Hello, thank you for your question regarding the type of thigh lift you need. I appreciate you sharing your history and photos, and congratulations on your weight loss! However, with weight loss often comes challenges like excess skin, and I understand your concerns. From analyzing your photos, it appears you have excess skin and fat extending from your groin to at least halfway or two-thirds of the way down your inner thighs. As your thighs lost fat during your weight loss, the skin attempted to recoil, but it hasn’t fully tightened, leaving wrinkles on the inner thighs. It’s important to note that liposuction alone is not a suitable solution for this issue, as it would likely worsen the wrinkling by removing underlying fat without addressing the excess skin. A thigh lift is the only reliable way to remove these wrinkles caused by excess skin. Based on your concerns, the two most suitable options would be a modified vertical medial thigh lift or a full thigh lift from the groin to the knee. With a modified vertical medial thigh lift, the incision runs from the groin down the inner thigh, typically about halfway to two-thirds of the way down. This procedure could effectively eliminate most of the excess skin and wrinkles while partially preserving your inner thigh tattoo. However, for more significant improvement, many plastic surgeons would recommend a full thigh lift, which involves an incision from the groin all the way to the knee. While this approach would yield the best results for eliminating skin rolls and wrinkles, it may disrupt your tattoo. You’ll need to decide whether you prioritize the optimal contour of your thighs, which might require tattoo revision, or if preserving the tattoo is your primary concern. In many cases, tattoo touch-ups or revisions can be done after the thigh lift to restore or modify the design. Before moving forward, I recommend consulting with an experienced, board-certified plastic surgeon who has performed at least 100 thigh lifts. Be sure to review their before-and-after photos to confirm their expertise and to discuss your goals and preferences. Good luck, and I hope this helps you decide on the best option for your thighs after weight loss. Sincerely, J. Timothy Katzen, MD