Tag Archives: neck rejuvenation

Neck Rejuvenation in 2017

Neck Rejuvenation in 2017, what works, what is just hype and is it worth the cost?

Having loose hanging skin or having a bulky neck line can unquestionably give an aged appearance. Excessively full necks may even project being overweight even if the rest of the body is healthy. These are some of the reasons many individuals chose to alter the shape and or volume of their neck to feel more comfortable about themselves. As a result of this trend, the aesthetic industry has tried to tap into this market. In this article I will review a few currently marketed options for people to explore. I often say that for the consumer of aesthetic services it’s like trying to navigate the Wild Wild West to actually find what works. Unfortunately, many Mississippi “Snake Oil” salesmen occupy this space and are more than ready to hype and sell you potions, poultices, and fancy machines and LASERS that promise the fountain of youth but only deliver the spring waters of spoof. The Baby Boomers are aging and are kicking and screaming trying to be healthier than ever and therefore Medi Spas are popping up everywhere, often times staffed by untrained clinicians – so buyer beware.

Non-surgical volume reduction of unwanted fat in the neck.
Non-surgical options include a mesotherapy injection technique of fat dissolving salt solutions such as Kybella, which is now owned by Allergan. They have marketed this quite heavily in magazines and on the airways. Keep in mind that they spent a fortune acquiring this technology and are trying to recoup their costs. I have performed this technique on several patients and although it may reduce some unwanted fat and may create a small amount of skin retraction it requires multiple treatment sessions and the total cost of all these treatments, which yield very modest results, actually costs nearly the same as a clinically proven face/neck lift which gives wonderful results that can last up to ten years. In summary, I am underwhelmed and view this as a very niche market and was a very poor decision on Allergan’s part.

Another non-surgical volume reduction technique is Cool Sculpting (Cryolipolysis), where fat cells are frozen with a contract device that leads to cell death. This also requires several sessions and not at an insignificant price point. There is no mechanism for skin retraction in conjunction with the fat reduction. Also, it is hard to isolate cells and any area that requires contouring often has areas of excess combined with some areas of under-contouring which cannot be addressed therefore the sculpting portion of the name is a bit misleading. I think this devise is best used on the torso and the neck should be avoided.

In my opinion the best non-surgical technique to correct unwanted fat excess in the neck (with overlying skin that has a reasonable chance of re-draping or retracting) is the SAFE liposuction technique. Three small stabs, one in the chin crease, one in the neck line, and one on each earlobe cheek junction can provide triangulation with the cannulas to first separate the fat from the surrounding fibrous tissue then selectively remove the excess fat and redistribute areas of excess fat to areas of under-contouring to truly sculpt the neck. Of course judgement is required because if too much fat is removed one can expose platysma bands in the neck giving an aged appearance. Unquestionably this technique leads to the best chance of re-draping of the skin to give a better contour compared to the above mentioned options. You will not see this option advertised in magazines or on television because industry can’t make any money on selling the liposuction equipment they need to hype injectables. What you pay for in liposuction is surgical experience and aesthetic judgement to give a great result.

Non-surgical skin tightening of the neck.
The technology of radiofrequency has been tried in many fields of medicine and surgery. It has found niches in vascular surgery for varicose veins and in some degree for skin/mucosal tightening for some vaginal rejuvenation and body as a whole. The main problem I have with this option is the technology is very expensive as with LASER machines and as such, the cost is passed down to the consumer. Results are modest at best. I have chosen to sit this one out but if you wish to explore this option I would chose a board certified plastic surgeon as opposed to a dermatologist or some other practitioner. The reason for this statement is under-qualified providers often hide behind new technologies that are marketed to get you in the door and if they can only offer one treatment option then everyone is a candidate for this treatment. Alternatively, a full service plastic surgeon who may have non-invasive equipment would not offer it to you if you were actually a surgical candidate so as not to waste your money and time.

