Saggy skin post lipo. Would a knee lift be the best and only option to smooth out the sagging skin? (Photo)

Question

I had lipo in 2014 (about 9 years ago) above my knees and on the inside of my knees. I don’t know if it matters but I still have some fat on my quads which wasn’t part of the procedure. Would a knee lift be the best and only option to smooth out the sagging skin? Is there any non-invasive treatment to smooth out the saggy skin? Is the fact that the fat was removed from that area above the knee and loss of volume the main reason for the laxity? I can’t believe it’d solely be cause of aging.

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

Fulvio Correa, MD · Answer

Hello I hope you are well. You´ll see, it is a little bit of both the loss of volume and of course aging, the human body tends to lose collagen with age therefor the skin will be a little more flacid as years go by and if on top of it you take out the content as in this case the fat, this is an expected result, you could try radiofrequency (Morpheus) this may help you tighten the skin a little bit. But if what you want is something more definitive the lifting is the best option, remember it is not goin to look as tighten as you may wish ´cause is above the knee and you will need a little skin so you can bend them, so my advice is to go for the radiofrequency first.

Mats Hagstrom, MD (license on probation) · Answer

Joints that I have significant range of motion need to have skin redundancy to compensate. To make an assessment on the outcome of a plastic surgery procedure we generally always need to see proper before and after pictures. If you don’t have your before and after pictures and ask your surgeon to forward the ones they took. there’s no good treatment to deal with the skin redundancy, which only forms when your leg is extended. The skin redundancy allows flexion of your knee without undue tension. I think you need to accept the results for what they are and not try to revise the outcome.
Best,
Mats Hagstrom, MD

Saggy skin post lipo. Would a knee lift be the best and only option to smooth out the sagging skin? (Photo)

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Saggy skin post lipo. Would a knee lift be the best and only option to smooth out the sagging skin? (Photo)

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