Best treatment to improve loose skin and cellulite on backside? (Photo)

Question

Despite a low BMI (~19) and an active lifestyle, I have always struggled with the appearance of my backside. I have tried Qwo, Emsculpt, and Thermage, none of which seemed to help at all. Does anyone have procedure recommendations for what else may improve the appearance of this area?

Randal Haworth, MD, FACS · Answer

I would use the Environ Roller-CIT (which stands for collagen induction therapy). It promote collagen induction and offers great results for cellulite/stretch marks. Renuva could also be used to “fill” the irregularities.

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

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

John Michael Thomassen, MD · Answer

I would recommend power assisted undermining with fat grafting.  This should help reduce the fasciocutaneous septae that are causing the dimpling and fill the deeper irregularities.

Camille Cash, MD · Answer

You appear to be a great candidate for Aveli.  This treatment is specific to addressing cellulite by severing the connective tissue bands that create the dimpled look.  The one time treatment is done in the office and no general anesthesia is required.  See my website or an experienced provider near you to learn more.

Best treatment to improve loose skin and cellulite on backside? (Photo)

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