I have pigmentation and flabby loose skin in my inner thighs due to liposuction 10 years ago. What solutions do I have? (Photo)

Question

What kind of non surgical solutions here? Can PRP improve skin quality? Radiesse? Does chemical peeling help for pigmentation? I've tried glycolic acid lotion 17% + retina a but no big improvement . please help

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

the best result here is skin removal, thigh lift.  however you can try internal heating jplasma/renuvion, body tite + morpheus or diluted sculptra+bellafill to add collagen.  You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Jake Wardwell, DO · Answer

My preferred treatment for this is Halo. I’ve treated very similar looking skin in this area with great success.

I have pigmentation and flabby loose skin in my inner thighs due to liposuction 10 years ago. What solutions do I have? (Photo)

Answers (3)

Recommended reading

Everything you need to know about PRP Injections

Our mission is to create a world where every investment in modern beauty is Worth It.

I have pigmentation and flabby loose skin in my inner thighs due to liposuction 10 years ago. What solutions do I have? (Photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about PRP Injections

Our mission is to create a world where every investment in modern beauty is Worth It.