Lower thigh laxity is a difficult area to be completely corrected. Although, some techniques may achieve some tightness in this region, skin laxity and ptosis recurs within few months. Thighplasty was performed in 10 patients with skin redundancy and adiposity. Circumferential liposuction was done first. The incision was placed at the posteromedial aspect of the thigh. The medial tissue was pulled upward, posterior and lateral. A posteriorly rotated excision pattern was done. The whole thigh was taut. Skin redundancy at the lower thigh and knee regions was completely eliminated. Follow up ranged between 9-12 months. The described technique is effective in lower thigh lift as well as the whole thigh