There are two types of thigh lift procedures: in a limited incision medial thigh lift, the scar runs across the groin crease and the upper portion of the inner thigh is the focus area where skin and fat are removed to provide a firmer appearance of the thigh. In a standard medial thigh lift, loose skin and fat are removed to reshape and tone the thigh with an incision that runs from the groin down to the knee. In cases of dramatic weight loss, the two incisions (in the groin and up and down the inner thigh) can be combined to maximize the skin excision.