Abdominoplasty and lower body lift procedures are the most common and sufficient procedures to correct abdominal tissue redundancy. Frequently, patients who undergo these procedures have lost a relevant amount of weight and additionally present tissue redundancy in the area of the medial thighs. Patients with mild to moderate skin surplus in the medial thigh region often refuse an additional scar in this specific region. For these cases, the medial thigh region can be indirectly treated by the vertical scarpa lift, sparing the medial thigh approach and consequent complications such as scar descent or vulvar distortion. Additionally, the lymphatic vessels below the scarpa fascia can be preserved, reducing the postoperative abdominal seroma rate.