Hello, and thank you for your question regarding whether a thigh lift can be done without the long scar that usually runs along the inner thigh. Congratulations on your weight loss. That’s a major accomplishment. Now you are ready to take the next step in your transformation by addressing the excess thigh skin. From your description, it sounds like you have significant skin laxity, which is common after losing 100 pounds. Unfortunately, when there is loose skin from the groin down to the knee, non-surgical options and limited incision techniques are often not strong enough to create a meaningful improvement. For patients with excess skin only in the upper third of the inner thigh, a crescent or mini thigh lift may be an option. However, when skin looseness affects the middle and lower thirds of the thigh, a vertical thigh lift provides the most effective and longest-lasting result. This procedure removes a vertical wedge of skin and fat from the inner thigh, which does result in a scar along the inner thigh. Most patients are initially hesitant about the scar, but over time, many find that it fades and becomes more acceptable than the excess hanging skin. For patients who have already undergone other body contouring procedures, the thigh lift is often a welcomed final stage. While scarless lifting sounds ideal, it is not realistic when you are dealing with a large amount of skin. Treatments like radiofrequency or microneedling may provide modest tightening, but they are not powerful enough to remove redundant tissue. In your case, a vertical thigh lift is likely your best option. I hope this helps you better understand your options. If you have any questions about the vertical thigh lift, medial thigh lift, or thigh reduction, please contact a board-certified plastic surgeon with extensive experience in thigh lifts. Make sure your surgeon has performed at least 150 thigh lifts and can show you before-and-after photos to help you feel confident in your decision. Good luck. Sincerely, Dr. Katzen