Thank you for your question about whether you should get thigh liposuction and a thigh lift or BodyTite. Based on your pictures and history, I strongly suggest a thigh lift and reduction combined with thigh liposuction. This procedure takes about 4 hours under general anesthesia with about 2-3 weeks of recovery. This will give you your best results. BodyTite simply won't remove a significant amount of fat. It may tighten the skin a little bit. But it will not improve the overall volume of your thighs. Therefore, my vote is thigh lift combined with liposuction. Thank you for your question. I specialize in thigh lifts. I hope that I have answered your questions regarding the thigh reduction. 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, please contact my office. 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. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic 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 and RealSelf Hall of Fame.)