For me the best non-surgical treatment for skin tightening is still liposuction. Even if there is little to no fat excess in the neck I would still employ SAFE liposuction techniques without aspirating any fat. The process of passing cannulas underneath the surface of the skin induces collagen production and skin tightening which is quite predictable in the right candidates.

Surgical correction of the aging neck
In general as a plastic surgeon who offers a wide ranges of options of facial rejuvenation both surgically and non- surgically, I can say with great authority and conviction that the best use of your money and time investment is with a clinically proven face/neck lift procedure. As I have mentioned before there are many varieties of surgical techniques employed by surgeons to provide an aesthetically pleasing rejuvenation. The most important factor above all else is the quality and judgment of the surgeon’s aesthetic eye. Unlike gallbladder extraction or knee replacement surgery, there is no one “best practice” technique. Because plastic surgeons live in a world of both science and artistry, and just like Van Goh and Matisse employed different techniques and subject matter, both created beauty. Since I am not a “cookie-cutter” surgeon, each patient I operate on gets a slightly different process based on anatomy and the state of aging of the individual. In general, I almost always open the anterior neck through a chin crease and sculpt the subcutaneous fat layer. Next I identify the platysma muscle and unify the two paired muscles together in the midline to the cervico-mental angle followed by division of the muscle superiorly away from the lower segment to get muscle retraction for a crisp neck line. Unlike some of my colleagues in South America and in Europe I tend not to perform much sub-platysma work such as defatting or removal of submandibular glands to de-bulk the neck. I personally find it can lead to the appearance of an overdone neck. My goal is to give a refreshed natural appearance not an over-operated stark look. In the lower face just as in liposculpturing there is the process of de-bulking areas of excess and the addition of lost volume in the central cheek area with fat grafting. Lifting the face without volume restitution leads to a much lesser result. In general the central face is volumized and the lateral face is lifted. Part of the lateral lifting is utilizing a deeper fascia layer under the skin to lift the lateral platysma muscle superiorly and laterally to yield a crisp mandibular border affect. These techniques combined with good aesthetic judgement can lead to excellent long lasting results that make the person feel proportionate to how young they feel on the inside.

If you would like a three dimensional global prospective for the aging face with both non-surgical and surgical options please visit my website at www.thelucascenter.com or call 865-218-6210.

Jay H. Lucas, MD
Board Certified Plastic Surgeon

Consider custom solutions for a sagging neckline

neck-blog

Consider custom solutions for a sagging neckline

Necklines for both men and women can be a focal point of self-consciousness. However, the etiology of an unattractive neckline can be diverse, so treatment options must be tailored to the underlying cause. There is no one solution for everybody. Careful three-dimensional analysis of the soft tissue and underlying bony structure of the midface, lower jaw and neck are imperative to choosing the correct modality to improve your neckline.

Some common underlying causes of poor aesthetic necklines:

Small lower jaw – If you have a deep underbite despite orthodontics and a short chin, this leads to less bone support of the soft tissues of the jawline and submental region. People with this type of lower jaw may have a very obtuse chin-neck angle leading to redundant skin. An ideal treatment for this situation is bony chin advancement (genioplasty).
If your chin is horizontally too short, then an augmentation with a chin implant is an excellent choice. I prefer the Medpore implant, which is carvable, and screw fixated and becomes an extension of the bone.

Both genioplasty and chin implants can easily incorporate the technique of liposuction as a means of sculpting the soft tissues of the neckline by removing unwanted fat. Liposuction induces collagen production and facilities skin shrinkage and redistribution yielding a pleasing result. This combination therapy can produce a wonderful outcome that makes you look more facially balanced. However, if your skin is too loose and hanging, a more formal neck lift may be preferable to liposuction.

Mid face descent of soft tissues – Aging can affect facial fat compartments leading to decreased volume, which results in the midface falling over time. This sagging increases nasolabial folds and causes lower facial soft tissue to drape over the jawline. A crisper jawline can be restored by replacing missing soft tissue volume in the fat compartments of the midface with filler agents like Voluma and Sculptra or via fat grafting. Subtle volume enhancements can create a nice effect on the jawline without looking like you’ve undergone a surgical procedure.

