{"id":20315,"date":"2021-07-28T07:46:33","date_gmt":"2021-07-28T14:46:33","guid":{"rendered":"https://www.realself.com\/news\/?p=20315"},"modified":"2021-08-05T08:43:50","modified_gmt":"2021-08-05T15:43:50","slug":"treatments-for-saggy-knees","status":"publish","type":"post","link":"https://www.realself.com\/news\/treatments-for-saggy-knees","title":{"rendered":"Doctors Say These Are the Best Treatments for Fixing Saggy Knees"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>Knee wrinkles may sound like a trivial concern&mdash;the cosmetic equivalent of a first world problem. But given a moment&rsquo;s consideration, this particular insecurity seems, to us, every bit as valid as, say, <a href=\"https:\/\/www.realself.com\/news\/qwo-cellulite-banana-roll-results\">banana rolls<\/a> or a mottled d&eacute;colletage or sinewy <a href=\"https:\/\/www.realself.com\/news\/anti-aging-hand-creams-treatments\">hands<\/a>&mdash;all of which have been drenched, zapped, and injected over the years in order to evade scrutiny. So why not the knees&mdash;these blatant bull&rsquo;s-eyes intersecting our legs? As with other changes we develop with age, we can choose to embrace time-worn knees&mdash;finding beauty in the crags and creases, deeming them a privilege of sorts&mdash;or aim to reverse that which is tanking our confidence.<\/p><p>Personally, as knee before-and-afters have become more regular fixtures in my social feeds, I&rsquo;ve acquired a new appreciation for (slash mild obsession with) this body part. When I recently asked my husband (after a beer or two) if my knees made me look old, his expression said what his mouth perhaps knew not to: &ldquo;So now we&rsquo;re worried about our knees?&rdquo; But even he came to admit, days later, that once you start noticing knees, it&rsquo;s kind of hard to stop.<\/p><p>This may be why doctors are seeing an increased interest in anti-aging treatments that address sagging skin in the knee area. <a href=\"https:\/\/www.moderndermct.com\/deanne-mraz-robinson\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Deanne Mraz Robinson<\/a>, a board-certified dermatologist in Westport, Connecticut, considers such procedures to be a &ldquo;natural extension of our body sculpting and aesthetic services,&rdquo; she says. In her office, those seeking knee-specific fixes are sometimes still in their 20s but, most commonly, are in their late 30s through 50s&mdash;typically, women who&rsquo;ve already invested in facial cosmetic treatments like <a href=\"https:\/\/www.realself.com\/nonsurgical\/injectable-fillers\">injectables<\/a>, <a href=\"https:\/\/www.realself.com\/nonsurgical\/laser-resurfacing\">lasers<\/a>, and <a href=\"https:\/\/www.realself.com\/nonsurgical\/ipl\">light therapies<\/a>.<\/p><p>Board-certified New York City plastic surgeon <a href=\"https:\/\/www.realself.com\/dr\/umbareen-mahmood-new-york-ny\">Dr. Umbareen Mahmood<\/a> agrees that saggy knees and related wrinkles on the legs are perfectly reasonable cosmetic concerns, acknowledging that patients today are &ldquo;more concerned with global aging than they were several years ago.&rdquo; Confirming my earlier suspicion, she adds, &ldquo;You&rsquo;re not imagining it&mdash;very similar to the hands and neck, knees can be a telltale sign of aging, despite a rejuvenated face.&rdquo;&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-why-are-your-knees-sagging\"><strong>Why are your knees sagging?<\/strong><\/h2><p>Indeed, the anatomy of the knee&mdash;being built to flex&mdash;makes it susceptible to early signs of aging. &ldquo;Everyone has &lsquo;extra&rsquo; skin above their knees&mdash;without it, we wouldn&rsquo;t be able to bend them,&rdquo; says Dr. Mraz Robinson. &ldquo;When you pair that &lsquo;extra&rsquo; with the frequent movement of this area and the natural declines of collagen and elastin in the skin as we age, you will start to notice skin laxity.&rdquo; Sun damage, weight loss and weight gain, genetics, and gravity all contribute to knee wrinkles and sagging in patients across ethnicities and body types, adds Dr. Mahmood. Beyond loose skin, it&rsquo;s not unusual to store some fat above the knees, which can manifest as folds.&nbsp;<\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-how-can-you-fix-saggy-knees\"><strong>How can you fix <\/strong><strong>saggy knees<\/strong><strong>?<\/strong><\/h2><p>For those hoping to rehab this region, there exist both nonsurgical and surgical solutions. Generally speaking, doctors find that combining energy-based devices with collagen-growing injectables works best for improving mild to moderate laxity on patients of all skin tones who are within range of their ideal body weight. If sagging is more severe, surgery&mdash;removing excess fat and\/or skin&mdash;could be considered in lieu of or along with noninvasive measures, Dr. Mahmood tells us. Here, a rundown of the best options.