Dr Siamak Agha MD, PhD, FACS

Dr Ali Razfar MD, Double Board Certified


Dr Siamak Agha MD, PhD, FACS
Dr Ali Razfar MD, Double Board Certified

Thigh Enhancement
Newport Beach

Thighplasty and Thigh Liposuction
to Show Off Your Alluring Legs

For many women, having an hourglass figure is the epitome of femininity. And nothing else can better emphasize your hips than firm and slender thighs.

The desire for the perfect thighs has become even more popular because of the thigh gap and the age-old compliment of having “legs for days.” No wonder women dream of having thighs as alluring as Heidi Klum’s firm and muscular legs or Amal Clooney’s shapely thighs.

Aesthetically beautiful thighs have always been associated with a healthy and youthful figure.

The ideal thighs should be in proportion to your hips, buttocks, legs, and abdomen. Firmness is one of the most important qualities, but there are more factors that go into the perfect thighs.

Both the trunk and outer thighs complete an hourglass figure — a concave, small waist going all the way to smooth, convex outer thighs. 

From the back, the thighs are separated from the buttocks with a well-defined fold. From the front, the smooth thighs should be well-supported by the underlying muscles. Your inner thighs should be firm and flat, without any excess fat or skin.

But as you age, your skin begins to lose its elasticity while hormonal changes support fat accumulation. Along with gravity, pregnancy, and weight fluctuations, these may result in the laxity and sagging not just of your thigh area, but also of your hips and buttocks.

Thankfully, you can achieve your ideal firm and slender thighs with the help of a highly-qualified and experienced plastic surgeon like Dr. Siamak Agha, one of SoCal’s top board-certified plastic surgeons.

Find out how you can get Shakira’s thigh gap or Beyonce’s jaw-dropping stems through thigh enhancement surgery in this article.


What is Thigh Enhancement Surgery?

The keys to firm and well-contoured thighs are excellent skin elasticity and the absence of excess fat deposits. Without these two, you might be left with unsightly lumps of dimpled flesh and sagging skin on your thighs.

This is where thigh enhancement surgeries come in — procedures that help you achieve a tighter, firmer, and more toned thigh appearance. 

You can choose from the following surgeries, depending on the existence of excess skin and fat deposits.

  • Thigh Liposuction – If you have good skin elasticity on your thighs and your only problem is the presence of excess fat deposits, then thigh liposuction might just be what you need. It can be performed when there is too much fat on your saddlebags, inner thighs, thigh front, thigh backs, and banana rolls.
  • Thighplasty – Recommended for people wanting to get rid of excess skin on their thighs, thighplasty is essentially a thigh remolding procedure. You can either get:
    • A thigh lift, which lifts your thigh to make it look firmer. It is used for vertical excess skin which gives the appearance of the whole thigh sagging. 
    • A thigh reduction, which reduces the circumference and width of the thigh. It is used for horizontal excess skin which you can identify with skin rolls on your inner thigh.

If you have excess fat and good skin elasticity, thigh liposuction might be enough. On the other hand, thighplasty gives you more slender and proportionate legs by getting rid of excess skin and underlying fat. 

That’s why it’s very popular among women aged 40 to 54, comprising 47% of all thigh enhancement procedures in the United States in 2019 according to the American Society of Plastic Surgeons.

If you have too much fat and too much skin, you can combine both thigh liposuction and thighplasty, as in the case for most patients.

Do You Need a Thighplasty?

Haven’t decided yet if thigh enhancement is right for you? Try answering these questions first:

  • Do you have excess fat in your saddlebags, inner thighs, thigh front, thigh backs, and banana rolls?
  • Do your thighs have a saggy, flabby, or dimpled appearance?
  • Has your thigh skin lost elasticity due to aging or massive weight loss?
  • Do you feel like your thighs are not in proportion with the rest of your body?
  • Have you developed rashes and skin infections because of your excess thigh skin?
  • Do you feel self-conscious when wearing clothes that emphasize your thighs and legs?

If you answered YES to any of these questions, then you should consider getting thigh enhancement surgery. You can get firmer and shapelier thighs and be more satisfied with your physique.

… But Can You Get a Thighplasty?

Before you get the procedure, you should know that these factors might affect your surgery results:

As is the requirement for all cosmetic procedures, you need to be in good health. You should not have severe comorbid conditions like heart disease, diabetes, and morbid obesity, which might cause complications.

To ensure your satisfaction with thigh enhancement, talk to your plastic surgeon. Tell him why you are getting the procedure and the results you want to see.

What are the Different Thighplasty Techniques Offered by Dr. Agha?

Your thigh has four surfaces: front, outer, inner, and back. Each surface has a corresponding thighplasty technique, and there are also thigh lifts that reduce thigh width and circumference.

Check out the different thighplasty techniques Dr. Agha uses.

Thigh Liposuction

Thigh liposuction reduces the fatty prominence of the inner thighs, saddlebags, banana rolls under the buttocks, inner knee bulges, and thigh fronts or backs. 

