Women in general have more subcutaneous fat in their thighs and the upper inner thigh is one of the place where this typically accumulates; this can extend forward to the medial front of the thigh as a contour deformity. The loose attachment to the deeper tissue results in sagging. If the skin does not tighten with liposuction you may require a medial thigh lift. Laser based liposuction such as Smart Lipo can give better results in skin tightening, especially in this area, where the advantages of the small cannula, superficial plane and the improved tightening from the Laser light is an advantage. The quality of your skin or conversely the laxity going into the procedure can be a good predictor of further worsened laxity. Emphasis needs to be on a thorough placement of energy with and minimal tissue removal. Sometimes a medial thigh lift may be necessary.