Gravitational changes to the soft tissue of the neck – Gravity affects all of us. The skin and muscles of the anterior neck begin to pull away over time. The appearance of the platysma muscle medial bellies becomes apparent leading to unsightly banding. In the early stages of gravity-induced changes, treatments such as chemical peels, micro-needling and radio frequency can yield improvements and delay the inevitable soft-tissue sagging.
Ultimately the best treatment option is a face/neck lift. A well performed facelift by an experienced board-certified plastic surgeon will yield excellent results with longevity of up to ten years depending on how well you age forward and take care of your skin, avoiding further sun damage.

Obesity: People with elevated body mass indices will accumulate increased fat throughout the body. The neck is no exception. Very mild amounts of fat excess with firm, good quality skin may realize improved contours with Kithera (an injectable product that dissolves fat in the neck). However, in my experience, few patients I evaluate are ideal candidates for this treatment. The injection results in inflammation, which can cause collagen production and skin remodeling, but most people need bigger guns to fight the battle. The price of several rounds of injections is as much as a true liposuction with less effective results.

If you have significant fat in the submental region and reasonable skin quality, liposuction can be a great treatment option to uncover a more normal neckline without a lot of expense or downtime. However, a face/neck lift with a corset platysmaplasty is the tried and true corrective option that works very predictably.

If you’re obese and undergo bariatric surgery or make lifestyle changes to produce massive weight loss, you’ll likely develop excess deflated skin that hangs off your face and neck creating an aesthetic deformity. Modifications of standard face and neck lifts must be incorporated to achieve a pleasing result.

The takeaway is that if you’re unhappy with your jaw and neckline, you can improve your appearance and boost your self-confidence by seeking out proper consultation with an experienced plastic surgeon. During the consult, a detailed facial analysis should be performed. Treatment options can be formulated to yield the best results by addressing your unique issues as presented during the interview. No need to hide your neck behind scarves and turtlenecks any longer.

What can a comprehensive plastic surgery center offer to men?

Plastic surgery for males is a relatively new phenomenon. Historically, men have viewed this venue of services as mostly for women. My father’s generation was not working out in gyms and drinking protein shakes to stay healthy and active in middle age and beyond. Undeniably, the aging baby boomer population refuses to be defined by chronologic age and embraces the concept of wanting to look as good as you feel. With this is mind, why let women have all the resources to age gracefully and look young and vibrant? Men can now maintain a youthful appearance proportionate to our level of health and to our significant others.

What services are available to men?

Skin care: The concept may seem too metrosexual at first glance, but there is a health benefit as well. Sun exposure has a cumulative effect, which damages the outer skin, and dermis making the skin look dry and leathery. Loose, inelastic skin coupled with blotches of dark pigmentation makes the skin appear older than chronologic age would suggest. This is also a set up for skin cancers. Skin care may include skin resurfacing with peels to remove the damaged skin along with micro-needling to induce collagen production and improve skin tightening to provide a much-improved appearance and reduce the potential risks of skin cancers.

The use of Botox, which will weaken the overactive muscles between the brows and around the eyes, can prevent the deep furrows of the skin thus smoothing the appearance. This agent can be employed to hide some of the muscle bands in the neck as well.

Filler agents, such as Voluma, can be easily injected into areas of programed fat atrophy which occurs in aging and results in the cheek falling causing accentuation of the cheek folds and may produce hanging on the jaw line. Voluma, which is a highly crosslinked stiff hyaluronic acid filler, can manage to lift the cheek without making the face look fat.

Rhinoplasty: This is the art and science of the interactions of skin, bone and cartilage of the nose to provide an aesthetically appealing appearance with normal function. Rhinoplasty is a very meticulous surgery with the goal of providing a balanced appearance between the various components of the nose as well as creating harmony with the rest of the face. This surgery can provide a real boost to someone’s appearance and self-esteem.

