Crepey skin and cellulite on thighs and buttock area - what is the best procedure to fix this? (Photos)

Question

Hi, I have lost approximately 60lbs+, eat well and exercise 5-6 days each week. Despite this I have terribly crepey and loose skin on my thighs and side buttock areas. Are there any procedures/treatments which may be of help. Thank you.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and for giving such detailed context about your lifestyle—it’s clear you’ve worked hard to achieve your weight loss and maintain your health. It’s very common to notice crepey or loose skin even after significant weight loss, especially in areas like the thighs and buttocks.

There are several approaches that can help improve skin texture and firmness:

Energy-Based Skin Tightening – Treatments like radiofrequency, ultrasound, or laser devices can stimulate collagen and improve skin elasticity over time. Results are gradual and subtle, often requiring multiple sessions.

Injectable Treatments for Cellulite – Certain injectable therapies can improve the appearance of dimpling and mild cellulite, though they won’t significantly tighten loose skin.

Surgical Options – For more significant skin laxity, procedures such as a thigh lift or lower body lift can remove excess skin and provide a more dramatic improvement. These are more invasive but can give the most noticeable results.

Combination Approaches – Often, combining non-invasive tightening with fat reduction or surgical contouring can yield the best overall improvement.

Even with excellent diet and exercise, skin laxity is largely influenced by genetics, age, and the degree of prior stretching, so some degree of loose skin may persist without procedural intervention.

From your photos, it looks like you could benefit from a combination approach, but the right plan depends on the degree of laxity, your goals, and what you’re comfortable with in terms of recovery and invasiveness.

The good news is that there are options that can significantly improve texture, firmness, and overall contour—even if perfection isn’t always possible.

Drew Varano, MD · Answer

Mild to moderate laxity can be treated well with renuvion in your area of concern.. this can be performed under local anesthesia and a one time treatment . Non invasive  devices generally are not going to produce significant or long lasting effects.  Skin excisional treatments such as a thigh lift will be the most effective but not everyone is willing to have such a commitment with respect to scars ,  downtime etc

Crepey skin and cellulite on thighs and buttock area - what is the best procedure to fix this? (Photos)

Answers (2)

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