Which non surgical skin tightening procedure would deliver the best results? (photo)

Question

49f, 5'6", 145#. Lost 45#, losing 15-20# more, loose skin on thighs/knees. I know thigh lift gives most dramatic results, but not an option & don't want lipo. Told BodyTite/Renuvion require lipo causing more loose skin &may not be able to tighten enough, so may not be helpful. Don't expect to look 30& pre-kids; just want to look ok at beach, so even *a little* bit will help me mentally. What's my best option? Will Thermage/Skintyte/Ultherapy/ThermiTight work?

Ajaya Kashyap, MD · Answer

Thank you for your query. The best non surgical skin tightening procedure, that I know of, is invasive Radio-frequency. Bodytite is one, though I use ThermiTight which has given me very good results, better than non invasive treatments like Thermage. There is no need for liposuction and moderate improvement can be achieved. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Chad Deal, MD · Answer

I respectfully disagree with whomever told you that the bodyTite or renuvion would make the skin looser. It is true at least with renuvion that you want to make holes into the adipose layer for the helium gas to get in, but this can be done without liposuction. These treatments should never make the skin looser and only improve it or worst-case not help much.
I would not only recommend those treatments, but also would combine them with superficial microneedling RF with the best in class devices, the Sylfirm or the Morpheus8.
As a final trick to tighten the skin throughout the thigh you could consider putting in hyperdilute Radiesse to build up a nice sheet of collagen.
And of course, it’s most important to go to a practitioner that has a large amount of experience with all of these modalities and successful case studies

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Navjot Singh, MD, FACG · Answer

While all the mentioned techniques (Thermage, Skintyte, Ultherapy, and ThermiTight) have their own merits, one treatment I'd highly recommend considering is Renuvion. Contrary to some beliefs, Renuvion doesn't always require simultaneous liposuction. It's a minimally invasive technique that uses a combination of helium plasma and radiofrequency energy to cause skin tightening by promoting collagen production. This can be quite effective for addressing loose skin, even in areas such as the thighs and knees. Of course, expectations need to be realistic. Renuvion can provide noticeable improvement, making your skin appear firmer and more youthful.

Michelle Copeland, MD, DMD · Answer

Thank you for your question. Thermage® is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after! Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort. Thermage® can treat wrinkled, sagging or bulging skin as well as the appearance of cellulite, including on thighs and knee area. While you will see an improvement immediately, Thermage® usually takes up to 6 months to see the maximum result and this improvement is said to last approximately 18 months. Often patients repeat Thermage® more often to get additional tightening. It's important, of course, to make sure you see a board-certified plastic surgeon or dermatologist because results can be variable depending on who is performing the procedure.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  The skin on the inner thighs is thin. An in person exam is best but you may need to consider a thigh lift.  Non surgical options like BodyTite and Morpheus8 may give you some improvement but if the skin is too lax it may not be the best option.

Which non surgical skin tightening procedure would deliver the best results? (photo)

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