Fit and healthy with stubborn fat on inner thigh and knee. Which fat removal treatment am I best suited for? (Photos)

Question

30yr old, 5’5”, 120lbs (estimate) , fit and healthy most of life. Hate saddlebags but they do improve some with diet and exercise. Soft marshmallowy fat at my inner thighs and fat bulge above my knee NEVER go away (even at 110lbs) I want to augment the tone and shape of my legs. 1) which fat removal treatment am I best suited for? 2)Which areas of my leg do I need to treat?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nancy de Kleer, MD, FRCSC (Plast) · Answer

Inner fat and knee fat can be treated well with both liposuction and with Coolsculpting.  We treat these areas very often in our clinic with either modality.

Liposuction is a surgical procedure that can remove the fat in one procedure.   There will be downtime to recovery from surgery.
Coolsculpting is done as an office procedure and has minimal to no downtime, however you may wait a little longer to see the result.
I recommend you have an in person consult.  At a consult the risks and benefits of both treatments  can be discussed and as well, it can be determined if the Coolsculpting device will fit these areas well on your body and whether they will respond well to either treatment or better to one of these treatments. 
Factors that I recommend you consider are expected outcome (will be discussed at consult once you are assessed in person), recovery (downtime), risks, cost.
All the best to you,
Dr. Nancy de Kleer

Samuel Gooldy, MD · Answer

CoolSculpting would help sculpt and tone the inner and outer thighs with a couple of treatments depending on how well your body takes the treatment. The thigh above your knee would also benefit from coolsculpting treatments.

Dean P. Kane, MD, FACS · Answer

Dear alouiset, 
Thank you for sharing your photos. All patients are not perfectly symmetrical. I visualize a mild and normal rotation of your body (known as scoliosis). This may make the appearance of your bulges look different but it may also be the genetic distribution of fat in your otherwise thin and beautifully contoured body. 
I see your concerns for which properly provided CoolSculpting is your best option and value. Always consult with a Board Certified provider with a CoolSculpting Certified and Trained Team.
Your other option is careful contouring and fat harvesting on the fuller inner and outer thighs and fat grafting on the smaller upper buttock for better balance and appearance. Once again, consult with a skilled and artful, Board Certified Plastic Surgeon. 
I wish you the best!

Leonard Grossman, MD · Answer

When I see a photograph that you have submitted, I see a normal and healthy young female. It does not appear that anything should be done on your body but I may be wrong and that is exactly the reason why you should be evaluated by a plastic surgeon in person, when you can explain exactly what it is that you dislike. As a rule a liposuction expert can remove the fat from stubborn areas in a precise manner, creating the results you wish for. I hope this helps and good luck from New York City Plastic Surgery

Fit and healthy with stubborn fat on inner thigh and knee. Which fat removal treatment am I best suited for? (Photos)

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Answer: Stubborn residual fat following diet and exercise in a thin female

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Fit and healthy with stubborn fat on inner thigh and knee. Which fat removal treatment am I best suited for? (Photos)

Answers (5)

Answer: Stubborn residual fat following diet and exercise in a thin female

Answer: Stubborn residual fat following diet and exercise in a thin female

Answer: Bad reduction in the thighs and knees

Answer: Bad reduction in the thighs and knees

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Recommended reading

Everything you need to know about CoolSculpting

Our mission is to create a world where every investment in modern beauty is Worth It.