Thank you for your question regarding whether only someone who specializes in thigh lifts should be performing that surgery. In my opinion, yes, only a plastic surgeon who specializes in thigh lifts and reductions should perform this type of procedure. First, congratulations on your significant weight loss. Great accomplishment. Now comes part two, namely the removal of excess skin and fat. In my 22 years of experience treating weight loss patients, your thighs are on the more extreme side. You have tight thighs with excess skin and fat on the outer and inner portion of the thigh. I have significant experience in thigh lifts and thigh reductions. In my opinion, there are two good scenarios. The first scenario would be a two or three-stage surgery. The second scenario would be one surgery. During the staged surgery, I would suggest liposuction of bilateral thighs. This will reduce the fat of the thighs. This may require one or two sessions to debulk the size. Then, at the final surgery, and an incision will be made from the groin to below the knee to remove the excess skin and fat of the inner thigh. I performed this procedure many times very successfully. Another option is the combined lateral or outer and medial or inner thigh left. This will be done at the same time on both thighs. It would entail an incision on the inner portion of your thigh as well as the other portion of your thigh. This would eliminate excess skin and fat of the outer and the inner thigh. This is a difficult procedure and should only be performed by experienced plastic surgeons who have performed this procedure multiple times. I hope this answer helps to clarify your question about who should be performing your thigh lift, given that it is a more complicated thigh lift to perform. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)