Loose skin over knee after liposuction. What can be done to help it? (Photo)

Question

Hi I had knee liposuction done nearly 2 years ago and since then have had quite alot of irregularities one of the problems is I have an over fold over my knee and it really bothers me, any suggestions that might help it Thank you

Randal Haworth, MD, FACS · Answer

Hello !

For those seeking to minimize fat without the unpleasant consequences of saggy, wrinkly skin, BodyTite offers an excellent solution. This minimally invasive procedure helps enhance skin laxity, especially after weight loss or as a result of aging, by shaping, lifting, and tightening the skin without any noticeable scarring or incisions. The procedure provides results that are similar to those of surgery but without the need for significant downtime.

I hope this helps,

Best of luck !

Thomas Wright, MD · Answer

Natty577 Thank you for sharing your photo. I can see the skin laxity over your knee and unfortunately this can occur after liposuction and unfortunately it occurs more than it should.  
There are two options to improve the skin over the knee and anterior thigh. A revision liposuction with Renuvion or BodyTite skin tightening. Or a thigh lift.  The thigh lift will be the most aggressive and will require a scar on the inside of your thigh. The revision liposuction with skin tightening will be less invasive and may not give as much skin tightening as the thigh lift.  Both are likely to improve the appearance, but may not completely correct the problem. Wishing you the best of health,

Arif Eroglu, MD · Answer

Unfortunately, this is a common problem in women with thin skin and over 40 years of age when liposuction is performed on the front of the leg or above the knee. In patients like you, it is necessary to remove very little fat and to add a skin tightening device such as Laser Liposuction, radiofrequency or Renuvion J-plasma to the treatment. Unfortunately, when such treatments are not added, the skin tightening after Liposuction is insufficient and the skin accumulates above the knee. The only thing that can be done for you at this stage is skin tightening treatments to be applied without liposuction.

Giuseppe Fiore, MD · Answer

Hello,
Thanks for your question and photo. The above knee areas is very challenge area to treat. 
Loose skin over the knee area after liposuction can be a quite common concern for patients who have undergone the procedure. The extent of loose skin will depend on several factors, including the amount of fat removed, skin elasticity, and the patient's age and surgical technique. 
Based on the picture, in my opinion the first option should be a surgical lift: this procedure involves removing excess skin and some fat in excess (if required) from the knee area. However this approach is a rather invasive procedure that necessitates a lengthy scar on your knee areas. 
 If you are not keen on undergoing this surgery, then the second, less invasive option would be either Bodytite or Renuvion/J Plasma. This procedure boosts the likelihood of skin tightening, reducing the risk of "saggy" skin. 
There are also non-surgical options that can improve the appearance of loose skin. Some common skin tightening treatments that may be recommended include : 
 - Microneedling in combination with radiofrequency : e.g. Morpheus 8 for body 
- Ultrasound in combination with Radiofrequency : e.g. exilis Ultra 360 
The non-invasive treatments typically requires several sessions for better results.

In my clinical practice, if the patient refuses to undergo to surgical lift, then I offer an alternative option : bodytite (one session) in combination with Morpheus 8 ( 3 sessions 4-6 weeks apart) or Renuvion/J plasma ( 1 session). It is important to note that Morpheus 8 is a safe and effective treatment when performed by a qualified doctor. The treatment is minimally invasive and has a short recovery time.
I would like to wait 3 to 6 months and re assess the patient and consider surgical lift IF required based also on patient's expectations.  
It is essential to perform a thorough medical evaluation during an in-person consultation to evaluate the quality of your skin (elasticity, skin irregularities, excess skin ) and some localized fat that must be addressed in order to make a bespoke treatment. 
Best Wishes, 
Dr Giuseppe Fiore

Loose skin over knee after liposuction. What can be done to help it? (Photo)

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