE PROCEDURE

On the day of a thigh lift surgery, several steps and activities typically take place. Here’s an overview of what to expect:

Preoperative preparations: Upon arriving at the surgical facility or hospital, you will be directed to the preoperative area. Here, you will change into a surgical gown, and the medical staff will review your medical history and ensure that you are ready for the procedure. An intravenous (IV) line may be inserted to administer fluids and medications. Your surgeon, Dr. Domanski, will review the goals of your surgery and mark the areas of the thigh to be addressed.

Anesthesia administration: Before the surgery begins, you will be administered anesthesia to ensure your comfort throughout the procedure. Your team will ensure that you are comfortable, safe, and fully asleep. The operating room team will then perform a time out, to confirm the procedure, and that appropriate antibiotics and other medications have been administered.

Incision placement: Once you are properly anesthetized, Dr. Domanski will begin the thigh lift procedure. The specific incision pattern will depend on the extent of correction needed and the areas being treated. Typically, incisions are made in the groin area and can extend along the inner thigh or around the back of the thigh, depending on the surgical plan.

Tissue removal and tightening: Excess skin and fat are carefully removed from the thighs using the incisions. The underlying tissue may also be tightened and reshaped to improve the contours of the thighs. Liposuction may be used in combination with the thigh lift to enhance the results further.

Incision closure: After excess thigh tissue is removed, Dr. Domanski will meticulously close the incisions using absorbable sutures. He will ensure proper alignment and tension for optimal healing and minimal scarring. A drain may be used to help fluid removal and speed healing.

Dressing and compression garments: Once the incisions are closed, the surgical sites will be dressed with bandages or dressings. You will be instructed you to wear compression garments on the treated thighs to minimize swelling, decrease fluid accumulation, and support the healing process.

Postoperative recovery: After the procedure is complete, you will be taken to the recovery area where you will be closely monitored after anesthesia. The medical staff will provide instructions on postoperative care, including pain management, activity restrictions, and follow-up appointments. Thigh lifts are an outpatient procedure and patients go home the same day.

BENEFITS

A thigh lift, also known as thighplasty, is a surgical procedure that aims to improve the appearance of the thighs by removing excess skin and fat and tightening the remaining tissue. This procedure offers several benefits to individuals who are bothered by sagging or loose skin in the thigh area:

Improved body contour: A thigh lift can enhance the contour and shape of the thighs, resulting in a more toned and proportionate appearance. It helps address issues such as excess skin, flabbiness, and irregular contours, particularly in the inner and outer thigh areas.

Removal of excess skin and fat: Weight loss, aging, and genetics can contribute to loose skin and fat deposits in the thighs. A thigh lift can remove this excess skin and fat, providing a smoother and more youthful appearance.

Increased self-confidence: Many people feel self-conscious about the appearance of their thighs, particularly when wearing certain types of clothing or engaging in activities that expose their legs. By improving the shape and firmness of the thighs, a thigh lift can boost self-confidence and body image.

Enhanced mobility and comfort: Excess skin in the thighs can cause discomfort, irritation, and chafing, especially during physical activities or when wearing tight clothing. A thigh lift can alleviate these issues, allowing for increased mobility, comfort, and the ability to participate in various physical activities without discomfort.

Long-lasting results: While aging and natural body changes will continue to occur after a thigh lift, the results of the procedure are long-lasting. By maintaining a healthy lifestyle, including regular exercise and a balanced diet, individuals can sustain the improvements achieved through a thigh lift.

Dr. Mark Domanski, MD, is an award-winning plastic surgeon in Fairfax, VA. He is double board-certified by the American Board of Plastic Surgery and the American Board of Otolaryngology. Get personalized care today at (703)-596-1660.

