Bikini Incision Total Hip Replacement Surgery
A muscle-sparing, cosmetically discreet approach to anterior hip replacement surgery
Bikini incision total hip replacement (THR) surgery is an innovative technique designed to provide patients with both aesthetic and functional benefits. This method utilises a smaller, strategically placed incision that enhances cosmetic results while maintaining effective surgical access to the hip joint.
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What is a bikini incision hip replacement?
A bikini incision total hip replacement is a form of direct anterior hip replacement surgery where the incision is made in line with the natural skin crease of the groin, similar to where a bikini bottom would sit. This technique aims to reduce visible scarring while maintaining the benefits of the anterior approach, including muscle-sparing access and the potential for faster recovery.
While the term ‘bikini incision’ refers primarily to the cosmetic placement of the surgical cut, it is part of a broader effort to enhance recovery, reduce soft tissue trauma, and improve patient satisfaction after hip replacement surgery.
Benefits of the bikini incision approach
The bikini incision technique offers several potential advantages compared to traditional hip replacement incisions. These may include:
- Improved cosmetic appearance
The incision is placed along the natural groin crease, resulting in a scar that is less noticeable, especially when wearing swimwear or underwear. - Muscle-sparing approach
Like the standard direct anterior approach, the bikini incision avoids cutting through major hip muscles, which may support faster recovery of mobility. - Less post-operative pain
Minimising muscle damage may help reduce early pain and inflammation. - Reduced risk of dislocation
The anterior approach is associated with lower rates of hip dislocation in some patients compared to posterior approaches. - Faster return to activity
Patients may return to walking and daily activities more quickly, although recovery timelines vary individually.
Note: Not all patients are suited to this technique. Your surgeon will advise whether the bikini incision is appropriate based on your anatomy, body shape, and other health factors.
Who is a candidate for bikini incision hip replacement?
This approach is most suitable for patients who:
- Are of a healthy weight and have a relatively slender body habitus
- Have good skin quality in the groin area
- Are undergoing their first (primary) total hip replacement
- Are motivated by cosmetic appearance and a discreet scar location
Patients with previous hip surgeries, certain muscular or skeletal conditions, or significant soft tissue bulk in the groin may not be suitable for this technique. During your consultation, your surgeon will assess whether this method can be safely and effectively used in your case.
Cosmetic scar management
To support optimal healing of your scar:
- You’ll be given wound care instructions post-surgery
- Scar massage and moisturisation may be recommended at the appropriate time
- Avoiding sun exposure to the healing scar helps reduce pigmentation
- You may discuss the use of silicone dressings or creams with your surgeon if desired
While all surgical scars fade over time, the placement of the bikini incision helps keep the scar discreet and more easily concealed.
Is a bikini incision hip replacement right for you?
To support optimal healing of your scar:
- You’ll be given wound care instructions post-surgery
- Scar massage and moisturisation may be recommended at the appropriate time
- Avoiding sun exposure to the healing scar helps reduce pigmentation
- You may discuss the use of silicone dressings or creams with your surgeon if desired
While all surgical scars fade over time, the placement of the bikini incision helps keep the scar discreet and more easily concealed.