Best Procedure to Tighten Loose Skin on Upper Thighs?

Question

I am a 30yr old, active mother of a 4 yr old. I only gained about 30 lbs during pregnancy and bounced back to pre-baby weight pretty quickly. The problem, no matter how much I excercise, my upper thighs and my bottom sag. Nothing drastic, but enough that I am very self conscious in shorts or a bathing suit. My body from my hip bones up is very toned & tight also, for my height (5 ft 2) I am a healthy weight (110-113 lbs). My legs look years older than the rest of me, best options??

Sheila S. Nazarian, MD · Answer

The best body tightening results I have seen without surgery are with BodyTite and Sculptra.  BodyTite is minimally invasive and causes skin contraction over months.  Sculptra builds collagen over months as well.My best,Dr. Sheila Nazarian

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Christopher Balgobin, MD · Answer

Thanks for the question.
I believe the best option for crepey skin is a combination of J-plasma and Sculptra injections. Sculptra will help build collagen and the J-plasma with help tighten and firm up the skin.

David Shafer, MD, FACS · Answer

The thighs are a difficult area to treat. If you just have fullness, then liposuction may be the best option. However if you have loose skin, then you likely need a thigh lift. The incisions can vary widely and clan only be determined by examining you directly. If you post pictures, we may be able to give you more specific advice. Good luck.

Chaitali Nangrani, MD · Answer

Very quick and effortless, Venus Freeze treatments are effective in circumference reduction, improving cellulite, tightening skin in the face, neck and entire body, and reducing the appearance of wrinkles. We promise to provide you with a safe, pleasant, pain-free experience in treatments for the body and face parts, including arms, abdomen, thighs, buttocks, neck, and face.

Aaron Stone, MD · Answer

You have alluded to the answer in your question i.e. if the thigh and buttocks sag the correct treatment is to lift them. Without photos or a face to face examination it would be impossible to say what treatment approach would be best or even if surgery is a good option. I would be reticent to perform a thigh buttock lift in a 30 year old who is not a massive weight loss patient because patients who do not have a lot of excess skin like after massive weight loss are never happy with the scars after a thigh buttock lift. The scar trade off is better tolerated if a lot of hanging skin is removed.

Richard P. Rand, MD, FACS (retired) · Answer

The problem you describe is tough because you are too young and in too good shape to tolerate the scars from a thigh lift. These are generally reserved for massive weight loss patients for whom the scars are a reasonable trade-off for massive excess skin. Also, the non-surgical treatments like Thermage are quite disappointing and not worth the money and pain. All most people can do realistically is get a personal trainer and add strength to the muscles underlying the loose skin and drape the skin over more muscle volume thus thightening it. Also, avoid serious sun exposure as this will only worsen your elasticity over the next 15 years.

Best Procedure to Tighten Loose Skin on Upper Thighs?

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