Is this volume loss or laxity? (Photo)

You are a great candidate for NeoGen! NeoGen is nonsurgical skin regeneration treatment that offers little to no downtime for all skin types. The skin tightening effects of NeoGen are immediate with ongoing improvements as new collagen growth continues over time. The results are firmer, more youthful-looking skin, and improvement in skin tone, fine lines, wrinkles, and skin texture. Many patients achieve results after just one treatment!

Thank you for your question. It is seen that you have fat in your thighs, inner legs and calves. Excess fat can be corrected very effectively with Vaserlipo. When you raise the fat in the calf on your fingertips, the calf muscles will be revealed and you can easily detect the excess fat that you hold between your two fingers on the skin above the muscle. Approximately half of this fat can be removed. However, removing fat from the calf requires more caution than other areas because it is possible to create depressed areas very easily. For this reason, it would be more appropriate for a plastic surgeon with experience in calf fat removal to perform this application. At the same time, it is possible to remove regional fat in your hips and inner legs and obtain a more proportional and smooth-looking body. The thing to be considered here is your skin quality. If there is looseness in the skin, skin tightening treatments (such as Laser Liposuction, Bodytite or Renuvion j plasma) should be applied. In this way, there will be no extra loosening of the skin after the fat is removed, and you will have a tighter skin.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

First of all, thank you for including a picture. You do in fact have some sagging skin and still some visible marionette lines. It would be helpful if you could include a before picture so that I can appreciate the difference more completely. Morpheus is a wonderful treatment for sagging skin, collagen plumping, muscle contraction and a very minimal, if desired reduction of fat at a controlled depth of 4mm. It should not increase sagging or cause a deflated look unless too many morpheus treatments were performed at too deep a depth.

In my humble opinion, any form of radio frequency treatment, which is using needles greater than 3 mm in length, will cause superficial fat loss, resulting in deflation of the face or the area treated. In order to restore a more youthful appearance to your face, you should be evaluate it in person while looking at photographs of your face some 10 years earlier. I hope this helps and good luck from New York City Plastic Surgery.