Is Thermage Best for Post Liposuction Skin Tightening?

I had liposculpture via syringe on my buttocks and saddlebags and I am generally happy with the results but I have sagging skin. Before the surgery, my skin was a little saggy (the doctor left a pencil under my butt cheek to show how the skin flopped over it enough to hold the pencil in place!). Having said that, I'm only 25, size small so its not horrendously loose skin. My goal is to get the very BEST outcome from my Lipo. What should I do? Will Thermage help? Thanks. (P.S Please note the photo is BEFORE I had Lipo.)

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age 25-34 buttocks skin saddle bags sagging female tightening

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5 Doctor Answers | Asked by diva222 in Australia

Doctor Answers (5)
Community Comments (1)

Options for skin tightening after Lipo

There are a few options for tightening skin with lipo but nothing magic. I presented some research recently showing that Thermage after lipo resulted in about 40% more skin tightening than lipo alone. The catch is that it has to be done immediately after, while the tumescent infusion is still there. Laser-assisted liposuction has also presented some data, not as much tightening as Thermage, but again it has to be done at the time of the liposuction. One thing that all of these... more

Pass on the Thermage

If your doctor would be willing to refund your money as a courtesy if you weren't happy with Thermage, then do it! But I suspect he/she won't be willing to do that and you would stand a significant chance of joining that large group of patients who have been very disappointed with their skin not shrinking well after Thermage.

Thermage is a good option but don't expect miracles

Thermage is a good option. Many of my patients have been satisfied with the results. The new 16 cm body tip gives better results with short treatment time. However, the improvement may not be entirely to your satisfaction. Even Plastic surgery cannot offer you a perfect result.

Loose skin after liposuction

I have seen few patients with satisfactory outcomes from Thermage. In fact, I have seen many patients that complain about the results. Therefore, I am extremely reluctant to advise its use. If we could make skin act like shrink wrap, we would not have to perform face lifts, tummy tucks, breast lifts, etc. In your case, I would encourage muscle toning to promote displacement of the skin with muscle mass.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Thermage is not the answer - Try Sciton SKINTYTE instead

It would have been more instructive to see your current appearance rather than your pre-operative appearance. That being said, I am NOT a big fan of Thermage and think it is a technology struggling to maintain its rapidly slipping foothold due to some major drawbacks. I encourage you to read up on the Sciton BBL SkinTyte technology which uses intense pulse light to shrink the skin and create subdermal collagen. Good Luck. Dr. P. Aldea