What are my options to improve legs? (Photo)

Thank you for your question. Looking at the photos you have provided I would suggest doing some liposuction of the inner and outer thighs and some cellulaze. Liposuction will help reduce the size of the legs and cellulaze will help with skin tightening and cellulite treatment. Although cellulaze won't get rid of 100% of the cellulite we do typically see a nice improvement. I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate you and make a surgical plan. Best of luck to you.

Thank you for your question, your history, and your pictures. Since you specifically said, you do not want a thigh lift, your options are limited. The options include Morpheus 8, J plasma, and possibly liposuction with VASER. I would be very conservative with liposuction because you may have more wrinkles and dimpling due to further liposuction. In my opinion, your best results would be obtained with a thigh lift. Unfortunately, you do not want that procedure. Therefore, the next best option, in my opinion, would be Morpheus 8 treatment. You may need three or more treatments to effectively get the results that you desire. If you do embark upon liposuction, I would suggest you definitely have a VASER liposuction procedure, but the procedure should be minimal. Your surgeon should not be aggressive withthe technique because you may end up with more skin ripples than you currently have. I hope this helps answer your question regarding options to treat your thighs.

Sincerely,
Dr. Katzen

Dear Lagomorphy,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From your photos you can consider liposuction of the thighs. Adding J-Plasma may be helpful for skin tightening as well. As an in person consultation is always best, visit with a board certified plastic surgeon for a consultation. I've included a video on how J-Plasma works that I hope you find helpful.

Thank you, Lagomorphy for your question and photographs.
Photographic evaluation is incomplete without personal examination to give the most appropriate answer
However from the photographs, it seems that,
You have a lot of cellulite and VASER liposuction will help reduce the excess fat and volume while VASER smooth will help lessen cellulite.

Please consult a board-certified plastic surgeon near you and discuss this in detail.
Wish you an alluring look.

There is no skin tightening device or treatment that works other than skin excision.
Don’t believe the hype on Renuvion, body tight, JPlasma or radio frequency treatments.
Liposuction can improve contours to some degree especially saddlebags on the outer thighs. It can have modest improvements on the inner thighs and especially around the inner knee.
Liposuction will however not improve skin quality and can make your skin worse.
Liposuction it will definitely not help cellulite.
Lower extremity liposuction is technically difficult and patients should be realistic about outcomes and highly selective when it comes to choosing a provider if you want to choose that procedure.
The truth is there are no great treatments for women with flabby thighs.
There are certain procedures that have been mastered in plastic surgery. Hair transplants and procedures like facelift and breast augmentations are some of the best.
Unfortunately we just don’t have a good procedures for flabby thighs.
Having surgery and ending up looking just different isn’t necessarily such a great thing.
Ending up looking worse is an awful experience so be careful when consulting for surgical interventions for lower extremities for middle-aged women who don’t like their thighs.
I wish I could be more optimistic.
It is not to say there are no treatments available but home runs are rarely seen from what you’re asking for.
Provider selection and setting realistic expectations is key to high patient satisfaction.
I recommend exclusively having in person consultations with local board-certified plastic surgeons to get assessment and treatment recommendations.
My first hand experience using Renuvion for one year demonstrated no significant skin tightening whatsoever by objective and subjective measures by myself and all of my patients.
In my opinion the treatment simply does not work.
My practice has been focused exclusively on liposuction and fat grafting for the last 10 years. I’ve been a plastic surgeon for 22 years.
I’ve done over 8000 liposuction procedures.
While I currently do not perform thigh lifts that procedures is best reserved for those who have severe skin laxity which you do not have.
Best,
Mats Hagstrom MD