CoolSculpting, warm sculpting, or thigh lift? (Photos)

Question

My thighs have been an issue my whole life! Just not sure what Procedure will give me the best results. The main problem area is inner thigh in the back of my thigh. You can definitely grab handfuls of that and lots of jiggle when walking or running.

Jason Emer, MD · Answer

liposuction + internal heating and possibly a spiral "hidden scar" thigh lift maybe needed to give you the results you want. I would use the fat to lift and shape the buttock and hip. thin people needs a very specific VASER HD lipo AND someone who knows how to do thigh liposuction as very few doctors treat this area regularly like me.  
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Shamim Shakibai, MD · Answer

Hello and thank you for your question. 
Judging from your photographs, I would say that CoolSculpting would be a great solution for you. CoolSculpting is ideal for freezing away stubborn pockets of fat at the thighs.

Leonard Grossman, MD · Answer

Your skin quality appears to be good, so it does not appear that you need a thygh lift. If you have sufficient fat present in this area and it's out of proportion to the rest of the thighs, I would consider performing liposuction and only if the skin shows some signs of laxity, I would also add J Plasma tissue tightening. I hope this helps and good luck from New York City plastic surgery

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