After major weight loss, pregnancy, or simply time and gravity, many people notice loose skin and stubborn fullness around the inner/outer thighs and the buttocks. You work hard in the gym, you eat clean, but exercise can’t tighten stretched skin or reposition descended tissue. Shorts ride up, jeans don’t drape right, and your favorite dresses don’t look flattering. 

Beyond appearance, skin folds can cause thigh chafing, irritation, and rashes. The constant tug-of-war with shapewear or compression shorts gets old. You might avoid pool days, photos, or romantic getaways because you’re tired of planning your life around angles and cover-ups. And while a standalone thigh lift or a buttock lift can help, treating one area without the other can leave the lower body looking uneven.

An Integrated Thigh & Buttock Lift addresses all of this in one carefully planned operation. By lifting and tightening the thighs while simultaneously elevating and reshaping the buttocks and outer thigh/hip line, Dr. Jonov at The Gallery of Cosmetic Surgery can help restore balance across the entire lower body.

What Is an Integrated Thigh & Buttock Lift?

An Integrated Thigh & Buttock Lift is a single surgery that lifts and tightens both the thighs and the buttocks. It helps correct loose skin, sagging tissue, and cellulite-like rippling for a smoother, more sculpted lower body. Rather than having separate surgeries months apart, your surgeon combines techniques, typically a form of thigh lift, together with a posterior lift and selective liposuction. 

Some of the things addressed in this surgery include: 

  • Skin tightening and redraping to address laxity that workouts cannot fix.
  • Repositioning of descended tissues to restore a youthful buttock lift.
  • Sculpting with liposuction to refine the transition zones (inner thigh, saddlebag area, banana roll, and hip dips).
  • Auto‑augmentation options (using your own tissue flaps) to gently enhance upper buttock fullness when appropriate, avoiding implants.
  • Incision planning that targets concealment within natural creases or along lines typically hidden by underwear or swimwear, with scar‑minimization protocols.

Benefits of Integrated Thigh & Buttock Lift

A combined Integrated Thigh & Buttock Lift can deliver more natural, balanced results than isolated procedures. It’s also logistically efficient as it involves a single general anesthesia event, one recovery arc, and a cohesive plan for garmenting, drains, and scar care. Some of the other benefits of this surgery are listed below: 

  • Lower-body balance: It balances inner/outer thighs, hips, and buttocks for a cohesive physique rather than a patchwork result. 
  • Smoother leg lines: Reduces skin redundancy and rippling for a sleeker thigh profile in shorts, leggings, and dresses. 
  • Elevated, youthful buttock shape: Repositions descended tissue and can softly enhance upper-pole fullness. 
  • Better fit of the clothing: Your clothes will start fitting you better as the waist-to-thigh proportions improve. 
  • Reduced chafing and irritation: Removing excess skin can lessen friction during walking or workouts.
  • Potential cellulite improvement: While not a cellulite cure, tightening the skin envelope can make dimpling less noticeable.
  • Single recovery: One comprehensive plan rather than separate procedures and repeated downtime.

Who Is an Ideal Candidate for an Integrated Thigh & Buttock Lift?

An integrated lift is best for people who want comprehensive improvement across the thighs and buttocks, especially after significant weight loss or when genetics/aging have created diffuse laxity. If you’ve considered a thigh lift or buttock lift separately but worry about imbalance, the combined route may better match your goals.

Good candidates typically:

  • Have loose or redundant skin of the inner/outer thighs and buttocks that does not respond to diet or exercise.
  • Are at or near a stable, healthy weight for 6 months (massive future weight shifts can affect results).
  • Do not smoke/nicotine (or have quit long enough to support safe healing).
  • Are in good general health with realistic goals and time to commit to recovery.
  • Understand that scars are permanent but designed for concealment and typically fade with care over time.
  • Have post‑pregnancy or post‑weight‑loss changes they want to correct across multiple lower‑body zones.

Integrated Thigh & Buttock Lift Process

Consultation & Planning

Dr. Jonov at The Gallery of Cosmetic Surgery evaluates skin quality, fat distribution, muscle tone, and proportions from the waist to the knee. He’ll review medical history, medications, and nutrition. Together, you’ll define priorities (e.g., inner thigh tightness vs. outer thigh line; buttock lift vs. subtle upper‑pole enhancement). You’ll also receive a custom surgical map and a recovery plan.

Pre‑Op Preparation

Expect labs, medical clearance (when indicated), and avoidance of nicotine and blood‑thinning medications as directed. You’ll receive instructions for compression garments, incision care supplies, and arranging help at home.

Anesthesia & Marking

On surgery day at The Gallery of Cosmetic Surgery, precise markings guide incision placement and the vector of lift. General anesthesia is given. Sequential compression devices are used for DVT prophylaxis.

Liposuction & Tissue Sculpting (As Indicated)

Strategic liposuction refines excess bulges and improves transitions (saddlebags, inner thigh, banana roll). The aim is contour and not aggressive debulking that can compromise skin or lymphatic flow.

