What's the Best Treatment for Sagging Skin on my Knees?

Question

Is there anything out there to help this problem? I hate when I wear shorts or a skirt and look down at my sagging skin on my knees. Is there anyway to tighten this skin up? age 57

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

Tracy Mountford, MBBS · Answer

Fluctuations in weight and drop in hormones during menopause can leave loose, sagging skin. I would recommend a non-surgical approach, as surgery can over-tighten the skin which, in turn, can affect how the knee works. An effective alternative to surgery is Ultherapy, which is an ultrasound treatment which lifts and tightens the skin and muscle. It uses micro-focused ultrasound waves to target the deep structural layers of the skin. Following treatment, the body stimulates collagen production which improves the elasticity of the skin, causing a gradual lifting and tightening effect on the skin around the knee.
Another non-surgical treatment is INTRAcel, which uses needling and radio frequency to improve skin texture whilst also tightening the skin. When used in combination with Ultherapy, this can have a significant improvement on the elasticity of the skin and its overall appearance. I hope you find this answer useful.

Travis L. Shaw, MD · Answer

Fortunately there is a great minimally invasive treatment for sagging skin on the knees and elbows. It is called ThermiTight. The procedure performed in the office under local anesthesia. Patients can Thermi is injectable energy which is placed directly under the skin, in contrast to procedures like Ulthera and Thermage. This allows more precise tightening in exactly the right areas. Thermi is different in that it uses infrared cameras to heat the tissues to the exact proper temperature, so there is no guesswork.Patients have some swelling after the procedure which usually resolves in about 7-10 days. The results are impressive. ThermiTight was originally designed for tightening loose neck skin, but now is being used to tighten skin all over the body, including breasts, thighs and elbows.

George J. Beraka, MD (retired) · Answer

Hi!  This is a tough problem that we see not infrequently in our plastic surgery practice in New York City.  Surgery is not an option because the scars are unacceptable.
You can try Thermage.  It is safe, there is no anesthesia, no recovery period, and no scars.  But you have to have very realistic expectations.  We almost always see improvement, but it can be subtle.
But what I have learned is that even a little improvement here (like in the arms) makes women happy.
To get a result from Thermage, it has to be done just right, and enough energy needs to be used.  So try to find a doctor with experience.  The Thermage website may help.

What's the Best Treatment for Sagging Skin on my Knees?

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