I use FF4.0b7pre (Minefield) and I've just made it look like this (using userchrome.css):

and like this when I press Alt:

You can change the name of the menu button or other parameters by modifying the file:
Code:
#appmenu-button-container {
position: fixed!important;
}
#appmenu-button {
padding: 3px 18px 3px 18px !important;
margin-top:3px!important;
background-color: rgba(54, 121, 166, 0.2) !important;
}
#appmenu-button .button-text {
display:none !important;
}
#appmenu-button dropmarker:before {
content: "Fire" !important;
}
#navigator-toolbox[tabsontop="true"] #TabsToolbar {
padding-left: 95px !important;
}
#navigator-toolbox[tabsontop="true"] #TabsToolbar {
padding-left:81px !important;
padding-right:107px !important;
padding-top:1px !important;
}
.tabbrowser-strip {
height: 22px!important;
}
.tabbrowser-tab {
height: 22px!important; padding-right: 3px!important;
}
#toolbar-menubar {
margin: -22px 98px 2px 95px;
}
It is not made by me, I just combined a few found on the net. Name it "userchrome.css" and put it in "FirefoxPortable\Data\profile\chrome" folder.
If it doesn't look different to you than the normal version, It just makes one bar to accommodate the menu button and the tab bar, thus giving you more vertical space (even more with the now removed statusbar).