I'm unhappy with the back of my legs after lower body lift. Would additional lipo or a redo of the lift be beneficial? (Photo)

Thank you for your question regarding whether additional liposuction or a redo thigh lift would be beneficial after a lower body lift. Thank you for your history and your picture. I would suggest liposuction of the posterior thigh where it bothers you and additional liposuction to the buttock. I would also consider fat transfer to the buttock if you want more shape and projection. Additionally, you can achieve more of an hourglass shape by performing liposuction above the hips for more of an hourglass shape. If you redo the lower body and lift, you will just be lifting the buttock. The lower body lift does not significantly affect the back of the thighs; the lower body lifts only affect the buttocks. Therefore, if you redo the lower body lifts, it would only affect the buttocks by making them smaller and not significantly altering the appearance of the thigh. I hope this answer helps. Thank you for your question regarding whether you need a revision body lift or lipo to the posterior thighs.

I use a multitude of techniques to improve the shape of the buttocks
including liposuction, fat transfer, scar release, excision, etc.  I perform lower body lifts, thigh lifts, liposuction and
buttlifts.  I always try to
obtain the best result with the least scarring. I would search for the
surgeon who you feel is most likely to give you
the best results. Look at reviews and before and after pictures on that
surgeon's website. Kenneth Hughes, MDLos Angeles, CA

Lower body lift procedures are designed to optimize the shave of your buttock, contour your waist line, improve laxity in your lateral thighs, in addition to the obvious benefits of an abdominoplasty.   Maintaining harmony in contour from front to back is important.  Laxity in your buttock will cascade down to your thighs resulting in soft tissue concerns.  My recommendation is to visit with your surgeon and discuss the areas that bother you.  The solution may be easier than you may think.  However, if you have significant ptosis of your buttock, you may benefit from further skin removal in addition to conservative thigh contouring. Whoever you meet with, be very specific with your goals and expectations.Good Luck

It looks like you may need both.  Liposuction and removal of some excess skin around the hips might help improve the appearance.

Your surgeon may consider a combination of liposuction, fat grating or use of the Cellulaze. This is a challangeing area and perfectly smooth legs are hard to achieve. 

Hello and thank you for your question.  I specialize in post massive weight loss body contouring. Unfortunately there are not many physicians who really understand the dynamics of a true lower body lift. Most surgeons are technically very competent but as I said, the technical nuances required to obtain superior results are difficult to achieve if you don't have the experience and or don't really specialize in these procedures.  After that ramble I believe you can get improvement in your results BUT you will need a repeat lower body lift. I always include a hip flap which I have developed, which maintains hip width and therefore an appropriate hip/waist ratio, as well as most likely liposuction and fat injections with a small chance of a spiral thigh lift to obtain optimal results. You started with excellent hip/waist ratio but have lost it slightly. Visit me on real self to review photos. Peter Fisher M.D.