What procedure will give me smooth legs and a nice butt? (Photo)

Thanks for the question. In this regard, I recommend you belly, waist, flanks and back Liposculpture, getting better curves especially in the waist, improving your body contour. Also, 360 thighs liposuction with Skin tightening treatment to enhance the appearance of your legs, Finally, I suggest take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).
Kind regards
Dr. Emmanuel Mallol

The diagnosis of Lipedema is made based on a clinical physical evaluation but a combination of liposculpture (liposuction and fat transfer) and Needling (Collagen Induction Therapy) could help you achieve good results.

I hope this helps,
best of luck !

Thank you for sharing your photos and your story. It is very common to notice changes in the body after pregnancy, and many women in your situation consider a Mommy Makeover. This is not a single operation but a customized combination of procedures designed to restore balance and enhance shape. For your goals, that may include liposuction to contour the stomach, hips, and thighs, a Brazilian butt lift to add volume and lift to the buttocks, and in some cases a thigh lift if there is extra skin contributing to uneven texture.

At our practice, Mommy Makeovers are performed by a team of board-certified surgeons working together. This approach shortens the time in surgery, reduces recovery stress on the body, and allows all desired procedures to be completed in one session. Patients benefit from comprehensive results while minimizing risk and overall downtime. Most are walking the same day, tapering off medications within several days, and resuming most activities within a few weeks, with final results settling within two to three months.

From your photos, lipedema is unlikely, but only an in-person consultation can confirm this. Meeting with an experienced surgeon is the best next step to create a safe plan tailored to your goals.

From what you’ve described, there may be signs of lipedema, but it's very difficult to diagnose without an in-person medical evaluation. A consultation with a board-certified plastic surgeon or vascular specialist would be the best next step. They can assess whether it's lipedema or simply stubborn fat distribution and skin texture caused by genetics, hormones, or past weight fluctuations.
For smoother legs and better shape, there are both non-invasive and surgical options. Some possibilities include:
Liposuction (especially HD lipo or power-assisted lipo): to contour the thighs, stomach, and enhance your waist-to-hip ratio.Fat transfer to the buttocks (BBL): for more volume and projection.Skin tightening or cellulite-reducing treatments (non-surgical options like Morpheus8, BodyTite, or Cellfina).
It’s great that you’ve already made amazing progress with your weight. At 165 lbs and 5'4", you're in a range where body contouring can make a noticeable and beautiful difference, especially if you’re close to your personal goal weight.
Here’s a great transformation from a patient with a similar concern

Hello, thank you for your questions and photos! Unfortinitaly liposuction will not help with the dimpling appearance on your legs and butt area. That is a structural problem from cellulite. Liposuction will help improve with fat reduction to the legs, but it could also make the dimpling worse when you remove the fullness. If you have loose sagging skin in the middle of your thighs you may be a candidate for a medial thigh lift. If surgery is not something you want to do, then Venus Legacy could possibly help smooth out the dimpling on your thighs and butt. This is a weekly commitment for 8-10 weeks and a treatment you will need to keep up with on a yearly basis to help maintain the results. It is not a once and done treatment. Best of Luck!

Dear mliamm9,
Thanks for your question and for attaching photos. Based on the photos attached, improvement could be obtained with liposuction and a thigh lift. The cellulite dimples are difficult to fix but you can get improvement with cellulite treatments, possible subcision of the bands and possibly fat grafting/fillers/renuva to the area. I recommend seeing a board-certified plastic surgeon for a consultation to obtain more information and recommendations.

In order to improve the girth and look of your legs, you will need to undergo a combination of fat removal liposuction as well as elimination of skin redundancy. This will require strategic excisions that can be done in the inner thigh (medial thigh tuck) as well as a possible lateral thigh tuck and the use of Renuvion J plasma. Please consider a virtual consultation with a high definition body contouring specialist to get an accurate recommendation.

Dear mliamm9,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your query. You do have more fat in the lower part of your body and a relatively flat stomach. I would recommend losing all the weight you plan to and then going for some thigh liposuction along with a nonsurgical skin tightening treatment like ThermiTight or Bodytite. You can a have a BBL at the same time as the liposuction to enhance your buttocks. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Thank you for sharing your photos and background. The changes you’re seeing in your legs and lower body are very common after pregnancy and weight fluctuations, and they do not automatically indicate lipedema. Lipedema has specific diagnostic signs (painful fat, easy bruising, swelling that doesn’t improve with weight loss, and clear upper–lower body disproportion), and your photos do not strongly suggest that pattern.
However, a definitive diagnosis can only be made after an in-person consultation, where your tissue, skin, and symptoms can be examined directly.
Based on the images alone, what you’re experiencing looks more like post-pregnancy fat distribution, skin laxity, and cellulite banding, which are all treatable.
Here are the options that typically create the smoothest shape:
1. 360° liposuction (abdomen, waist, flanks)This helps improve proportions by reducing the torso and giving a more defined waist. It also helps balance the natural tendency for your legs to carry more volume.
2. Thigh and buttock liposuction (inner/outer thighs, banana roll)Your legs show a combination of superficial fat pockets and cellulite bands. Liposuction reduces volume, but combining it with tightening produces a smoother surface.
3. RF or laser skin tightening (BodyTite, Renuvion, Morpheus8 Body)These technologies address loose skin and dimpling that liposuction alone cannot fix. Younger patients like you usually respond very well.
4. BBL (fat transfer to the buttocks/hips)If your goal is a rounder, lifted butt, transferring fat harvested from the abdomen or flanks can enhance shape and smooth the transition between the thighs and hips.
5. Reaching a stable weight firstBeing closer to your baseline weight before surgery improves long-term results and reduces the amount of liposuction needed.
In summary, Your shape is absolutely treatable. Your photos do not strongly indicate lipedema. A firm diagnosis requires an in-person exam. The most effective plan is 360 lipo + thigh lipo + skin tightening + optional BBL for smoother legs, better proportions, and a nicer buttock contour.