Thigh Lift or Lipo? (photo)

I would suggest you have aggressive circumferential leg and thigh liposuction. Your plastic surgeon should address all areas of your leg and thigh. Your plastic surgeon should do liposuction around your knee, the inner thigh, the outer thigh, the front of the thigh, and the back of the thigh. Compression garments will be essential for your healing. I would suggest wearing compression garments for eight weeks. Two to four months after surgery, I would look closely at your legs. Ideally, your leg skin will shrink wrap around the areas of liposuction. If they do not shrink wrap, you may require a thigh lift. This incision may need to go from the inner groin to the inter knee. However, based on your photos and your present weight, I believe your best results would be accomplished with liposuction done first. Congratulations on your weight loss. Good luck.
Sincerely,
Dr. Katzen

It's not unusual for patients to be concerned about the appearance of their thighs. When this situation arises, a multitude of treatment options are available. The specific procedure chosen will depend upon the patients' anatomic findings and aesthetic goals.Although your pictures are helpful, it's hard to formulate a definitive treatment plan without a physical examination. With this said, your history and pictures suggest that you would be an excellent candidate for liposuction of your hips and thighs. This procedure has the potential to dramatically improve your thigh contour.Unfortunately, this procedure can sometimes result in thigh skin sag. Under these circumstances, thigh lift may be required at a later date. Despite the potential for skin sag, liposuction is associated with excellent clinical results and high levels of patient satisfaction.If you're considering surgery to re-contour your thighs, it's appropriate to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to perform an evaluation and formulate an appropriate treatment plan.

When considering liposuction vs thigh lift, it is important to remember that liposuction will remove extra fat but thigh lifting will remove extra skin and fat.  From the appearance of the pictures that you submitted, it looks as if extra fat is your primary problem.  I would recommend having just the liposuction done and then giving yourself time to heal. If your skin retracts well, then that will be all you need.  Given how much liposuction you need, you may find however that you have some residual loose skin that needs a thigh lift.  Good luck.