{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T06:34:40Z","timestamp":1778740480622,"version":"3.51.4"},"reference-count":37,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Demand for anesthesia-sparing body contouring techniques is rising. This study assessed the feasibility, safety, and outcomes of medial thigh lift performed exclusively under tumescent local anesthesia (TLA) in an outpatient setting. Methods: A retrospective review was conducted that included 43 female patients (mean age of 41.6 years; BMI of 27.6 kg\/m2) treated from November 2019 to June 2023. All procedures used pure TLA without sedation; a horizontal excision alone or combined with liposuction was chosen according to preoperative evaluation. The end-points were operative time, intra-operative pain (four-point scale), complications, and 12-month patient satisfaction. Results: Surgery was completed under TLA in every case, with no conversion to general anesthesia. The median operative time was 30 min for excision-only procedures and 50 min when combined with liposuction. Intra-operative comfort was rated \u201cexcellent\u201d (86.0%) or \u201cgood\u201d (14.0%); no opioids were required postoperatively. The overall complication rate was 23.2% (10\/43), limited to minor wound dehiscence (9.3%), dog-ear deformity (7.0%), and scar displacement\/hypertrophy (7.0%). No seroma, hematoma, infection, thromboembolic events, sensory deficits, or hospital readmissions occurred. All patients were discharged after 4 h and resumed ambulation within 24 h. At 12 months, 97.7% reported being \u201cvery satisfied\u201d or \u201csatisfied.\u201d Conclusions: Medial thigh lift under pure TLA provides reliable anesthesia and hemostasis, minimizes perioperative morbidity, and enables same-day discharge, with high patient satisfaction. The low incidence of only minor complications supports TLA as a safe, effective, and resource-efficient alternative to general anesthesia for selected patients with mild-to-moderate thigh laxity. Further comparative and long-term studies are warranted.<\/jats:p>","DOI":"10.3390\/jcm14165630","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T15:30:52Z","timestamp":1754667052000},"page":"5630","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Medial Thigh Lift with Tumescent Local Anesthesia: Advancing Outpatient Body Contouring"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4808-7474","authenticated-orcid":false,"given":"Federico","family":"Ziani","sequence":"first","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8753-0868","authenticated-orcid":false,"given":"Edoardo","family":"Filigheddu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3940-4285","authenticated-orcid":false,"given":"Giovanni","family":"Arrica","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"De Riso","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8621-8216","authenticated-orcid":false,"given":"Gianluca","family":"Marcaccini","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8396-095X","authenticated-orcid":false,"given":"Roberto","family":"Cuomo","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Trignano","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2410-6083","authenticated-orcid":false,"given":"Corrado","family":"Rubino","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilio","family":"Trignano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"},{"name":"Plastic Surgery Unit, University Hospital Trust of Sassari, 07100 Sassari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e184","DOI":"10.1097\/DSS.0000000000002987","article-title":"Safety of Tumescent Liposuction Under Local Anesthesia in 9002 Consecutive Patients","volume":"47","author":"Boeni","year":"2021","journal-title":"Dermatol. 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