This lady has excess skin in the inner thigh. She wished to have a tightening of the skin and a thigh lift with a scar running in the crease of the thigh has allowed the skin to be tightened. There are limitations to how much skin can be removed in this manner and the amount of tightening that can be achieved. In patients with good thigh contour this often is a better method than a long vertical scar thigh lift. The horizontal scar technique does not tighten as much as the vertical scar technique but the resulting scar is much better aesthetically and patients need to weigh up the pros and cons of each method.