madison brantley
3 weeks ago
The whole appointment went so smoothly! From the easy consultation and booking process, to the actual procedure (ear lobe repair), I am super satisfied with Dr. Domanski’s professionalism and how knowledgeable he is as well!! Would recommend and reasonable pricing!
Response from the owner:Thank you so much for your kind review, Madison! We’re thrilled to hear that your earlobe repair experience was smooth from consultation and scheduling through the procedure. It was a pleasure taking care of you, and I truly appreciate your trust and recommendation.
Thu Nguyen
3 weeks ago
Dr. Domanski performed surgery on the broken finger for my mother. The procedure was painless and it healed very well. Dr. Domanski’s skill and his treatment plan is top notch. His team is also exceptional. Thanks Dr. Domanski and his team.
Response from the owner:Thank you so much for your kind words and for trusting us with your mother’s care. I’m very glad to hear that she healed well and that you had a positive experience with our team. It was truly our pleasure to care for her!
Grace Mercer
4 weeks ago
I had an earlobe repair done for a stretched earring hole and the procedure was quick and painless! Dr. Domanski was great and answered all my questions. I highly recommend Bluemont Plastic Surgery!
Response from the owner:Thank you for taking the time to write your review! We were happy to help with your earlobe repair procedure and are glad to hear that the experience was fast and comfortable.
Grace Valle
1 month ago
We used Bluemont’s services for otoplasty surgery for two members of our family, and from start to finish, Dr. Domanski and his entire team were exceptional. We received the utmost care and attention throughout the entire process—from the pre-op consultation and surgery to the post-op care and every follow-up visit. Everyone was professional, compassionate, attentive, and genuinely committed to making sure we felt comfortable and well cared for. Most importantly, the results have been magnificent, and we could not be happier with the outcome of both surgeries. We are truly grateful to Dr. Domanski and his team for their expertise and the wonderful care they provided to our family. Dr. Domanski was originally referred to us by a friend who had used his services during an emergency situation, and that personal recommendation meant a lot to us. We are so thankful we followed it, and we would confidently recommend Dr. Domanski and his team 100 times over. If you are considering otoplasty, we highly recommend Dr. Domanski. He is an outstanding professional, and we could not be happier with our experience and results!
Response from the owner:Grace, thank you for sharing your experience with otoplasty at our office and for your recommendation. We are thrilled that the process was smooth and that you are thrilled with the results! I truly appreciate your kind words about our team!
Kasey Card
1 month ago
I had an excellent experience with Bluemont Plastic Surgery and Dr. Domanski. He removed a relatively large lipoma on my arm near my armpit that I’ve had for many years. From start to finish, the entire experience was incredibly easy and positive. Scheduling the consultation was simple, and I was able to schedule the procedure soon after. The staff were welcoming, friendly, and helpful, and they made the paperwork and payment process quick and easy. The procedure was performed under local anesthesia, and Dr. Domanski’s unique sense of humor and relaxed demeanor made the experience very comfortable for me. My incision has healed nicely with no bruising or other issues. I do have a scar, which I expected, and I’m hopeful that it will fade over time. I would absolutely recommend Dr. Domanski and Bluemont Plastic Surgery to anyone looking for a skilled, professional, and personable plastic surgeon.
Response from the owner:Kasey, thank you for sharing your experience with our practice! It was a pleasure taking care of you, and I’m especially happy to hear that your incision has healed nicely and that you felt comfortable throughout the process. I truly appreciate your kind words about our team!
Chris Zurich
3 months ago
I had a great experience seeing Dr. Domanski at Bluemont Surgery. His approach to removing a cyst on my upper lip with a minimally invasive procedure resulted in no pain medication being required post op. While other plastic surgeons recommended more extensive procedures by default, Dr. Domanski provided a simple and timely operation. I highly recommend him and his staff.
Response from the owner:Chris, thanks so much. I am still amazed how some surgeons insist on complex surgeries than may be needed. The simplest solution often works best. The lack of pain is due to a long acting numbing medication that I use - it's readily available and again, I am not sure why all surgeons don't use it.
Danny Schexnayder
4 months ago
