Meg had a lower body lift I believe and I've seen her results, it is pretty amazing. She carried a lot of weight in her hips/thighs though.
That before picture looks to be a lot of tummy loose skin and if that is your case, you might look at something like the Fleur De Lis which one of the Weight Loss Surgery girls had, I dug up her thread but you'd have to go in her profile to see her before/after pics:
Ok, before and after pictures of my Fleur de lis Abdominoplasty!
I may consider a lower body lift when I get down to my goal weight as most of my weight is in my hips, thighs and belly.