Hello, thank you for your history and photos. Thank you for your question regarding lipedema, your two thigh lift surgeries, multiple sessions of liposuction, and what other procedures might help. Based on your picture, most plastic surgeons would suggest more leg, thigh, and knee liposuction. You appear to have more fat on the front and sides of your thighs. A knee lift will remove excess skin and fat from around the knee. However, in your case, a knee lift won't remove much knee skin. A knee lift is performed under general anesthesia and takes approximately 2 to 3 hours to complete. If you are doing the knee lift because of pain in the fat of the knee, then the knee lift may be the answer. Good luck. I hope that I have answered your question regarding lipedema and that you had two thigh lift surgeries and multiple sessions of liposuction and other procedures that would help. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience performing thigh lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 thigh lifts. Make sure they have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (President of the American Society of Bariatric Surgeons; Certified by the American Board of Plastic Surgery; Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery; and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)