I needed plastic surgery on my nose after basal cell carcinoma cancer removal left a hole in the nose. Two other plastic surgeons only recommended one solution which was a paramedian forehead flap, an ancient and very invasive technique that horrified me. Dr. Mark Domanski was the only plastic surgeon who said he could repair my nose without the flap technique. He did the surgery and I was very pleased with the results. I liked his bedside manner and his professionalism. I would highly recommend Dr. Mark Domanski for your plastic surgery needs.
Response from the owner:Thank you so much. We believe in patient autonomy. When patients choose what they want, they tend to be the most satisfied.
Hana Hodali
4 months ago
NU IS THE BEST!!!!! So knowledgeable, honest and fair. Highly recommend
Response from the owner:We love her too! Microneedling, CO2 laser, facials, peels... Thank you so much for being a fan of the practice.
Carlos Romero
6 months ago
Response from the owner:Thank you for your kind review.
Dustin
6 months ago
Dr. Domanski is the man. I’ve heard from multiple women who have gone to him and consistently loved both him and their results, which is what led me to book with him myself. After seeing him firsthand, I get it. He’s truly top tier at what he does. His eye for detail and ability to deliver natural, refined results really set him apart. On top of that, he’s personable, funny, and makes the whole experience feel easy and comfortable. If you’re considering any type of plastic surgery, he’s absolutely someone you want to go to.
Response from the owner:Thank you so much for your kind review. You are the best!
Jennifer
6 months ago
From the moment I walked into Bluemont Plastic Surgery, the experience felt polished and first-class. The staff is attentive, professional, and makes everything seamless from start to finish. I’ve had Dysport and filler done elsewhere, and the difference in Dr. Domanski’s approach is immediately noticeable. His attention to detail and overall aesthetic are on another level. He takes the time to understand exactly what you’re looking for, then delivers a result that is balanced, refined, and never overdone. He also has a great sense of humor and knows how to keep things light, which makes the entire experience feel relaxed and easy. His technique is extremely precise and controlled, which translates into a much smoother experience than I’ve had in the past. You can tell he approaches this as both a science and an art. The results speak for themselves, subtle, natural, and elevated in a way that truly stands out. If you’re looking for a high-end experience with consistently superior results, I would absolutely recommend Dr. Domanski.
Response from the owner:Thank you so much for this very nice review. Cheers!
Hamed Ganji
6 months ago
I highly recommend Blue Mount Plastic Surgery if you’re looking for a trustworthy doctor and a welcoming office. From the initial consultation, the procedure was explained clearly, and the entire experience matched exactly what was described.
Response from the owner:Thank you so much for your kind and thoughtful review.
Wanda K
7 months ago
Dr Mark Domanski is amazing! I had a large open head wound that originally would have required skin grafting. But when we got to the operating room Dr Domanski was able to get a better look and it was determined I wouldn’t need the skin grafting after all. Dr Domanski was able to close the gaping hole with several stitches and we were out of the OR sooner with only the head wound to get better. I gotta say that, hopefully you won’t need to, but if there is an injury which may require skin grafting please go see Dr Domanski. Not only will you have a highly competent surgeon but also an incredibly nice person who will listen to you, the patient. Thank you Dr Domanski!!
Response from the owner:Wanda, thank you so much for your kind and thoughtful review. We’re truly grateful you took the time to share your experience. Wishing you a smooth and continued recovery, and thank you again for your trust.
alexis brown
7 months ago
Always a wonderful experience at Bluemont Plastic Surgery
Response from the owner:Thank you Alexis for the 5-star review!
Mirna Marchetti
10 months ago
I had a wonderful experience with Dr. Domanski at Bluemont Plastic Surgery. I visited him for Dysport and fillers, and I couldn’t be happier with the outcome. Dr. Domanski is a true artist; he listened carefully to my goals and delivered a refreshed, natural look that isn't "overdone." The entire process was smooth, and his professional, gentle technique made the injections virtually painless. The office staff is also incredibly welcoming and helpful. If you want high-quality results from a surgeon you can trust, I highly recommend Dr. Domanski.
Response from the owner:Thank you for the wonderful review and your recommendation, Mirna! We specialize in natural results 🙂
Aleksandra Razavi
10 months ago
