Given your preferences and the presence of a copper IUD, which may limit certain treatment options, here are some non-surgical options that can potentially help tighten skin on the thighs (upper legs): Radiofrequency (RF) Treatments: RF treatments like Thermage, Venus Legacy, or Exilis use radiofrequency energy to heat the deeper layers of the skin, stimulating collagen production and tightening loose skin. These treatments are non-invasive and can be effective for mild to moderate skin laxity. Ultrasound Treatments: Ultrasound-based treatments such as Ultherapy use focused ultrasound energy to target and tighten the deep layers of skin and stimulate collagen production. This can lead to gradual skin tightening over time. CoolSculpting with CoolTone: CoolSculpting is a non-surgical fat reduction treatment that freezes and eliminates fat cells. CoolTone, a related treatment, uses electromagnetic muscle stimulation (EMS) to strengthen and tone muscles in the treated area, which can help improve overall thigh contour and indirectly enhance skin appearance. Laser Treatments: Laser technologies such as laser skin tightening (e.g., Titan) can heat the dermis and stimulate collagen production, improving skin elasticity and tightness. Topical Treatments: While not as effective as the aforementioned procedures, some topical creams and lotions containing ingredients like retinoids, peptides, or antioxidants may provide mild improvements in skin texture and elasticity. When considering these options: Consultation: It's crucial to consult with a qualified dermatologist or plastic surgeon specializing in non-surgical cosmetic procedures. They can assess your skin laxity, discuss your goals, and recommend the most suitable treatment based on your medical history (including the presence of a copper IUD). Realistic Expectations: Non-surgical treatments can provide noticeable improvements in skin tightness, but results may vary depending on the severity of skin laxity and individual factors. Multiple sessions may be required to achieve optimal results. Combination Approach: Depending on your specific concerns, your provider may recommend combining different treatments to address both skin laxity and contouring. By exploring these non-surgical options and working closely with a knowledgeable provider, you can find a solution that meets your goals for tightening the skin on your thighs while considering your medical history with the copper IUD.