Anna Petropoulos, MD, FRCS

Hello and thank you for your question! The area you have photographed is likely due to loose skin, a bit of remaining fat, or loss of structural support post-lipo. Treatments like Morpheus8, Ultherapy, and thread lifts can help, but they work best for mild to moderate skin laxity. Morpheus8 uses radiofrequency microneedling to tighten skin and slightly reduce fat. Ultherapy uses ultrasound to stimulate deeper collagen for lifting. Threads provide a temporary lift but don’t offer much long-term tightening. If you’re looking for more noticeable and lasting results, FaceTite or AccuTite might be better options. These are minimally invasive procedures that use internal radiofrequency to melt fat and tighten skin from underneath, offering stronger results than surface treatments. They involve a bit of downtime but can last several years. For more advanced sagging or loose skin that non-surgical treatments can't fix, a mini-lift or lower facelift could be the most effective long-term solution. It’s worth consulting with a provider who offers both non-surgical and surgical options to get a clear picture of what’s causing the issue and how to treat it best. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! You are likely a good candidate for Emsculpt, but you should get clearance from your cardiologist first. Emsculpt uses high-intensity electromagnetic energy to stimulate muscle contractions. Emsculpt NEO has the addition of Radiofrequency energy for fat-burning. While your stents are metal and not electronic, electromagnetic fields can sometimes interact with metal implants. That said, your stents were placed 13 years ago and are likely well-healed and covered by tissue, which reduces risk. **Bottom line:** It’s probably safe, but check with your cardiologist to confirm that electromagnetic treatment in the abdominal area won’t affect your heart stents. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! Since your hair loss has remained stable for the past seven years and you’ve previously tried topical minoxidil with limited results, there are several effective treatment options you can explore to help improve hair density and stimulate regrowth. Platelet-Rich Plasma (PRP) Injections PRP involves drawing a small sample of your blood, concentrating the platelets, and injecting them into targeted areas of the scalp. These platelets release natural growth factors that can awaken dormant follicles, strengthen existing hair, and stimulate new growth. It’s particularly effective for patients like you with stabilized hair loss. LED & Laser Light Therapy (LLLT) Low-level laser or red light therapy is a non-invasive option that uses specific wavelengths of light to stimulate hair follicles, enhance circulation, and support cellular energy production. It can help thicken miniaturized hair and prevent further thinning. This can be done in-office or at home with FDA-cleared devices. Hair Transplant Surgery Given your stable pattern of hair loss, you may be a good candidate for a hair transplant. This procedure redistributes healthy hair follicles from the donor area (typically the back of the scalp) to thinning or balding areas. A consultation would help us assess donor density and design a natural hairline. DermaFuse Scalp Infusion Therapy DermaFuse is a needle-free technology that uses low-level electrical currents to open microchannels in the scalp and infuse targeted peptides or growth factors deep into the skin. When used on the scalp, it enhances nutrient delivery directly to the hair follicles and supports a healthy growth environment. It’s a comfortable, non-invasive alternative to microneedling with no downtime. We recommend booking a consultation with a qualified provider to assess your scalp health and determine the best personalized treatment plan. Many patients see optimal results from combining therapies such as PRP and LLLT or DermaFuse, and maintaining a healthy home-care regimen. Best of luck in your journey! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty, Danvers & Boston MA

Hello SarahGG and thank you for your question! Hyperdilute Sculptra can be safe for the neck, but only when done by someone with the right training and experience—which is why you're getting mixed answers. Some providers use it off-label to help improve loose or crepey skin by boosting collagen, and when it's properly diluted and injected at the right depth, it usually works well and safely. But the neck is a sensitive area with thinner skin, so if it's done incorrectly, it can cause lumps or other issues. Some providers avoid it because of these risks or because it's not officially approved for the neck. If you're thinking about it, choose someone who does this treatment often, can explain how they do it, and has good results to show. Best of luck! Genie Alexander for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! If you're 25 lbs overweight and insulin resistant, starting semaglutide **before** liposuction is typically the better option. It can help you overcome the weight loss plateau, improve your metabolic health, and reduce surgical risks. By getting closer to your goal weight first, your surgeon can better target stubborn fat areas and achieve more precise, lasting contouring results. Losing weight after lipo is possible, but it may alter your results or affect skin tightness. Starting semaglutide now gives you a stronger foundation for both surgery and long-term maintenance. Best of luck in your journey! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Danvers & Boston, MA