Ways to fix loose wavey skin of my inner after regrettable laser lipo? (photos)

Question

my skin of my inner thighs are saggy, loose and has this waive appearance. Before laser lipo,They said I was a good candidate for it but told me they only took out barely shot glass or 2 of fat from my inner thighs above my knee and my Upper back/arm... which doesn’t seem like much....I tried skintyte, working out and gaining more to fill it but nothing seems to change the saggy wavy-appearance. What are some non invasive besides SkinTyte and some surgical ways to improve this?

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

Jason Emer, MD · Answer

when you have this much loose skin you need skin removal however, you can get some improvement with VASER 360 HD lipo and internal heating but usually a mini thigh lift is needed at same time.

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

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.

Sam Naficy, MD, FACS · Answer

Removal of fat will often bring into light any preexisting skin laxity. The most effective option for improving skin laxity on the body is the Thermage FLX device.

Daniel Barrett, MD · Answer

Dear ImagineExtraordinary,
I would have to examine you but it appears that this is a contour irregularity after liposuction. This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ways to fix loose wavey skin of my inner after regrettable laser lipo? (photos)

Answers (4)

Answer: Uneven after liposuction

Answer: Uneven after liposuction

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Everything you need to know about Skin Tightening

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

Ways to fix loose wavey skin of my inner after regrettable laser lipo? (photos)

Answers (4)

Answer: Uneven after liposuction

Answer: Uneven after liposuction

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Recommended reading

Everything you need to know about Skin Tightening

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