This is a whole new method. Instructions for Meshtool and Milkshape are quite different.
When we use Milkshape, we no longer export the object file from simPE. Instead we extract GMDC files (5gd extension), and we use those inside Milkshape to get object files for poser.
I would suggest the following tutorials to start with...
Tutorials:Unimesh 1 - New Mesh Basics
http://www.modthesims.info/wiki.php?title=Tutorials:Unimesh_1_-_New_Mesh_BasicsTutorials:Unimesh 2 - Editing and UV Mapping
http://www.modthesims.info/wiki.php?title=Tutorials:Unimesh_2_-_Editing_and_UV_MappingUnimesh/Milkshape Tutorial: Level 3, Combining Mesh Parts
http://www.modthesims.info/showthread.php?t=179177