Kybella for knees - should I consider skin tightening at the same time?

Question

I'm a 58 year old female who had liposuction done on my knees 3 years ago. Too much fat was removed above knee leaving me with sagging skin, poor contours and a bulbous look to my knees. Then I had Ultherapy which made it look worse. It caused more fat loss on my thighs, worse contours and uneven pockets of fat around my knee. Is Kybella a good option for these pockets of fat surrounding and in front of knee cap? Should I consider skin tightening treatment at same time? Renuvion?

Mats Hagstrom, MD (license on probation) · Answer

There are a lot of issues going on here.
To start with I don’t think you were a good candidate for Liposuction at the age of 58.
Individuals who get quality liposuction results tend to be young people who have good skin elasticity and don’t have any issues with skin laxity.
People your age simply are not good candidates for Liposuction.
The next issue is the anatomic area.
It is not an area that responds well to Liposuction at all.
Have you seen a lot of quality before and after pictures of other patients having the same area treated? the inner side of the knee is the only area that response well to Liposuction.
The front of the knee tends to bear the brunt of skin accumulation with the leg extended.
to be skin redundancy in order to allow full flexion of the knee, and just like the skin bulges on the lower abdomen when we sit the same thing happens at the upper front of your knee in a standing position.
That should not have been removed in the first place and there is no good treatment that is going to make your situation better.
I say all of these sinks with a fairly high degree of confidence, despite not having seen pictures of your outcome.
 if you want us to make a quality assessment regarding the outcome of any plastic surgery procedure, patients need to include quality before and after pictures.
If you don’t have a before and after pictures and ask your surgeon to forward, the pictures they took.
My best guess is you should cut bait and stop spending money.
 Correcting for poorly Liposuction is very difficult, highly complex, and only partial improvements are possible at best.
Unless you’re in the hands of providers who have truly mastered this type of work, you’re more likely to end up with things getting worse rather than better.
There’s no shortage of people happy to take your money offering all kinds of promises based on fancy technology.
In the end, these things cannot fix problems that are not fixable. 
I’m not sure how much this bothers you or to what extent you’re willing to go through.
In order to compensate for poorly done previous Liposuction fat transfer is usually the best option.
Whether this is a viable option for you or not depends on your candidacy for the procedure and that would Require an in person consultation and finding a provider who has sufficient skill and experience to do this kind of work well. Delivering consistent quality liposuction results turns out to be a bit more difficult than most people realize.
Being bored, certified in plastic surgery with a few years of experience and overall good reputation does not mean somebody has mastered any single procedure especially not Liposuction.
I think the outcome of your first procedure can attest to that.
if you really want to correct the outcome and then start searching for highly experienced plastic surgeons who focus their career primarily on liposuction and fat transfer.
Sometimes only partial improvements are possible and often this requires having multiple treatments.
Plastic surgery outcomes are generally based on patient candidacy, and provider selection.
I wish I could be more optimistic.
Best,
Matt Hagstrom, MD

Kybella for knees - should I consider skin tightening at the same time?

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Kybella for knees - should I consider skin tightening at the same time?

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