Would skin tightening or lipo help with the sagging appearance behind my thighs? (Photos)

Question

I had previously went from 175lb to 90lbs and am now 135lbs. i included picture because i don’t really know how to describe it but the area behind my thigh, right beneath my butt seems so sag. i was wondering was procedure would help minimize the appearance of the sagginess.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing the details and photos—it really helps to understand what you’re describing. From your description, it sounds like the sagging you’re noticing behind your thighs is mostly excess or lax skin, rather than excess fat. This is common after significant weight fluctuations like what you’ve experienced.

Liposuction primarily removes fat, but it does not tighten loose skin. So if the sag is mostly skin, liposuction alone may not improve the appearance and could even make the skin look looser. On the other hand, skin tightening treatments—like radiofrequency, ultrasound, or energy-based devices—can help mildly to moderately improve skin laxity. However, for more significant sagging, surgical options such as a thigh lift are usually the most effective way to smooth and contour this area.

It’s also worth noting that combining modest fat reduction with skin tightening can sometimes give a better overall result if there’s both residual fat and skin laxity. Maintaining healthy hydration, skin care, and muscle tone can support the results but won’t fully reverse loose skin.

So, in short: liposuction alone likely won’t fix the sag, non-surgical skin tightening may offer mild improvement, and surgery would give the most noticeable and lasting change if the sag is significant.

Would skin tightening or lipo help with the sagging appearance behind my thighs? (Photos)

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