I had an outstanding experience with Dr. Mark Domanski at Bluemont Surgery. From the very first consultation, he was attentive, knowledgeable, and incredibly patient in explaining every step of the process. His professionalism and genuine care made me feel completely at ease. Dr. Domanski’s expertise is evident, and the level of attention he dedicated to my care was truly exceptional. The entire team at Bluemont Surgery was welcoming and supportive, and I always felt I was in excellent hands. My recovery went smoothly, and the results exceeded my expectations. I am truly grateful for Dr. Domanski’s skill, kindness, and commitment to his patients. I highly recommend him and the Bluemont Surgery team to anyone seeking top-quality care.
Response from the owner:Alexandra, thank you for the wonderful review and for your kind words about our team. It truly means a lot to us! Happy to hear that your recovery was smooth and the results exceeded your expectations. 🙂
Elena ##
10 months ago
I had such an amazing experience with Dr. Domanski at Blumont Plastic Surgery. I came in from a serious car accident with several lacerations above and below my right eye as well as a fluid-filled bump restricting my vision. He made room in his schedule for me immediately. He handled the surgery quickly and skillfully, and my stitches look clean and are healing quickly. His kindness and urgency meant so much to me. I couldn't have asked for better care.
Response from the owner:Thank you Elena for your kind words! We’re grateful you trusted us with your care, and we’re glad we could be there for you when you needed it most. Wishing you a smooth and continued recovery!
Kelly Pelletier
10 months ago
Dr. Domanski did a great job with my Dysport and lip filler! I got many compliments at my son's wedding!
Response from the owner:Microneedling is a great way to rejuvenate the skin! Thanks for your kind review.
sharon bartlett
10 months ago
I have been going to see Dr. Domanski for about 8 years now. I go for Dysport, fillers, and a small revision on a scar. I will never go to any other practice. I will even be traveling to see him when I relocate next year a few hours away. His knowledge and expertise surpasses any doctor I have gone too. His practice is clean and his staff...amazing. Highly recommend.
Response from the owner:Sharon, thank you so much for your loyalty and kind words! We’re honored!
Dr. Donna Goldstein
11 months ago
I had the Lipedema reduction surgery with Dr. Domanski 4 months ago. He removed 9 L ( almost 20 lbs) of diseased tissue and fat I’ve been very pleased with the results and treatment from Dr.Domanski and his team. He’s been kind and supportive - always taking the time to explain and answer questions . I was hoping to get my mobility back and reduce or eliminate my lipedema pain and that has occurred ! I’m back to dancing and walking and am just thrilled - next will be Tai Chi. He included several follow up appointments as I healed and always seemed concerned with any issues I brought up. He even gave us his cell phone number after surgery ( which I did not need to use) I would highly recommend him and his services !
Photo from customer review
Response from the owner:Thank you so much for sharing your experience, Donna! We’re thrilled to hear about your progress and improved mobility. Dr. Domanski and our team truly appreciate your kind words and are honored to be part of your care.
Valerie Jammal
11 months ago
Very talented plastic surgeon. Great results with mommy makeover, breast lift, tummy tuck and breast augmentation.
Response from the owner:Thank you Ms. Jammal and hope you are doing well.
Oma Iqbal
11 months ago
Dr Domanski and his crew are top notch. I’ve had Dysport administered at multiple medspas and always end up back here because my results look natural and last longer. The crew here is always pleasant and unpretentious. They don’t oversell nor price gouge. You really can’t lose here!
Response from the owner:We appreciate your kind review and how it speaks to our philosophy and customer/patient centered care.
melliheidi
12 months ago
Dr Mark Domanski was a very knowledgeable and helpful Dr for my fillers. I love the results and happy to find out for another alternative to look younger without face lift
Response from the owner:Thank you so much. Fillers performed by a plastic surgeon can be amazing!
Patanit Chupashko
12 months ago
I received Botox from Dr. Domanski. The result is great. Thank you 🙏
Response from the owner:Thank you so much and hope you have an uplifting day.
Lillique Training
12 months ago
We are grateful to Dr. Domanski of Bluemont Plastic Surgery for his outstanding contributions to our student education. His sessions seamlessly connect medical principles with esthetic practice, elevating our curriculum and our students’ confidence. By offering complimentary botox and filler demonstrations, he creates an engaging, hands-on learning environment that our students rave about. Attendance is always high, the feedback is consistently excellent, and the impact is undeniable. Thank you, Dr. Domanski, for your generosity, professionalism, and dedication to training the next generation of estheticians. — Mandana Massjouni, Founder & Director, Lillique Training Institute
Photo from customer review
Response from the owner:This was such a fun presentation to give. I really enjoyed working with the students and look forward to doing it again.

