Thermitight, Ultherapy, Thermage CP for knee wrinkling and sagging? (photos)

Thank you for your question.  I recommend a combination of procedures for optimal results.

ThermiTight utilizes a small electrode inserted under the skin to heat tissue to a selected therapeutic temperature.  Literature has shown that elevating skin to a therapeutic temperature level can contract collagen molecules and stimulate collagen production, which may give the appearance of lifting or tightening.   Fat reduction is rare, unless set to high temperatures and kept at high temperatures for a significant amount of time .

To best answer your question,  it  depends on how much skin laxity you have.   ThermiTight can work well in the thigh area to tighten skin that is mild to moderately lax.  . Surgery may be a better option, if you have excessive laxity.   Results with ThermiTight vary from patient to patient.  You should experience some overall improvement.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thighs are difficult to treat!  I prefer to do VASER lipo on targeted pockets like the outer thighs or inner thighs, possibly above the knee. But lipo doesn't really help the skin quality. We have ThermiSmooth in our office and ThermiTight coming soon. These are both radiofrequency devices. The ThermiSmooth is non invasive and feels like a hot stone massage over 6 treatments to improve the quality of the skin and cellulite. But if you want more then ThermiTight is a probe placed just under the skin to get even more improvement. Specific divots can be filled with fat grafting or an off label use of Sculptra after release. Layering can give the best results but it is a large surface area if considering the entire circumferential thigh. It may also be important to have some type of maintenance plan because unfortunately the clock keeps tickin!

This is loose skin that needs thigh lifting for best improvement.  However, if you are okay with some improvement which will need long term maintenance we use  use sculptra to improve wrinkles and fraxel to improve texture and tone.  However, as regular maintenance you should be doing radiofrequency devices like venus legacy, exilis, vanquish treatments and/or ultherapy.  Profound can improve texture and tighten the skin.  There is nothing that will lift the area or make a dramatic change except for surgery +/- liposuction at same time.  Please see an expert for a consultation.  Best, Dr. Emer.

I can tell you that the ThermiTight does work quite well for wrinkles just above the knees as well as other areas. This is a radio frequency wave instrument that very accurately monitors the skin temperature just beneath  the dermis and the surface of the skin. A certain temperature is necessary to tighten the skin and accuracy is imperative. There is minimal recovery time involved.Thank you for your question and photos.

Knee skin is very difficult to effectively tighten, it is much thinner than skin on the face so doesn't respond as well to non-surgical tightening procedures.   Liposuction will only make the skin appear worse.  Surgical procedures in this area leave bad scars.