The procedure is performed with incisions that start on the pubic area, and not from the thigh-groin fold as is usual with earlier techniques.

Then the incision is carried vertically briefly between the legs and then backward it switches to the subgluteal space where it ends. The design of the front part of the grail-like incision ensures their coverage in the best possible way.

After the incisions, the surgery starts with an extensive liposuction/ detachment of the inner surface of the thighs, which allows the skin to move upwards. The excess skin is removed and the incisions are sutured on multiple levels in order to heal them in the best possible way.

The duration of the surgery depends on the technique used. The return to work is not usually require more than 3-7 days.

After surgery patients wear a rubber corset applying slight pressure to the area of the surgery so as to support the skin in its new position and to prevent the formation of any unwanted swelling in the area.

It is important to avoid intense physical activity in the immediate postoperative period, which however progressively declines until 1 month after the operation, when the patient may return to full physical activity.

It can be applied from the age of about 18 years, but usually targeted at older ages.