Jennifer Scaljon, MD

The subcutaneous version of Profound does affect adipose tissue. A physical exam would be necessary to determine if there is enough tissue under your chin to allow the use of this tip or cartridge. It's needles penetrate deeper and could cause injury if your remaining adipose layer is not substantial enough. But yes, Profound RF does tighten the skin and can diminish the fatty tissue below it.

Based on your photos, I think you would like and do well with a Sculptra Butt Lift. It would take at least two sessions to add volume by stimulating collagen growth. That would add both volume and lift.

The down time is insignificant. You could go back to work that same day.

The nodules formed after Sculptra can be minimized or eliminated by proper dilution of the product and by the patient following the post-procedure care with massaging. The massage helps distribute the product properly to prevent clumping or nodule formation. You should investigate providers in your area who do this procedure often and discuss your concerns, but you should be fine if the proper techniques are followed.

There are a few things you would need to have verified before proceeding with Emsculpt after Gallbladder surgery:
1) Are there any surgical clips left inside and what metal are they?
2) Are all of your incision or Ports sites fully healed? Any chance of a residual hernia could be problematic.

Ask your surgeon for his/her input.

I use Sculptra on the neck and chest, as well as above the knees for skin laxity or what people often refer to as crepiness (from crepes or thin pancakes). If that is what you have above the knees, I say that Sculptra would offer you a good to great result.