Hi Sunshine3144, Thank you for your questions regarding combining an extended vertical thigh lift and a lower body lift. I specialize in reconstructive plastic surgery after massive weight loss. In my practice, it is very common to combine both the 360 circumferential body lift and medial thigh lift procedures. I perform these combined procedures several times a week. By combining the procedures, you have only one recovery period. My patients call it "one and done ". If you had a lower body lift alone, your recovery would be approximately two to three weeks. You would then have to wait one month before your medial thigh lift. The recovery time from medial thigh lift would be approximately two to three weeks. If you have a combined 360 circumferential lower body lift and an extended medial thigh lift, your recovery should be approximate two to three weeks. I would highly suggest you have these procedures performed at the same time. With that said, your board-certified plastic surgeon must feel comfortable combining and performing these procedures. If your plastic surgeon is inexperienced or not comfortable performing these combined procedures, they should not be performed by that plastic surgeon. Please seek an experienced, board-certified plastic surgeon who has performed hundreds of lower body lifts with combined vertical medial thigh lifts. Travel if you have to. If you have any more questions regarding the 360 circumferential lower body lift, medial thigh lift, or combining these procedures, please contact my office. Sincerely, Dr. Katzen.