Please help. Skinny flabby legs (Photo)

Thighs are unfortunately the most difficult area of the body to treat. While there are many reasons for this, one of the primary reasons is that the dermis, or strength layer of skin, is relatively thin. Most of the skin tightening procedures and devices target the dermis to promote collagen formation and tightening. Devices such as BodyTite and J-Plasma will help, but I would most definitely temper expectations. I would also couple any moderately invasive procedure with external radiofrequency and possible microneedling, such as Morpheus.

Hello helpmepleaselol, and thank you for your question regarding how to improve the appearance of your thighs.

Given your slim build and the flabbiness you're experiencing, the best course of action is likely exercise rather than surgery. Resistance training, including exercises like squats, quad crunches, and endurance biking, can help you build muscle tone and improve the overall appearance of your legs. These exercises can provide significant results by firming up your thighs naturally.

If you're still considering surgical options, it's important to understand that a thigh lift, which involves an incision from the groin to the knee, would be the most effective surgical option for removing excess skin and fat. However, please note that this procedure will leave a visible scar, and the recovery process can be extensive.

Liposuction, even with advanced techniques like VASER or Renuvion/J-plasma, may not give you the results you're hoping for because your skin may not contract sufficiently, leaving you with wrinkled or dimpled skin.

Ultimately, I believe that focusing on targeted exercises will give you the best chance at achieving the leg appearance you desire. If you do decide to pursue surgical options, make sure to consult with an experienced, board-certified plastic surgeon to discuss your goals and the potential outcomes.

Good luck, and I hope this helps you find the confidence and love for your legs that you're seeking.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

There are a couple of options that may help tighten the thigh skin. One is J Plasma that is done in conjunction with liposuction to help tighten the tissues. Another is BodyTite. This minimally invasive procedure does not require general anesthesia. It uses RF technology to tighten skin. I've included a video on this that I hope you find helpful.