Is Thermage Best for Post Liposuction Skin Tightening?

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 technologies have in common is that younger patients get a better response, so Thermage may still be worth considering. Results still vary from patient to patient.

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.

In my experience, I have been pleased with the use of Thermage on the body. Liposuction itself does result in some skin tightening, however, often times with large volume liposuction, there may be some excess skin laxity which is properly addressed with Thermage. I have used Thermage on the banana rolls on the buttock and found significant lifting in the area.