Can a mini thigh lift be done with a smaller incision?

Unfortunately, the only way to surgically lift the outer thigh and saddlebag area is by a rather extensive incision. I perform it using a tummy tuck incision and lift upwards, so it's going to be a bikini-type incision.
Most of my patients at http://www.drlomonaco.com/forwlp.htm had this done. As you can see, it can correct that skin pretty wel but it's not perfect, especially in older patients or those with poor tone or a lot of skin.
I am planning to use Refirme in those patients to try and get a bit more tightening after surgery.

Thank you for your question regarding whether a mini thigh lift can be done with a smaller incision. Regarding your question, it appears that you are talking about two different areas—mainly your inner thigh and saddlebag region. The inner thigh lift will not significantly impact the saddlebags. Regarding the saddlebags, if you think they will disappear better with an incision, that is what I would advise. I would suggest an incision in your hip region for the saddle bag region to lift the skin and tighten the saddlebag region. This is a standard procedure performed by experienced plastic surgeons who deal with weight loss patients. This is called a hip lift. Another alternative to address the saddlebag region is to make an oblique or diagonal incision from the infragluteal fold to the anterior superior iliac crest. That means an incision forms the fold where the buttocks meet the thigh to your hip bone. This is a diagonal line; this is quite an extensive procedure and may not be exactly what you need.
Regarding the inner thigh lift, the inner thigh lift can be made smaller, but the results will be less dramatic. If you are concerned about the saddlebags, I will stick with the incision over the hips. To get the best result, separate all the layers you have asked necessary. To determine the length of the incisions, you need to decide which areas bother you the most. If it is just the upper inner thigh, I would suggest the crescent or mini thigh lift, where an incision is made in the groin, and a crescent area of skin and fat is removed. If it bothers your 4-6 inches in the inner thigh, then I would suggest thigh liposuction combined with a modified, vertical medial thigh lift. With an incision from the groin to the knee. A large area of elliptical skin and fat is removed during this procedure.

A variety of treatment options are available when patients develop contour irregularities following liposuction. The specific procedure chosen will depend upon the patient's anatomic findings and their aesthetic goals.In this particular case, it's difficult to make a recommendation without a physical examination or pictures. Depending upon the results of this examination, revision liposuction, fat grafting or a thigh lift variant might be necessary. The specific type of thigh lift would depend entirely upon the physical examination.It appears that you no longer have confidence in your original surgeon. Under these circumstances, it's probably reasonable to obtain a second opinion from a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your concerns.