Can Thermage or Pellefirm help this sagging thigh skin? (Photo)

Non surgical options give only mild improvement compared to surgical lifting. Based on your photos, you have a lot of loose skin and laxity, which can be improved with a thigh lifting procedure, and can be combined with high definition liposuction for the best results with skin tightening and definition. I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the best skin tightening result. Alternatives would be a combination approach with vanquish, venus legacy, exilis, celllutone/Zwave. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Thermage® is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after! Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort. On the face, Thermage® can treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. Around the eyes, Thermage® can treat under eye bags, hooding, rough texture on the eyelids, wrinkles and fine lines, and other contributors to tired looking eyes. Elsewhere on the body, Thermage® can treat wrinkled, sagging or bulging skin as well as the appearance of cellulite! While you will see an improvement immediately, Thermage® usually takes up to 6 months to see the maximum result and this improvement is said to last approximately 18 months. Often patients repeat Thermage® more often to get additional tightening. It's important, of course, to make sure you see a board certified plastic surgeon or dermatologist because results can be variable depending on who is performing the procedure.  

There are different tips for the body, face, and eyes for Thermage.  It is definitely operator dependent and you need to consult an expert in Thermage for the best results.  Thermage also works very well on reducing the appearance of cellulite.  I often combine Coolsculpting with Thermage for the best combination results.  Best, Dr. Green