Body Contouring Surgery
Inner Thigh Lift (Medial Cruroplasty)
Medial cruroplasty is the dedicated surgical procedure for correcting skin ptosis on the upper inner thighs. This area is particularly susceptible to the effects of gravity, ageing, massive weight loss, and repeated fluctuations in weight. The medial (internal) technique used by Dr. Fathi places the incision within the inguinal crease — the natural fold connecting the groin to the buttock. The resulting scar is concealed beneath the line of standard underwear or swimwear.
Before
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What Is an Inner Thigh Lift?
Medial cruroplasty is the dedicated surgical procedure for correcting skin ptosis on the upper inner thighs. This area is particularly susceptible to the effects of gravity, ageing, massive weight loss, and repeated fluctuations in weight. The medial (internal) technique used by Dr. Fathi places the incision within the inguinal crease — the natural fold connecting the groin to the buttock. The resulting scar is concealed beneath the line of standard underwear or swimwear.
Key Benefits
- Sagging excess skin on the upper inner thighs that does not respond to exercise
- Massive weight loss following bariatric surgery or sustained dietary programme
- Post-pregnancy skin laxity affecting the inner thighs
- Functional discomfort: friction, intertrigo (skin rash from rubbing), clothing difficulties
Ideal Candidates for Inner Thigh Lift Surgery
Ideal Candidates
- Sagging excess skin on the upper inner thighs that does not respond to exercise
- Stable weight for at least 6 to 12 months
- Massive weight loss following bariatric surgery
- Post-pregnancy skin laxity affecting the inner thighs
- Functional discomfort: friction, intertrigo, clothing difficulties
- Non-smoker or complete smoking cessation at least 4 weeks prior to surgery
Contraindications
- Active smoking
- Unstable weight
- Uncontrolled diabetes
- Pre-existing inguinal scarring that significantly alters the incision plan
- Lower limb lymphoedema
- Untreated coagulation disorders
Dr. Nahed Fathi Ahmed's Technique
Duration: 1.5 to 2.5 hours
1
Pre-operative consultation
Clinical evaluation of ptosis severity, standing skin assessment, incision marking, blood tests, anaesthesia workup.
2
Pre-anaesthesia assessment
ECG, full blood panel, mandatory anaesthetist consultation.
3
Admission
Morning of surgery, fasting from midnight.
4
General anaesthesia
Intubation, continuous monitoring throughout.
5
Surgical position
Gynaecological position to expose the bilateral inguinal fold.
6
Incision and resection
Bilateral excision of excess skin along the inguinal crease, with lymphatic preservation.
7
Multi-layer closure
Deep fascial sutures (Scarpa's fascia) + intradermal skin sutures.
8
Compressive shorts garment
Applied before recovery from anaesthesia.
9
Recovery room
2–4 hours; then transfer to ward room.
10
Discharge
The following morning after Dr. Fathi's ward round, with prescriptions and written post-operative instructions.
Recovery and Results
Recovery timeline
Day 0–3
Pulling sensation in the groin area, significant thigh swelling; rest with legs slightly elevated.
Day 4–10
First dressing change; progressive mobilisation; return to sedentary work from Day 7–10.
Weeks 2–4
Compressive shorts garment mandatory; bruising resolving; short walks permitted.
Month 1–2
Gentle swimming and brisk walking permitted; scar still pink-red in colour.
Month 3–6
Progressive scar fading in the inguinal fold, improved thigh firmness visible.
Month 6–12
Final result: mature, discreet scar concealed under the underwear line.
Post-operative care
- Compressive shorts garment 24/7 for 2 to 4 weeks
- Progressive walking from Day 4
- Legs slightly elevated when resting for the first few days
- Sun protection on scar for 12 months
Important restrictions
- Avoid prolonged sitting for the first 2 weeks
- Swimming pools, hammams and hot baths contraindicated for 4 weeks
- Power walking and sport from 6 weeks, subject to Dr. Fathi's sign-off
Results
Results timeline
Final result at 6–12 months: mature, discreet scar concealed under the underwear line.
Longevity
Results are durable provided weight remains stable. The excised skin does not return.
What to expect
- Firmer, smoother inner thigh contour
- Scar hidden in the inguinal fold
- End of friction between thighs
- Definitive result at 6–12 months
See our results
Discover our patients' transformations
Pricing
Starting from
30 000 MAD
This price includes
- Surgical fees
- Anaesthesia
- Inpatient stay (1 night)
- Compressive shorts garment
- Follow-up consultations
Prices shown are estimates and may vary depending on the complexity of your case. A personalized quote will be provided during your consultation.
Frequently Asked Questions
The scar follows the natural inguinal crease from the groin toward the buttock. When correctly positioned by Dr. Fathi, it remains beneath the line of standard swimwear and underwear. The final discretion of the scar depends on individual healing and the style of swimwear chosen.
The medial technique addresses primarily the upper third of the inner thigh. For more extensive ptosis extending toward the knee, a vertical technique may be necessary. Dr. Fathi will assess during the consultation which technical variant is most appropriate.
Yes. Dr. Fathi regularly combines these two procedures for post-bariatric patients. Combining procedures reduces the total number of anaesthesias and the overall recovery period.
Gentle walking is permitted from the first week. Brisk walking and swimming resume from 4 to 6 weeks. Lower-body strength training and high-impact exercise may resume from 8 to 12 weeks, subject to Dr. Fathi's approval.
Lymphoedema is a rare but recognised complication. Dr. Fathi minimises this risk through meticulous anatomical dissection with deliberate preservation of lymphatic structures. Should persistent swelling occur, manual lymphatic drainage therapy is prescribed.
For international patients, Dr. Fathi recommends a minimum stay of 7 to 10 days in Agadir to allow post-operative assessment and first dressing change before flying.
If prior liposuction has aggravated or revealed underlying skin laxity, inner thigh lift surgery may be indicated. A minimum interval of 6 to 12 months after the liposuction is required.
Questions about cruroplastie-interne?
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