Crepey loose skin on thighs? (Photo)

Question

I had liposuction over 20 years ago on my legs and they have never been the same since. I have had uneven texture, sagging and crepy skin that just continues to get worse. I have never been overweight - I am 5'9" and weigh 130 lbs. I am active and no matter how much I workout I can't firm up my thighs. Is there anything that can be done to smooth or tighten the skin? i am so miserable and now even worse after taking and looking at this photo! Any suggestions would be greatly appreciated.

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

Richard E. Moore, MD · Answer

Thank you for your question and submitting your pictures. It would be natural for your skin to become looser over the years following liposuction. The thighs are an area very prone to this following liposuction. For this reason, I have moved to doing all of my inner thighs with the BodyTite by InMode. This minimally invasive device can tighten the skin by up to 30% while destroying fat cells at the same time. In addition to using it for body sculpting, I also use it as my best option for treating skin laxity. There are a number of radio-frequency based non-invasive devices such as BTL Exilis and Venus Legacy which can tighten the skin to a more limited extent. I recommend consulting with an experienced physician in your area. Realself may help you to identify a provider in your area.

Jean M. Casello, MD · Answer

Looking at your photos it may be that a surgical procedure is your best option.  However if you do not want to have a surgical procedure there are some non invasive or minimally invasive options. You would need to be realistic about the improvement that can be achieved with a non invasive procedure.  We have had very nice results using a combination of coolsculpting  to debulk the fat and  then we tighten the skin  using  either exillis or the lutronic infini.  There are other devices that would work to tighten the skin as well including ultherapy, or thermage.  Consult an experienced provider who can guide you.

Crepey loose skin on thighs? (Photo)

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Everything you need to know about Skin Tightening

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Crepey loose skin on thighs? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Skin Tightening

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