Gynecomastia: This is a condition in which the male breast increases in size with fibro-glandular tissue mixed with added volume of fat giving it a feminized appearance. Gynecomastia can occur at any age creating self-conscious situations both with and without clothing. Fortunately the correction is very straightforward and very predictable. We recommend the use of ultrasonic energy mixed with traditional liposuction to facilitate fat and fibro-glandular removal of tissue to sculpt the breast back to a masculine appearance. There are occasions when direct excision of tissue directly under the nipple-areolar complex is necessary in addition to the liposuction to achieve the desired results, but the scaring in minimal. Without question a very power surgery that gives wonderful results.

Lipo-sculpturing: Unfortunately diet and exercise can’t cure all problems with the contour of the abdomen and posterior flanks. With metabolism changes, even a meticulous healthy eater with an active lifestyle can still experience abdominal bulges and flank adiposity. For patients with good skin quality without a great deal of skin excess, liposuction can provide a means of sculpting the torso to give a more pleasing shape and enhance confidence with and without clothes. The surgery is generally not that difficult to recover from, and results can be effective.

Eyelid rejuvenation: Do people say you look tired? Do your lids hang over your eyes giving the appearance of sleepiness? Do you have puffy lower eyelids giving you a less vibrant persona? Then you may want to consider eyelid surgery to give you a refreshed look. It’s been said that the eyes are the windows into the soul; so don’t have outdated window treatments. The surgery is mildly uncomfortable with swelling being the biggest issue related to return of feeling comfortable in social situations. Careful consultation with your surgeon is required to avoid complications depending on the anatomy of your eyelids. People will notice the refreshed look after the recovery has taken place.

Neck rejuvenation: A hanging neck with loose skin and excess fat can give the appearance of an aged and out-of-shape individual. It may also project being overweight. Depending on the degree of tissue excess and skin quality, this may be correctable with liposuction alone. However if the skin quality is poor and there is the presence of muscle bands in the neck, a true neck lift will be required. This surgery can take an old-looking neck and transform it to a smooth crisp neckline with well-defined jaw contours. Neck rejuvenation can take years and pounds away from how you look.

In summary, plastic surgery offers men many options to consider feeling good about the skin you’re in. It’s not just for women anymore. For more in-depth discussions of procedures and spa services, visit thelucascenter.com or call 865.218.6210 to schedule your personal consultation with me.

Most commonly requested plastic surgery for men in my practice

In my practice the majority of my consultations and surgeries are on women. But over the past few years I have seen an increased demand of men requesting surgeries as well. Some of this may be related to baby boomers who have taken good care of themselves and desire to look as good as they feel. Other men don’t want their wives to look better than they do after they have been undergoing facial rejuvenation procedures so they request surgery as well.

1. Blepharoplasty: Eyelid rejuvenation
Just as women often show signs of aging around the eyes so do men. The phrase “the eyes are the window to the soul” may well be a true but I would also add the statement the “eyelids are the window treatments through which you see the soul.” Loose hanging furrowed skin, lateral brows that hang over the upper eyelids, and bulging fat pads below the eyelids with accentuated tear troughs put forth the image of fatigue and loss of vitality often resulting in friends and colleges asking if you are tired and are you getting enough sleep. Fortunately surgery to restore the upper eyelids to a crisp appearance with correction of any eyelid droop can be a game changer. The lower lids can be rejuvenated by removing excess fat with reposition this tissue over the cheek to eliminate the tear trough combined with skin and muscle tightening provide a fresh and vibrant appearance. This can be an important not only in social situations but also how a person is viewed in the workplace.

