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We read with great interest the paper titled “Personal Evolution in Thighplasty Techniques for Patients Following Massive Weight Loss” by Xie et al.1 Indeed, with the augmentation of bariatric surgery, the medial thigh lift has become an increasingly common surgical procedure in plastic surgery to treat massive weight loss sequelae. We congratulate the authors for their work and their improvement of the surgical techniques over the years. The authors developed two very interesting points that we would like to discuss.

First, we would like to emphasize that the decrease of lymphocele/seroma is probably due to the combination of liposuction with medial thighplasty for patients who underwent the horizontal vector fixation thighplasty technique. It is true that, in this study, there is no significant difference, just a propensity to go in this direction (the authors’ Table 3, P = 0.2207). However, most plastic surgeons currently use liposuction either combined with medial thighplasty2 or in other postbariatric procedures3 and obtain satisfactory outcomes (with very low rates of seroma).

Issue Section:
Letters to the Editor
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