What causes the sagging/dimpling on the back of my thighs when I bend my leg after VaserSmooth? Would BodyTite help? (photos)

Question

Whats causing the dimpling on the back of my thighs when I bend my knee. I attached photos. Is it cellulite? Sagging skin? Fat? I had vasersmooth and am happy with the results but that's still there. Is it even cellulite or is something else causing it? I'm looking into Bodytite but would that help? I have an Appt with my doctor next week but I wanted to get some second opinions based on the pictures before I go in. Thanks!

Jason Emer, MD · Answer

back of the legs start to sag with age* internal heating like Renuvion or bodytite can help* Sculptra injections to build collagen* external heating like regular treatments of RF with Inmode forma/contoura, Exilis ultra, Venus legacy* microneedling RF with morpheus8* surgical skin removal and lifting can also helpYou need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Kenneth Hughes, MD · Answer

BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues.  It can be combined with liposuction to improve contours dramatically.  Results can be seen immediately after one treatment and are more evident over three to six months post-treatment. Wait until six months to fully evaluate the aesthetic results. Consult with an expirenced board certified plastic surgeon for a proper evaluation. 
Best of luck.

Jeff Rapaport, MD · Answer

After  liposuction removes fat, the skin may not fully retract. Lax skin can be improved with the new Profound unit and Skin Tite. Multiple sessions may be required.Jeff Rapaport MD FAADRealself All-star

Michele S. Green, MD · Answer

There are a few things that give the skin that appearance.  Patients who have had liposuction can have this dimpling and patients with cellulite as well.  Unfortunately there is no good way to fix this condition if it is from liposuction.  Cellulite, on the other hand, responds very well to Thermage.  Thermage will produce new collagen and tighten the skin and improve the appearance of saggy skin as well.  Please consult an expert in Thermage for the best cosmetic results.  Best, Dr. Green

What causes the sagging/dimpling on the back of my thighs when I bend my leg after VaserSmooth? Would BodyTite help? (photos)

Answers (4)

Answer: Thermage to help with Sin tightening

Answer: Thermage to help with Sin tightening

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What causes the sagging/dimpling on the back of my thighs when I bend my leg after VaserSmooth? Would BodyTite help? (photos)

Answers (4)

Answer: Thermage to help with Sin tightening

Answer: Thermage to help with Sin tightening

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Recommended reading

Everything you need to know about BodyTite

Our mission is to create a world where every investment in modern beauty is Worth It.