How can I improve my jiggly, dimpled and wavy legs? (photo)

Question

Hi. 49-yr old female, 23% body fat overall, active/ fitness instructor with a mostly clean diet. Over the past few years I've grown to hate my legs. They have become jiggly, dimpled and wavy. It would be one thing if I didn't have any muscle tone, but I actually have a lot-- my thigh muscles are quite large, in fact-- but it doesn't help their appearance. I've tried a few things over the past couple years... Qwo (minimal improvement), Morpheus 8 (just did the back of one leg, it looked better but was too painful to continue without sedation), Thermage (did absolutely nothing). I also did Airsculpt thinking it was fat, and that was a mistake. They removed a pound of fat from my flanks and inner thighs, and it caused some ripple irregularities plus I think made me gain fat on the anterior thigh. I'm hesitant to throw the kitchen sink at this and make things worse. Would Bodytite or something like Renuvion (or Renuvion with a little liposuction) be useful? Or am I doomed to have a thigh lift? Photos attached in natural light, fluorescent light and sunlight (which is really where it looks bad). I know aging is a privilege, but... surely something out there can improve this? Any help or opinions are appreciated!

Danielle Shanley, MD · Answer

When treating concerns like laxity and dimpling it can take multiple modalities. True cellulite dimples can be treated with Aveli. This is a minimally invasive treatment where the provider will go beneath the skin to cut septa bands - these are what tether your cellulite dimples down. After this morpheus 8 will be performed to help stimulate collagen production and continue to smooth out the skin. Bodytite is a skin tightening, fat removing treatment. Radio frequency is used to stimulate collagen and melt small amounts of fat, then minimally invasive liposuction to remove the fat. This is also followed up with morpheus 8 to continue the skin tightening/ collagen production. The combination of the 2 treatments would give good visual improvements for your concerns.

Camille Cash, MD · Answer

From the submitted photos you appear to have a combination of cellulite and some skin mild skin laxity.  BodyTite should help to encourage the skin to tighten.  It uses RF technology just under and on top of the skin surface.  No general anesthesia is required but you may be given medication to relax you. Aveli can be used to treat the cellulite by cutting the septa bands causing the "cottage cheese" appearance.  I've included a video that I hope you find helpful.  You can also find more information by visiting my website.

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