Thank you for your question regarding treatment for your thigh and butt skin laxity. There are several treatments for the thigh and the buttock in terms of skin laxity. To be clear, liposuction is not an option for skin laxity. To improve skin laxity, skin must be excised. Therefore, regarding the thigh, multiple incisions can be placed. A crescent skin area can be removed if the upper inner thigh bothers you. This is called a crescent thigh plasty or a mini thighplasty. Sometimes liposuction is involved. If the upper inner thigh bothers you and it approximately goes into mid-thigh, you may need a modified longitudinal vertical medial thigh lift. During this procedure, thigh liposuction is performed, and an incision is made from the groin partially down the inner thigh. If the inner knee bothers you, I suggest thigh liposuction and an incision from the groin to the knee. To be complete, a more rarely performed thigh reduction procedure on the outer thigh involves an incision from the hip to the lateral knee. This is on the outer thigh but is usually reserved for extreme situations. I don't think you need this. In regards to the buttock, the buttock should be lifted. This is made with an incision across the top of the buttock. Some of my patients call this a Mcdonalds sign or a seagull sign. They call it the Mcdonalds sign because that results from the shape on top of the buttock. In my opinion, the buttock should not be pulled down by making an incision underneath the buttock if you make an incision underneath the buttock and pull the backdown. The buttock lengthens and has an odd shape. In addition, I don't think the butt should be lifted inside the vertical buttock crease; this pulls the buttock together but does not lift the buttock. The buttock crack can be lowered with the Mcdonald's sign lift. The thigh lift and the buttock lift can be combined into one procedure. These procedures must be completed under a general anesthesia plan for at least a 2-3 week recovery. I've hoped I answered your question regarding what to do for butt and thigh kin laxity.