2. Neck lifts
Do you look in the mirror and say to yourself I hate this turkey neck? Is buying dress shirts getting more difficult to find that are comfortable with ties? Despite not gaining weight do you look heavier in the face? If the answer to all these questions is yes a consultation for a neck lift may well be a beneficial idea that is not just for vanity. Ideally a man should have a strong jaw line and a crisp chin neck junction. Having hanging skin with or without fat excess that obscures the jaw line certainly can put forth the image of premature aging of the individual beyond his chronologic age. A neck lift can be a valuable tool to restore your appearance and convey youth and energy without changing your overall appearance or giving an odd appearance. The surgery is very predictable in the hands of a board certified plastic surgeon and is an outpatient procedure with very little pain. Most people can be comfortable in social situation in two weeks.

3. Rhinoplasty (Nose surgery to reshape the appearance)
Proportionality is everything. If you are unhappy with the shape of the nose or how it blends with the rest of the face then request a plastic surgeon to perform a facial analysis of you. If the nose seems big maybe the lower face is out of place such as a small lower jaw or chin. Often times I will perform a chin augmentation with a rhinoplasty to provide a harmonious facial appearance. Nose surgery requires finesse and a keen understanding of the anatomy of the many subunits of the nose. The key is to provide shape without feminizing the male nose. This is also a rather easy surgery to recover from and the patient can return to work within a week usually.

4. Chin augmentation with or without an implant.
As mentioned above the facial subunits should all be proportionate to each other. If the lower jaw projection is limited by lack of growth it can portray a weaker jaw with less of a masculine appearance. By using the correct judgement a plastic surgeon can provide an enhanced projection with the combination of either an implant or repositioning of the bone in combination with liposuction of the jaw line to create a sculpted jaw which projects strength.

5. Liposuction of the abdomen and flanks
If you look in the mirror and the phrase “dad bod “screams out… liposuction maybe something to entertain. An important fact to remember is liposuction with its many variations is a contouring tool not a weight loss technique. I strongly encourage anyone who is considering body contouring should first consider diet and exercise first. If after some toning in the gym and normalized weight you are still unhappy with the shape of your body then liposuction may be a reasonable adjunct to improve the appearance. The abdominal area can be shaped as well as the flanks reduced to provide a sleeker frame. It’s a safe surgery that is easily recovered from and normally patients can return to work in a day or two. Final results take between six weeks and two months to observe the full effect of the reshaping.

6. Gynecomastia repair (Man boobs correction)
If you have excess fat and skin of the breast which can also affect the size and shape of the nipple-areolar complex this can project a very feminizing effect of the male chest. In my experience I have been very happy with the results of the combination of VASER liposuction (ultrasound assisted liposuction) with direct excision of any sub-areolar glandular elements with or without areolar reduction to achieve a masculine chest. This can be a very disturbing condition for a man of any age particularly in the teenage years. We see a bimodal distribution of people seeking treatment; those of the teenage years and men in their late forties and fifties who are seeking help to restore the loss of tone of the chest area.

Plastic surgery has continued to evolve in its perception ever since its creation after World War I. Aesthetic surgery was once viewed as taboo or something to hide because it was perceived to be too self-indulgent, now has become more common place and in the minds of many its presence is look upon as main stream. I think this evolution of societie’s views is related to the strong work of The American Society of Plastic Surgery, and the American Society of Aesthetic Plastic Surgery to ensure that board certified plastic surgeon are well trained and perform safe and predictable surgeries that patients seek and desire with excellent outcomes. Also our population is living longer with better quality of life and people are remaining active and engaged and wish to look as good as they feel and are no longer shy about requesting procedure to keep them looking their best.

Common Questions patients have about post-bariatric body lift procedures

1. Will a lower body lift fix all my problems that concern me after massive weight loss?
The surgery of the lower body lift is a constellation of several procedures rolled into a single anesthesia event. It amalgamates an abdominoplasty with a lateral thigh lift, a lower flank-plasty, and buttock augmentation with the patient’s tissue derived from the flanks to give a shapelier appearance that is not flat and amorphous. Many people who have experienced the loss of over one hundred pounds have many areas troubling to the patient beyond the mid and lower torso. These individuals have redundant hanging skin of the arms and medial thighs, significant aesthetic deformities of the breast, and often premature aging of the neck and face. These above mentioned areas are addressed with additional procedures performed separately such as a breast lift with or without a brachioplasty (arm lift), medial thigh lifts, and face- neck lifts. Patients also typically inquire about the order of the procedures and I often state I prefer to perform the lower body lift first to establish the “Keystone “ area of the torso and then I can better make aesthetic judgements about the breasts and thighs with respect to the shapelier proportion of the new torso.

