Knee fat/bulge on inside of thigh - what surgery is best? (Photo)

Question

Had 8 sessions of Exilis, no change, any suggestions?? Vaser/coolsculpting??????

J. Roberto Ramirez Gavidia, MD, FACS · Answer

VASERlipo® utilizes ultrasound energy for minimally invasive aesthetic body contouring that yields results with less pain and downtime than traditional liposuction. As with any surgery, finding the right candidate for the procedure and a skilled surgeon to perform the surgery is imperative. Schedule a consultation to find out if VASERlipo® is right for you! Best, Dr. RG.

Mark Edward Hennessy, MD · Answer

Power assisted Liposuction is one option. Exilis, Coolsculpting and other non-invasive treatments MAY destroy and dehydrate some fat cells, but these treatments never physically remove fat with the fat cells. Also, one of the side effects of Coolsculpting, paradoxically, is the increase in size of a group of fat cells which results in lumps and bumps. Outpatient lipo., utilizing a topical anesthetic,  results in the permanent removal of without the risk of causing hypertrophy of the fat cells. 
Hope this is helpful.

Jason Emer, MD · Answer

Coolsculpting can be used for fat reduction in the knees. In our practice, we've been using Kybella and getting good results for knee fat. I recommend getting a formal evaluation with an expert to determine the best course of treatment for you. Best, Dr. Emer

Darryl J. Blinski, MD · Answer

Only a small caliber liposuction cannula under local anesthesia would offer the better improvement alternatives in my opinion. Using all these technologies just increases the costs/fees. The fee for 1 side knee lipo $3,000.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Exillis treatment result in minimal to negligible improvement. in soft tissue adiposity and skin contraction.  Instead, VASER liposuction and Renuvion J Plasma currently provide the best option to help improve the appearance of your knees.

The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Radio frequency treatments are not particularly useful for reducing subcutaneous fat. It is certainly not the gold standard.

Liposuction is the correct and last effective way of removing undesirable subcutaneous fat. Results are highly operator dependent but the procedure will definitely remove the fat.

consult with board-certified plastic surgeons in your community.

Best,

Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
Liposuction is the preferred modality. There is a variety of liposuction instrumentation available. Every surgeon has their favorite brand...
Liposuction involves removal of fat through small pipes (cannulas) placed under the skin under extreme vacuum after pretreatment with an infusion of solution containing a blood vessel constrictor (to prevent bleeding) and a local anesthetic (if performed awake). Augmented liposuction utilizes laser energy or ultrasonic energy to semiliquify the fat, making it easier to remove and adds a subtle skin tightening effect.
In general, the experience of the surgeon is more important than the type of instrument utilized.
I recommend you visit a plastic surgeon with considerable liposuction experience and allow him / her to use the instrument with which he / she feels most comfortable.
Coolsculpting is a non-surgical alternative to liposuction and is somewhat less effective.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Kristine Brecht, MD (license suspended) · Answer

Dear Luminous,
The gold standard procedure for removal of stubborn fat collections under the surface of skin and above the muscle is liposuction.
Many types of liposuction exist, and you will want a skilled surgeon who is comfortable with liposculpting as the knee area is a more delicate area to liposuction.
Non surgical surface technologies are unpredictable with results, and may do nothing.
In my hands liposculpting with the smallest cannulas and careful tumescent anesthesia give beautiful results.
Best. DrBrecht 
Seattle, Wa

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