What can be done to treat my dimpled saggy knees? (Photo)

It is possible that a transverse incision above the knee could be used to tighten the skin but it would leave a scar. A longer incision used in a traditional thigh lift could also tighten the skin to correct the contour deformity.

Best Wishes,

Gary Horndeski, M.D.

I reviewed your photo, and the main issues appear to be skin laxity, crepey texture, and some dimpling around the knee rather than simply excess fat. If there is a small pocket of fat around the inner knee, very conservative liposuction may help contour, but liposuction alone can make loose or thin skin look worse if the skin does not retract well.

Non-surgical or minimally invasive options may include radiofrequency skin tightening, RF microneedling, ultrasound-based tightening, or biostimulatory treatments, though results in the knee area are usually modest and require realistic expectations. If the laxity is more significant, a surgical skin excision or lift can improve loose skin but leaves scars and must be planned carefully. An in-person exam with a board-certified plastic surgeon or experienced aesthetic physician is the best way to decide whether the problem is skin, fat, cellulite-type tethering, or a combination.

Thank you for your inquiry! We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals!

Hello; possibly, after former Liposuction or trauma; potholes have formed. If there is not much pitting and there is no area to remove fat; with FDA approved body fillers such as (Hyacorp Body, Lanluma V, Sculptura); potholes can be filled. If there is a zone; where around 50-100 cc of fat will be removed; with micro fat grafting; lipofilling can be realized.

Hello,
Thank you for your question regarding options to address sagging around your knees. Based on your history and the pictures provided, it seems that cellulite is the primary concern. Cellulite is often caused by the contraction of fibrous bands that connect the skin to underlying fascia. Here are two main treatment options to consider:
Cellulaze Treatment: Cellulaze is a specialized procedure designed to cut through these fibrous bands and release the skin, helping to reduce the appearance of cellulite. This treatment can effectively address the dimpling and uneven texture often associated with cellulite.
Specialized Liposuction Technique: Although traditional liposuction might not be suitable in your case due to the lack of excess fat, specialized liposuction techniques focus on cutting the fibrous bands without removing fat. In this procedure, the suction feature of the liposuction machine is turned off, and a specialized cannula is used to target the fibrous bands causing the cellulite.
Considering your situation, where excess fat is not a significant issue, I would recommend exploring the Cellulaze treatment or the specialized liposuction technique that targets fibrous bands. These options are less invasive than a medial thigh lift, which involves removing skin and fat and may be too extreme for your needs.
It's important to consult with a board-certified plastic surgeon who can assess your specific case and recommend the most appropriate treatment. They can provide you with detailed information about each procedure, including expected outcomes and recovery times.
I hope this guidance helps you in making an informed decision about the best way to address sagging around your knees.
Good luck with your treatment.
Sincerely,
Dr. Katzen

I would suggest tightening the skin with radiofrequency like Renuvion and combined with micro-needling and radiofrequency like Secret. Lose skin is the culprit.

Based on 1 posted photo my guess is superficial liposculptre with J-Plasma in combination. Fee $4,000 under local anesthesia with IV sedation. Best to virtual consult with...

I think you’re going to find most treatments to be disappointmentIng. The only realistic treatment option is Liposuction, but that will only give improvements on the knee only.
I suggest you save your money.
Best,
Mats Hagstrom, MD.