Skin laxity issues and stretch marks. I've recently lost 4 inches from the top of my legs, how can I address this? (Photos)

Question

Hi I’m 45 have lipoedema and have had 2 liposuction on uppers and lower 2022/23 . I’ve recently lost 4 inches off top of legs on mounjaro . My skin I’ve discovered has lots of stretch marks and even tho I train and have built muscle my skin seems to be getting worse . Not sure how to address it?

Anna Chacon, MD, FAAD · Answer

Addressing skin laxity and stretch marks, especially after significant weight loss or procedures like liposuction, can be challenging but there are several options to consider:

Topical Treatments:

Retinoids: These can help improve skin texture and stimulate collagen production, which may reduce the appearance of stretch marks over time.
Moisturizers: Products containing hyaluronic acid, peptides, or centella asiatica can improve skin hydration and elasticity.
Non-Invasive Procedures:

Laser Therapy: Fractional lasers can improve skin texture and reduce stretch marks by promoting collagen remodeling.
Radiofrequency (RF) Treatments: RF devices can tighten skin by heating the deeper layers, stimulating collagen production.
Microneedling: This procedure can improve skin texture and elasticity by creating micro-injuries that promote collagen synthesis.
Surgical Options:

In cases of significant skin laxity, surgical options like a thigh lift may be considered to remove excess skin and improve contour.
Lifestyle and Supportive Measures:

Nutrition: A diet rich in vitamins C and E, zinc, and protein can support skin health.
Hydration: Adequate water intake is essential for maintaining skin elasticity.
Consulting with a dermatologist or plastic surgeon can provide personalized recommendations based on the severity of your skin laxity and stretch marks. They can help determine the most appropriate treatment plan for your needs.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

The only way to completely erase stretch marks is to surgically excise them.  You can make them less obtrusive with treatments such as lasers or Morpheus8.  Multiple treatment sessions may be necessary for optimal results.  I've included a video I hope you find helpful.

Glenn Murray, MBBS · Answer

Morpheus8 offers a multi modality approach utilising skin needling and radio frequency energy. It is indicated to treat fine lines and wrinkles, stretch marks, skin texture, skin laxity, uneven skin texture, acne scars, hyperpigmentation, large pores, and general skin rejuvenation. It is designed to remodel the skin, tissue, fat, and collagen.
Usually a course of 2-4 treatments is recommended at a 4-6 weekly interval, to successfully target tissue.

Skin laxity issues and stretch marks. I've recently lost 4 inches from the top of my legs, how can I address this? (Photos)

Answers (4)

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