<\/p><h3 class=\"wp-block-heading\" id=\"h-biostimulator-injections\"><strong>Biostimulator injections<\/strong><\/h3><p><a href=\"https:\/\/www.realself.com\/nonsurgical\/radiesse\">Radiesse<\/a> (calcium hydroxylapatite) and <a href=\"https:\/\/www.realself.com\/nonsurgical\/sculptra-aesthetic\">Sculptra<\/a> (poly-L-lactic acid, or PLLA) are considered biostimulators because they trigger our bodies to produce collagen proteins. In its unadulterated form, Radiesse is a brawny paste&mdash;thicker than a <a href=\"https:\/\/www.realself.com\/nonsurgical\/restylane\">hyaluronic acid gel<\/a>&mdash;delivering instant oomph in addition to long-term plumping, courtesy of fresh collagen. Sculptra, on the other hand, is a syrupy liquid, which gets absorbed by the body within about 48 hours, leaving behind PLLA particles onto which new collagen grows. When the initial swelling from this shot dissipates, you&rsquo;re back to baseline, waiting (at least six weeks) for that promised collagen production boost.&nbsp;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Radiesse?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Radiesse\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><p>When treating the knees and other thin-skinned body parts, doctors like to dilute or <a href=\"https:\/\/www.realself.com\/news\/diluted-radiesse-tighten-skin\">hyperdilute<\/a> these fillers by adding more saline and\/or lidocaine than they normally would for the face. This not only enhances the products&rsquo; spreadability, but &ldquo;when the products are made hyperdilute, they&rsquo;re able to stimulate more fibroblasts&mdash;and thus more types III and I collagen&mdash;in comparison to their nondilute form,&rdquo; explains Dr. Mraz Robinson.<\/p><p>As for which is right for you? Well, &ldquo;there are no head-to-head trials comparing dilute Sculptra to Radiesse,&rdquo; notes Dr. Mraz Robinson. That said, when she wants a greater volume of product to work with, such as when treating the knee skin or buttocks, she tends to choose Sculptra over Radiesse&mdash;the solution simply covers a wider expanse. Of course, your doctor may feel differently&mdash;and our experts say that both are solid options for rejuvenating the knees.<\/p><p>Interestingly, while many patients prefer straight Radiesse to Sculptra for facial filling&mdash;appreciating the out-of-the-gate inflation it gives&mdash;diluting the paste for body-refining purposes changes its properties a bit&mdash;and sort of levels the playing field between the two biostimulators. In fact, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6467620\/\" target=\"_blank\" rel=\"noreferrer noopener\">recent Radiesse data<\/a> shows that &ldquo;the higher the dilution used, the smaller the immediate volumizing effect&rdquo;&mdash;so, as with Sculptra, significant improvements may not be obvious for several weeks.&nbsp;<\/p><p>Both injectables can require multiple syringes or vials (at roughly $1,000 each) and repeat treatments, for results that last upwards of two years.&nbsp;<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/BWfJpUnFMSL\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"13\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/BWfJpUnFMSL\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/BWfJpUnFMSL\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Dr. Janelle Vega (@drjanellevega)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><h3 class=\"wp-block-heading\" id=\"h-ultrasound-therapy\"><strong>Ultrasound therapy<\/strong><\/h3><p>Both ultrasound OG <a href=\"https:\/\/www.realself.com\/nonsurgical\/ultherapy\">Ultherapy<\/a> and newcomer <a href=\"https:\/\/www.realself.com\/nonsurgical\/sofwave\">Sofwave<\/a> use heat to drive collagen and elastin production&mdash;a process that &ldquo;generally takes at least a month and continues for six months,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/arisa-ortiz-san-diego-ca\">Dr. Arisa Ortiz<\/a>, a board-certified dermatologist in San Diego. &ldquo;The new collagen that is made is shorter and tighter than old long-and-stretchy collagen&rdquo;&mdash;and serves to modestly tighten loose skin and improve elasticity on the legs over time. While some people need only one session (at $1,500&ndash;$3,000), your provider may recommend two or three, for maximum payoff.<\/p><p>According to Dr. Ortiz, Sofwave is more comfortable than Ultherapy, thanks to its built-in cooling mechanism, and also tends to be a faster treatment. Another point of distinction: Sofwave delivers energy at a fixed depth of 1.5 millimeters&mdash;roughly the thickness of facial skin&mdash;whereas Ultherapy can operate at variable depths (1.5 mm, 3 mm, and 4.5 mm), potentially targeting deeper types of tissue. In Dr. Mahmood&rsquo;s experience, Ultherapy &ldquo;can cause fat loss if it penetrates to the subcutaneous layer [below the dermis] based on depth settings.