Hi Saggybutt76 in Houston, TX, Thank your question regarding the fact that the lower half of your legs are sagging and whether you can achieve any improvement with workout alone. Thank you for your history and your pictures. With a 160-pound weight loss, your skin has stretched and broken many elastic fibers. This amount of stretch is significant stress on the skin. However, looking at your pictures, you do not have many stretch marks or loose skin. This is probably due to excellent genetics and your relatively young age. Most plastic surgeons would suggest you exercise and work out your legs more. Most plastic surgeons would suggest weight training with the leg press and squats. You could also engage the stairmaster to improve results for the gluteus maximus. Consider a personal trainer. You failed to include your height and weight, which are very important for calculating your BMI and determining whether you need to lose more weight. Also, you need to determine your body fat percentage. Most plastic surgeons recommend exercising vigorously for 6 to 8 months. If you still cannot get the results you wish, consider plastic surgery procedures. Since it’s mostly a skin issue for you, these will require incisions like a longitudinal vertical medial thigh lift with an incision from the groin (thighplasty), either partially down the inner thigh or all the way down to the knee. If your buttock bothers you, you may want to consider either an autologous fat transfer or BBL. If you want the buttock size reduced and lifted, you may need a posterior body lift with an incision extending across the top of the buttocks. Either way, most plastic surgeons suggest you aggressively exercise and then reassess your body after dedicated weight loss and muscle training. Good luck. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. I hope that I have answered your questions regarding the thigh reduction and specifically, the fact that the lower half of your legs is sagging, and whether you can achieve any improvement with a workout alone. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, thighplasty, crescent thigh lift, buttock lift, BBL, or thigh lipo, contact an experienced plastic surgeon. If you cannot find an experienced plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