It can be done by itself or combined with other thighplasty procedures. Dr. Agha can also perform it on one or multiple thigh areas, or even the whole thigh.

In fact, it is not uncommon for Dr. Agha to perform large volume circumferential thigh liposuction, removing up to five liters of fat from both thighs from all the four surfaces.

Anterior Thigh Lift

Pioneered by Dr. Agha for his patients, the anterior thigh lift or thigh front lift is a procedure that has not been described in plastic surgery textbooks. 

It uses an incision over the thigh front, through which the thigh skin and fat are loosened up using a specialized instrument. The thigh front is then lifted and anchored to the pubic bone at multiple locations. 

In this manner, the thigh front can be lifted by 1-2 inches, resulting in a smoother thigh contour.

The anterior thigh lift is typically performed as part of a tummy tuck, lower body lift, or circumferential thigh lift.

Inner Thigh Lift


Also known as the medial thigh lift, the inner thigh lift reduces excess skin and fat in the upper portion of your inner thighs, making it the ideal procedure for people with excess inner thigh skin. 

During a medial thigh lift, Dr. Agha creates an incision at the junction of the thigh and pubic area in your groin crease. He then removes a crescent of excess upper inner thigh skin and fat.

Dr. Agha then lifts the inner thigh all the way to the groin crease at a higher position and secures it to the underlying pubic bone using multiple anchoring sutures. He then reconstructs your groin crease meticulously to prevent it from stretching your labia and flattening your vulva. 

It results in a tighter and smoother inner thigh contour and enhanced skin flow while keeping the scars undetectable under clothing.

Outer Thigh Lift

Also called lateral thigh lift, the outer thigh lift solves excess tissue and skin problems on your outer thighs and saddlebag regions. 

Since the outer or lateral thigh lift is typically performed as part of a lower body lift or combined with a buttock lift or an extended tummy tuck, its incision is essentially an extension of the incisions of these procedures.

Dr. Agha extends the front incision from the lower body lift or extended tummy tuck over the upper outer thigh. He then makes a second parallel incision at a higher position. Through these incisions, Dr. Agha excises the excess tissues of the waist and upper outer thigh. 

He then partially detaches the outer thigh skin and fat from the thigh muscles using a specialized instrument. In this manner, the outer thigh tissue is loosened up.  

The outer thigh tissue is then lifted and anchored back to the thigh muscles at a higher position using multiple anchoring sutures. He closes the incisions in three layers, just like in a tummy tuck or lower body lift.

The outer thigh lift is the most powerful of all thigh lift procedures. Dr. Agha can typically remove 8-12 inches of outer thigh and waist skin for most patients. He has even removed 18 inches in a weight loss patient.  

The outer thigh lift results in a smoother contour of the outer thigh skin as it flows into the concavity of the waist.

Posterior Thigh Lift


Targeting the back of the thighs, the posterior thigh lift gets rid of loose skin from the banana rolls under the buttocks. It results in a smoother and firmer backside.

Dr. Agha creates an incision in the infragluteal crease that separates the butt from the thigh back. Through this incision, a crescent segment of the upper thigh back under the buttock’s crease is excised to get rid of dimples and banana rolls. 

The thigh back skin is then partially loosened up using specialized instruments. Dr. Agha then lifts the upper thigh and anchors it to the bony prominence of the pubic bone using multiple anchoring sutures. He then closes the incision in three layers.

Spiral Thigh Lift


The spiral thigh lift is a combination of both the inner and posterior thigh lift procedures. 

Pioneered by Drs. Agha and Hurwitz, this thigh lift procedure lifts the back and the inner thigh through an incision that runs along the groin crease and infragluteal crease under the buttocks. Just as its name implies, the spiral thigh lift employs a spiral incision. 

Through this incision, Dr. Agha removes the excess tissue of the upper thigh back, then elevates the thighs to a higher position and secures it to the underlying tissue. He then reconstructs the infragluteal crease, enhancing the shape of both the buttocks and the thighs.

For the laxity on the inner thighs, Dr. Agha continues the incisions over the groin crease. He removes a crescent of upper inner thigh skin, then lifts and secures the inner thighs at a higher position. He also reconstructs the groin crease, resulting in a tighter and smoother thigh contour.

Circumferential Thigh Lift


A circumferential thigh lift is a complex procedure that should only be undertaken by plastic surgeons routinely performing thigh lift surgeries.  

It offers elevation of all the four surfaces of the thighs through an incision that starts in the infragluteal crease under the buttocks, running over the groin crease, and the over the hip towards the back. 

The longer incision allows for inner, anterior, outer, and posterior thigh lifts to be performed. When done correctly, the whole thigh is lifted and anchored at a higher position.

Vertical Thighplasty

Also known as thigh reduction, the vertical thighplasty is used for treating the loose skin of the thighs in a circumferential dimension. It is especially useful for treating excess thigh skin that spans from the pubic area to the inner knee on the inner surface of the thighs. 

