Thank you for your question, it’s very common to want to address multiple concerns in the thigh area at once, and it’s great that you’re asking about safety and planning ahead. Yes, liposuction is often combined with a thigh lift. In fact, doing both together can improve contour and help achieve smoother, more natural results. The key is performing liposuction conservatively to protect blood flow to the skin before tightening it with the lift. An experienced, board-certified plastic surgeon will plan the sequence carefully to ensure safety and a balanced outcome. Regarding your varicose veins, these are typically managed separately. Varicose veins are treated by a vascular specialist using techniques like laser ablation or sclerotherapy. While your plastic surgeon can work around them, it’s important to address significant vein issues either before or after your thigh lift to avoid bleeding or healing complications. They generally aren’t removed as part of the cosmetic procedure itself. Cellulite is a different issue, it’s caused by fibrous bands under the skin, and while a thigh lift can sometimes improve its appearance by tightening the skin, it doesn’t completely eliminate it. Some patients benefit from additional treatments such as Cellfina, laser, or radiofrequency-based therapies if cellulite reduction is a major goal. Recovery varies depending on how extensive the procedure is, but generally you can expect 2–3 weeks before resuming light activities, with most swelling and bruising improving over the first month. Full healing and final results typically take about 3–6 months, depending on your body’s response. You sound like a good candidate, but your surgeon may recommend consulting a vascular specialist first to ensure your varicose veins are stable and that it’s safe to combine procedures. With the right planning, both safety and aesthetic results can be achieved beautifully. Warm regards,Dr. Sibel Atalay, MDBoard-Certified Plastic Surgeon