Do I need a lower body lift? (Photo)

A thigh lift is a procedure that should be performed after abdominoplasty. This is because abdominoplasty often results in some degree of improvement in the thighs. Performing a thigh lift while there is still sagging in the lower abdomen may compromise its success.
To address your concerns, a 360-degree abdominoplasty would be the most effective option, as it can also improve deformities in the thighs.

I think the best thing for contour would be a lower body lift or belt lipectomy. Only an in person physical exam would be able to determine which would be best. The difference really lies in the undermining of the thighs and the pulling on the lower body. If this produces a robust correction on physical exam, it is worth doing. However, if this does not, a belt lipectomy, in which the thigh tissue is not undermined and the scar is slightly more superiorly positioned, is likely the best answer.