My lower half of my legs are sagging. Can I achieve any improvement with workout alone? (photos)

It's not unusual for massive weight loss patients to develop loose, saggy skin. This can affect almost any area of the body. When this situation arises, it's virtually impossible to correct this problem without removing this excess skin.We frequently see patients who are eager to avoid surgery and the associated recovery. These patients are often fearful of surgery. For this reason, these patients often consider diet, exercise and non-surgical methods of treatment. Unfortunately, none of these approaches address loose, saggy excess skin.If you're concerned about loose thigh skin, consultation with a board certified plastic surgeon with experience in this area is appropriate. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

I use liposuction, fat grafting techniques and a variety of body contouring
procedures to achieve as smooth a result as possible with the fewest
scars. I would search for the surgeon who you feel is most likely to
give you
the best results. Look at reviews and before and after pictures on that
surgeon's website.Kenneth Hughes, MDLos Angeles, CA

Thanks for your question.  This is a common problem after weight loss and fluctuations in weight.  Contouring liposuction can help.  There are new Radiofrequency devices such as Vanquish and Thermilase that are promising.  

Hello and thank you for your question. As far as I can tell from your photos, I believe that you may obtain a good result with a spiral thigh lift. This will tighten your upper inner thighs, lift the ptotic (hanging butt) and even give you the chance to augment your buttocks with your own tissue. As far as the knees.  This is more difficult and I would suggest liposuction for this, most likely Vasor which is a form of ultrasound that can tighten the skin somewhat. Consult with a p.s. who specializes in these types of operatiins.Peter Fisher M.D.