Through a vertical incision -- hence its name of vertical thighplasty -- a large ellipse of skin and tissue from the inner thighs is excised from the groin to the inner knees. Dr. Agha then closes the incisions in three layers. The resulting scar will only be seen when the inner thighs are exposed.

Often done on patients who have lost a significant amount of weight, a vertical thighplasty is often combined with other body contouring surgeries such as thigh liposuction.

How Does Dr. Agha Do Thighplasty?

Thigh enhancement is generally considered an outpatient procedure.

More often than not, Dr. Agha combines thigh liposuction with a thighplasty to reduce the appearance of larger thighs. It is also best paired with other body contouring procedures, like lower body lift, tummy tuck, and buttock enhancement, for a better overall aesthetic appearance.

Though a thigh lift only takes 2-3 hours to finish, combining it with a lower body lift may take 7-8 hours.

Check out how Dr. Agha performs the thigh lift in this step-by-step lowdown.

If you are considering having any kind of plastic surgery I would highly recommend Dr Agha and his wonderful staff. It was the best decision I have ever made.
Karen K

Why Should You Choose Dr. Agha for Your Thighplasty?

Thigh lift and thighplasty are specialized body contouring procedures that not all board-certified plastic surgeons perform routinely. In fact, according to data from the American Society of Plastic Surgeons, most plastic surgeons only perform 1-2 thighplasties per year.  

On the other hand, Dr. Agha performs about 50 or more thighplasties per year, as well as plenty of thigh liposuctions. What he does in one year equates to what many plastic surgeons do in a lifetime. 

With 18 years of experience in thigh lift surgeries, Dr. Agha has probably performed more thigh lifts than most plastic surgeons in the world. His extensive experience has allowed him to pioneer such techniques as the spiral thigh lift and anterior thigh lift. The spiral thigh lift was published in the Encyclopedia of Body Sculpting After Massive Weight Loss in 2010. 

Dr. Agha’s aesthetic eye and more than a decade of experience matter not only in performing surgeries correctly and optimally but also in avoiding complications and ensuring healing — all essential components of every successful plastic surgery.

Do You Need Thighplasty Revision?

It is important that you get your thigh lift or thigh reduction done correctly the first time. 

However, a large number of patients that contact us have previously had procedures that were not optimally done and can be improved upon. This is especially the case for thigh enhancement surgeries, where most plastic surgeons do not have much experience, hence planning a conservative treatment. 

Thus, every year, Dr. Agha is asked to perform around 10 or more thigh lift revisions due to various reasons such as:

  • Remaining excess skin
  • Labial spreading of the inner thigh lift
  • Asymmetry of results

Usually, Dr. Agha excises the existing thigh scar and works through that incision to optimize the surgical result.

How Do You Recover from Thigh Liposuction and Thigh Lift?

All recovery procedures are focused on minimizing pain and improving your healing. Typically, you will need at least three weeks to heal and resume light activities.

You’ll experience some discomfort and tightness for the first 3-5 days, but these should slowly resolve over time.

To manage pain, you may take painkillers. You may also use a revolutionary postoperative pain management product, On-Q Post-Operative Pain Pump. Ask Dr. Agha if you think you will benefit from this alternative.

What Results Can You Expect from a Thighplasty?

After you get thigh enhancement, you will have…

  • Tighter, firmer, and smoother thighs
  • Thighs proportional to your body shape and weight
  • Improved thigh contour
  • Greater access to different clothing styles that flaunt your thighs
  • No more skin irritation from excess thigh skin
  • Improved self-esteem and confidence

Though thigh enhancement surgeries produce permanent results, factors like aging, weight gain or weight loss, and pregnancy can affect your long-term results. Maintaining a healthy diet and exercise regimen helps maintain the results from your surgery.

What are the Potential Risks and Complications?

Like with any plastic surgery, there are risks involved during and after thigh enhancement surgery. 

Though Dr. Agha takes all precautions necessary to avoid these and assists in addressing any complication that might occur, it is still important to know them so that you can make an informed decision.

Check out this article to learn more about the possible complications of body surgeries.

How Much Does a Newport Beach Thighplasty Cost?

The cost of your thigh enhancement will depend on the specific procedures you will get.

RealSelf data estimates the cost of thighplasty to be anywhere from $4,500 to $9,000. Combining multiple procedures will naturally be more expensive overall, but they will definitely cost less than getting each procedure individually.

The total price will depend on certain factors such as your location, how much improvement the procedure would make, and your plastic surgeon’s experience, reputation, and expertise.

Insurance carriers rarely cover the cost of cosmetic procedures like thighplasty. But Dr. Agha offers financing options to cover the price of surgery.

Get Your Thighplasty Done in Newport Beach, Orange County

Thigh enhancement can give you lean, firm, and well-contoured thighs, creating the sought-after hourglass body shape.

To achieve optimal results, choose an experienced and qualified plastic surgeon like Dr. Agha for your thigh enhancement. He can help you choose which procedures will be most effective based on your body type and expectations.