Hello, and thank you for asking what to do about your thighs after liposuction. In analyzing your pictures, you have thigh ripples and thigh liposuction irregularities. You still have excess fat and loose thigh skin, which will not contract with further thigh liposuction. Most plastic surgeons agree you have three options. Option number one is to do nothing. Option number two is to undergo radio frequency tightening of your thigh skin. The results of radio frequency tightening of your thigh skin will be minimal, but it avoids more invasive surgery. Option number three is invasive, but will yield the best results. The third option is a two-stage thigh surgery or a one-stage thigh surgery. The two-stage thigh surgery would be 360 thigh liposuction, and then approximately 4 to 6 months later, a thigh plasty with an incision from the groin to the knee. Alternatively, these procedures can be combined. The main problem is your thigh skin. The current state of your thigh skin and fat is a combined result of your genetics, sun exposure, and the result of the liposuction procedure. Either way, your thigh skin must be tightened conservatively with radio frequency or more aggressively with thigh lift surgery. The options depend on how invasive you are willing to go in the treatment of your thighs. I hope I have answered your questions regarding what to do about your thighs after liposuction. Sincerely, Good luck. I've answered your question regarding whether you could get a thigh lift with incisions under your butt and groin area to remove loose thigh skin. If you have any questions regarding thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, please get in touch with a thigh reduction expert's office. Thighplasty surgery is difficult. Thighplasty revisions are even more difficult. 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. Please carefully review their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen. (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.)