Hello honeygyrl009. Thank you for your question regarding whether you need a thigh lift revision. There are four parts of the thigh: the front, back, inside, and outside. The vertical longitudinal medial thigh lift addresses the front, inside, and backside of the thigh but does not take care of the outside or lateral thigh. The lateral thigh is best treated with a lateral thigh lift, hip lift, or 360 circumferential lower body lift. In your particular case, most of your thigh deformity appears to be on the outer portion of your thigh. Most plastic surgeons would suggest a 360 circumferential body lift, which includes a hip lift. This would significantly improve your outside or lateral thigh. At the same time, I would recommend inner thigh liposuction. The inner thigh liposuction, combined with J plasma, can help to maximize the reduction of skin dimpling. From your pictures, the most obvious and concentrated area of thigh deformity is your lateral thigh. Addressing the lateral thigh with a lower body lift would likely provide the best results. If you combine inner thigh liposuction with your lower body lift, most plastic surgeons would agree that you will achieve optimal results. However, if your inner thigh deformities persist after inner thigh liposuction, you may need a revision vertical inner thigh lift. Most plastic surgeons would agree that a hip lift or circumferential body lift would be the best initial treatment for your lateral thigh. Good luck. I hope I have answered your questions regarding whether you need a thigh lift revision. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS