Cellulite/loose skin? (Photo)

Question

I am a 41 year old female who is active but has this loose fatty skin on the front of my thigh. I am so embarrassed to wear shorts and want to know what is causing this and will laser lipo help?

Randal Haworth, MD, FACS · Answer

Collagen Induction Therapy (Macroneedling) is very effective in treating cellulite. It can also be subcised manually (under local) and Renuva can be used to smooth it out.

I hope this helps,
best of luck !

J. Timothy Katzen, MD, FACS · Answer

Thank you for reaching out with your concerns about the cellulite and excess skin on your inner thighs, and for providing your history and photos.
Recommended Procedure: For addressing your inner thigh concerns, VASER liposuction appears to be the most appropriate treatment. This method not only targets the excess fat but also aids in skin tightening, making it effective for your specific needs.
Procedure Setting and Duration: VASER liposuction for the inner thighs can be performed either in-office under local anesthesia or in an operating room setting with twilight or general anesthesia. The procedure typically takes about an hour to complete.
Recovery and Postoperative Care:
Recovery Time: You should anticipate a recovery period of 7 to 10 days.
Compression Garments: Wearing compression garments for at least six weeks post-surgery is essential for optimal healing and contouring.
Benefits of VASER Over Laser Liposuction: VASER is generally preferred over laser liposuction for the inner thighs due to its effectiveness in fat melting and skin tightening.
Importance of Conservative Approach: It's crucial to approach inner thigh liposuction conservatively. Over-aggressive liposuction in this area can lead to loose skin, potentially necessitating an inner thigh lift. To avoid this, a cautious approach may mean multiple sessions to achieve your desired outcome.
I hope this information provides clarity and helps guide your decision-making process. Remember, a detailed consultation with a plastic surgeon is essential to tailor the treatment to your specific needs and expectations.
Wishing you the best on your journey towards achieving your aesthetic goals.
Sincerely,
Dr. Katzen

Arif Eroglu, MD · Answer

Hello; thin skin and collagen are decreasing with age. When there is fat in the legs; it increases for skin looseness. The most effective way; to reduce fatness; is Vaserlipo. The most efficient way, in order to tighten for the skin is; Renuvion J Plasma. Therefore, I always recommend for the combination of; Vaserlipo and Renuvion J Plasma techniques; against for similar patients. Fats decrease; when there is tightening of the skin; the leg is both shaped. It both tightens; cellulite also decreases.

Brian Bassiri-Tehrani, MD · Answer

This is a good question. Sometimes, it can be difficult to differentiate skin laxity from cellulite. Other times there is a combination of both going on at the same time. It seems as though you may have both, but it is hard to say just by looking at the pictures. A physical exam can help differentiate or confirm what is going on. For the areas that have cellulite alone, an Aveli procedure can be done where cellulite is reduced by releasing the fibrous septa that is responsible for the dimpling seen on the skin.

Harry T. Haramis, MD, FACS · Answer

Unfortunately, cellulite is extremely difficult to treat. Mainly genetic, treatment risks need to be considered.

As such, Laser liposuction can reduce cellulite but will not make the skin 100% smooth and offer some tightening. It is minimally invasive unlike larger thigh lifts which also will not totally erase the areas.

Frustrating for both patients and plastic surgeons, options with their limitations and expectations should be discussed further.

Michelle Copeland, MD, DMD · Answer

Thank you for sharing your photos. Liposculpture as an outpatient procedure under I.V. sedation can reduce the excess fat around the thighs and restore a shapely leg. At my office, I use several innovative forms of liposuction, including SmartLipo, to contour and resculpture the area while providing the most beautiful results with minimal scarring. Additionally, an effective non-surgical option that might benefit you is Thermage. Thermage is a non-invasive treatment that can tighten skin, renew facial contours, and stimulate your body to make healthier collagen. The procedure uses radiofrequency technology that has been clinically proven to tighten and gently lift skin. Fast and easy, Thermage requires no downtime from normal activities. Another treatment that helps smooth and tighten skin is micro-RF. Used in combination with non-ablative lasers, this can be a powerful nonsurgical treatment to help tighten and smooth skin. I suggest making an appointment with a board-certified plastic surgeon to discuss your options in more detail!

Mats Hagstrom, MD (license on probation) · Answer

Liposuction will not help flabby thighs. Unfortunately, we simply don’t have great surgical options for lower extremity Skin laxity with cellulite.
Liposuction can easily make things worse, so be careful with that procedure, especially provider selection.
Before, considering any permanent, irreversible procedure, ask providers to show you their entire collection of before, and after pictures of previous patient who had similar body characteristics to your own. If they don’t have a good collection of before and after pictures, then you probably shouldn’t have surgery with that provider.
Liposuction can reduce the size of your thighs, but will not improve loose skin and can’t in fact make your skin worse.
 Lasers had virtually nothing to the Liposuction experience.
A thigh lift may be an option, but that procedure really doesn’t have great patient satisfaction unless somebody has more severe skin laxity.
I wish I could be more optimistic and you’ll probably find lots of providers, recommending liposuction and other treatments. The key is to see lots of quality before and after pictures before signing up for any permanent irreversible body contouring procedure.
There are treatments for cellulite that can improve the worst areas. I have been impressed with Aveli for certain cellulite cases.
Best,
Mats, Hagstrom, MD

Cellulite/loose skin? (Photo)

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