CANDIDATES

A good candidate for a thigh lift is typically an individual who is bothered by the appearance of their thighs due to excess skin, fat, or sagging tissue and desires a more toned and proportionate contour. Good candidate for a thigh lift will often have some of the following characteristics:

Excess skin and/or fat in the thigh area: Candidates often have loose or sagging skin in the inner or outer thigh region, typically resulting from weight loss, aging, or genetic factors. They may have difficulty improving the appearance of their thighs through exercise or non-surgical methods alone.

Stable weight: It is important for candidates to have reached a stable weight that they can maintain before considering a thigh lift. Significant weight fluctuations after the surgery can affect the results and may require additional procedures.

Good overall health: Candidates should generally be in good overall health to undergo surgery. This includes being free from any underlying medical conditions that could increase the risks associated with the procedure or hinder the recovery process.

Non-smoker: Smoking can interfere with the body’s healing process and increase the risks of complications. Candidates should be non-smokers or willing to quit smoking for a minimum of 4 weeks before and after the surgery.

Realistic expectations: It is important for candidates to have realistic expectations about the outcomes of a thigh lift, as well as the recovery.

Commitment to a healthy lifestyle: A thigh lift is not a substitute for weight loss or a healthy lifestyle. Candidates should be committed to maintaining a stable weight, adopting a balanced diet, and engaging in regular exercise to preserve the results of the thigh lift and optimize their overall well-being.

RECOVERY

Patients may shower the day after surgery. Recovery time is usually one to two weeks. You will have to wear a compression garment for about four weeks. Recovery progresses in the following order:

Initial postoperative period: After the surgery, you will be monitored in a recovery area until the effects of anesthesia wear off. You will need to be driven home by a responsible adult. This adult should stay with you the first night after surgery. You may experience some grogginess and discomfort the night of surgery. Pain medication and antibiotics may be prescribed to manage pain and reduce the risk of infection.

Bandages and dressings: Your surgical incisions will be covered with bandages or dressings to protect them and promote healing. Dr. Domanski may place drainage tubes to remove excess fluid or blood from the surgical site. These drains will need to be emptied twice a day and typically be removed within a few days.

Compression garments: You may be instructed to wear compression garments or specialized supportive garments on the treated thighs. These garments help minimize swelling, promote proper healing, and provide support to the surgical area. The duration and frequency of wearing garments can vary between patients.

Swelling and bruising: Swelling and bruising are common after a thigh lift. Applying cold compresses or ice packs to the area can help reduce swelling during the initial days. Keeping your legs elevated while resting will help alleviate swelling.

Restricted activities: Initially, you will be advised to avoid strenuous activities, heavy lifting, and vigorous exercise. Gradually, as you heal, you can gradually increase your activity level under your surgeon’s guidance. Dr. Domanski’s preference is for “pain guided recovery.” Patients are generally allowed to do activities that do not hurt. We recommend patient listen to their bodies.

Wound care: Proper wound care is essential for optimal healing. We recommend our patients wash their wounds with soap and water. We allow patients to shower a couple days after surgery as we are comfortable with our thigh lift incision closures.

Follow-up appointments: Follow up appointments are at 1 week, 3 weeks, and 3 months. The first appointment is to remove any drains and to ensure there are no signs of infection. The second appointment evaluates if compression garments can be discontinued and looks for any seromas or fluid collections. The final appointment serves as a debrief: to review the results and progress made.

Why us?

With over 70 plastic surgeons in the Northern Virginia area, patients choose Dr. Domanski because they trust him. We believe you will not find a more honest surgeon than Dr. Domanski.

Read more about Dr. Domanski

“Be Yourself,
Everyone Else Is Taken.”

– Oscar Wilde

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