&rdquo; Acknowledging that this concept of fat atrophy via ultrasound is somewhat controversial&mdash;the evidence is largely anecdotal&mdash;Dr. Mahmood adds that while this side effect is undoubtedly deleterious to an aging face, it can actually be beneficial around the kneecaps, if excess fat is contributing to folds and laxity.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CG0EHxsjTEi\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"13\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CG0EHxsjTEi\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; 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font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/CG0EHxsjTEi\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Dr. Shereene Idriss (@shereeneidriss)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><h3 class=\"wp-block-heading\" id=\"h-radiofrequency-microneedling\"><strong>Radiofrequency microneedling<\/strong><\/h3><p><a href=\"https:\/\/www.realself.com\/nonsurgical\/microneedling-rf\">RF microneedling<\/a> devices, like <a href=\"https:\/\/www.realself.com\/nonsurgical\/vivace\">Vivace<\/a> and <a href=\"https:\/\/www.realself.com\/nonsurgical\/morpheus8\">Morpheus8<\/a>, charge clusters of ultrafine needles with radiofrequency energy, allowing them to heat the dermis and galvanize collagen and elastin synthesis. Some machines, like the Morpheus8, can deliver energy deep enough to reduce fat on the body. Around the knees, a series of treatments (at approximately $1,500-plus each) can smooth crepey skin and subtly firm things up after several weeks. Certain RF microneedling treatments &ldquo;can be pretty painful,&rdquo; warns Dr. Mraz Robinson. &ldquo;Most patients will need injectable lidocaine for comfort, and healing [of scabbing and bruising] can take 7 to 10 days.&rdquo;<\/p><p>On the skin-care front, Dr. Mraz Robinson has found that following radiofrequency- and ultrasound-based treatments with regular use of <a href=\"https:\/\/www.alastin.com\/products\/transform-body-treatment#benefits\" target=\"_blank\" rel=\"noreferrer noopener\">Alastin TransFORM Body Treatment<\/a>, a peptide-enriched lotion, can measurably bolster the firming effects of these procedures.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Vivace?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Vivace\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h3 class=\"wp-block-heading\" id=\"h-fat-and-or-skin-removal-surgery\"><strong>Fat- and\/or skin-removal surgery<\/strong><\/h3><p>If damaged collagen isn&rsquo;t solely to blame for saggy skin around the knees, then treatments aimed at repairing the protein aren&rsquo;t going to cut it. &ldquo;It&rsquo;s crucial to determine if the appearance of the knees is due to fat, skin laxity, or a combination of both,&rdquo; points out Dr. Mahmood. When there&rsquo;s excess fat around knees, &ldquo;<a href=\"https:\/\/www.realself.com\/surgical\/liposuction\">liposuction<\/a> is the recommended treatment versus injectables or devices,&rdquo; she adds. (For the record, internet-hyped exercises for saggy knees will likely not reduce knee fat or cinch up the skin on your knees in a noticeable way. &ldquo;Knee exercises, like leg extension, squats, hamstring curls, and calf raises, are generally focused on the surrounding muscles&mdash;particularly the quadriceps, hamstrings, calves, and glutes,&rdquo; Dr. Mahmood says. By helping to build those muscles, they can, in fact, strengthen the knee and encourage fat-burning in the area, she explains, but &ldquo;they&rsquo;re not specifically targeted to shed knee fat.&rdquo;)<\/p><p>When we eliminate knee fat, sometimes skin laxity can worsen, it&rsquo;s worth noting, so doctors will commonly follow lipo with some form of nonsurgical skin tightening&mdash;unless the amount of excess skin demands a more powerful procedure. Knee lift surgery &ldquo;is an option for those with moderate to severe laxity,&rdquo; she says, assuming they&rsquo;re relatively healthy nonsmokers within 30% of their ideal body weight. The surgery involves removing a crescent-shaped section of tissue above the knees&mdash;carefully and judiciously, she stresses, as taking too much can hinder the normal bending action of the knee and leave a thick, conspicuous scar.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Doctors find that combining energy-based devices with collagen-growing injectables works best for improving mild to moderate laxity.<\/p>\n","protected":false},"author":118,"featured_media":20316,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9072],"tags":[35,19444,9967],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Best Treatments for Fixing Saggy Knees | RealSelf News<\/title>\n<meta name=\"description\" content=\"Doctors find that combining energy-based devices with 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