Thigh Lift Component

  • Medial (Inner) Thigh Lift: Incision concealed in the groin crease (sometimes extended vertically down the inner thigh when more tightening is needed).
  • Lateral/Outer or Spiral Thigh Lift: Addresses outer thigh and circumferential laxity, often coordinated with the buttock/posterior lift.

Buttock Lift Component

A posterior lift removes a belt of redundant tissue and elevates the buttocks and lateral thighs. In selected cases, auto‑augmentation (using your own dermofascial tissue) can create subtle upper‑pole support without implants.

Redraping, Layered Closure & Drains

Dr. Jonov redrapes the tissue along planned vectors; deep, layered sutures reduce tension on the skin. Drains may be placed to limit fluid accumulation. Incisions are dressed, and a compression garment is applied.

Surgery length: Often 3–6 hours, depending on the extent and techniques. Dr. Jonov will give you a personalized estimate according to your needs. 

Recovery & Aftercare of Integrated Thigh & Buttock Lift Surgery

Your results depend not just on surgical skill, but on consistency with aftercare. Expect swelling and tightness early on; contours refine steadily as healing progresses.

Essential recovery guidelines:

  • Compression Garments: Wear as directed (often 6–8 weeks) to control swelling and support new contours.
  • Drain Care (If Placed): Empty and log outputs; drains are typically removed when output meets target thresholds.
  • Mobility & Positioning: Walk short distances starting the day of or after surgery to reduce clot risk. Avoid prolonged sitting or direct pressure on the buttocks per Dr. Jonov. Sleep on your side or stomach initially if instructed.
  • Incision Care & Scar Optimization: Keep incisions clean/dry. Once cleared, begin scar care (silicone sheeting/gel, sun protection). Expect scars to mature over 6–12 months.
  • Activity Timeline: Light activities in 1–2 weeks, desk work in 2–3 weeks (varies), more vigorous exercise in 6–8+ weeks when cleared.
  • Swelling & Sensation: Swelling peaks in the first 2–3 weeks and diminishes over months. Temporary numbness or areas of firmness are common and typically improve.
  • Nutrition & Hydration: Prioritize protein, fluids, and vitamins (as recommended). Strictly avoid nicotine as it can impair healing.
  • Follow‑Ups: Attend all scheduled visits so your team can monitor healing, remove drains/sutures, and fine‑tune aftercare.
  • Potential Risks (Know the Signs): Seroma, wound separation, delayed healing, asymmetry, contour irregularities, DVT/PE (rare), infection. Contact us immediately if any concerns arise.

Cost of Integrated Thigh & Buttock Lift Surgery

As the procedure is tailored, the cost varies according to the extent of thigh lift, the degree of posterior lift, the need for liposuction, auto-augmentation options, and operative time. At The Gallery of Cosmetic Surgery, integrated thigh & buttock lifts typically start at $7,985, including surgeon, anesthesia, and facility fees. Final cost depends on your personalized surgical plan and will be confirmed during your consultation. 

 

Ready to Restore Lower‑Body Balance?

If you’re looking for smoother thighs, a lifted buttock contour, and a more harmonious silhouette, all in one thoughtfully planned procedure, an Integrated Thigh & Buttock Lift may be the right next step.

During your consultation with Dr. Jonov at The Gallery of Cosmetic Surgery, he will examine your thighs and buttocks, take your medical history, and discuss your goals for the procedure. He will then determine if you are a good candidate or not. 

To get a free consultation, call us at (425)-775 3561 or Contact Us Online. 

FAQs

Does a thigh lift tighten buttocks?

A standard thigh lift is designed to tighten and reshape the thighs, not the buttocks. An inner or medial thigh lift focuses on the inner thigh, while outer or spiral thigh lift techniques can improve the contour along the hip and upper thigh area. However, if true buttock elevation is desired, surgeons often recommend adding a buttock lift or lower body lift to achieve balanced results across the entire lower body.

How much does an inner thigh lift cost?

The cost of an inner thigh lift can vary widely depending on the surgeon, facility, extent of correction, and whether liposuction is included. At consultation, patients receive an exact, personalized quote based on their anatomy and surgical plan.

How painful is an inner thigh lift?

Most patients describe an inner thigh lift as moderately uncomfortable rather than extremely painful. Soreness, swelling, and tightness are expected in the first week, but prescription medications and compression garments make recovery manageable.

What is the best age for a thigh lift?

There is no perfect age for a thigh lift. Candidates usually range from their late 20s to 60s, often after major weight loss or pregnancy, when skin laxity becomes more noticeable. What matters most is being at or near a stable weight for at least six months, being in good overall health, and having realistic goals. 

Will insurance pay for a thigh lift?

Most of the time, insurance companies classify thigh lifts as cosmetic and do not cover them. Expectations may exist if there is documented medical necessity caused by excess skin that doesn’t respond to other treatments. 

How bad are the scars after a thigh lift?

Scarring depends on the type of thigh lift performed. An inner thigh lift usually leaves a scar hidden in the groin crease, while more extensive lifts may extend down the inner thigh or around the hip and buttock. All scars are permanent, but with proper aftercare, like silicone therapy, sun protection, and choosing the Scar Protocol cream kit can generally fade and flatten over 12 to 18 months, becoming much less noticeable over time.