2. Will I spend the night in the hospital after the lower body lift?
Although the lower body lift with all its components takes about 7.5 hours of anesthesia time, The Lucas Center of Plastic Surgery’s protocol is for an outpatient surgery status. People seem amazed at this concept. My explanation is a hospital is for sick patients who require monitoring of unstable vital signs, severe pain requiring IV pain management, the inability to take oral consumption of fluids and nutrients, or the requirement of IV antibiotics. After this very significant surgery we have done very thorough evaluation of what is required to make a patient comfortable, safe and recover in an expedited manner. First of all the surgery utilizes a technique supplemented with tumescent anesthesia which provides local anesthesia with a blood vessel constrictor (epinephrine) which results in a very limited amount of blood loss eliminating any risk of unstable vital signs postoperatively. We also ensure adequate pain management with the combination of a long acting local anesthesia pump to control pain along with narcotic analgesia. There are no limitations on what you can or can’t eat afterwards. At home pain medications can be dispensed as needed, as compared to a busy hospital when your pain control may be limited by the availability of the nursing staff. Home limits the risk of hospital acquired infections which can occur on the nursing floors. Lastly one of the biggest safety measures is the prevention of deep venous thrombosis and pulmonary emboli. Early ambulation even the night of surgery is one of the most important factors along with chemo-prophylaxsiswith Lovenox which can be easily administered at home. In the hospital ambulation is once again limited by the nursing staff availability and can result in almost no mobilization the night of surgery or beyond. In conclusion home is the best place to be after this operation.

3. What are the things patients will be responsible for after surgery?
A patient will wake up in a compression garment that helps to limit swelling and support the abdomen. Four drains will be placed during surgery to reduce fluid collections on the abdomen, flanks and lateral thighs. This will require some care to encourage fluid drainage and the patient or the care giver must measure the output to determine when the drains can be removed. All incisions are closed deeply with resorb able sutures with a layer of a glue –like substance over top so no incisional care is required for two weeks. The patient may shower the first post-operative day. The most comfortable position to rest is in a reclined position to reduce the tension on the abdominal closure.

4. When can I resume normal activities and exercise?
This is a very significant operation which can result in a whole new lease on life by liberating the patient of the imprisonment of the excess hanging skin of the torso. However this comes at a cost of being quite sore and requires subsistence living for about two weeks. After this time many of the inflammatory chemical released by the body as a result of surgical trauma have cleared and most people begin to feel significantly better and are able to resume a more normal life. To feel completely normal it takes around six weeks which is also the time frame to return to regular exercise.

5. What are lifestyle loans? Can they be utilized to finance these procedures?
Lifestyle loans are now becoming more popular and several institutions such as Credit Unions and banks in Knoxville, Tennessee offer loans for cosmetic surgery procedures up to $10,000 with rates as low as 9.20% APR for up to forty eight months. This is substantially more attractive than other popular finance plans to help finance larger procedures such as body contouring after bariatric surgery. Please contact your local bank or credit union for more details.

Liberate your body and spirit with a total body lift after weight loss

Body contouring
As a plastic surgeon, I see patients who have lost amazing amounts of weight through bariatric surgery and have used this to champion new lifestyles which can eliminate diabetes, hypertension and sleep apnea. Often these patients can discontinue all medications previously taken under a physician’s care. Unfortunately, post-bariatric surgery patients, who are otherwise healthy and active, find themselves prisoners in their own fortresses of hanging flesh.

People feel better, but they don’t look better because of the excess skin on their faces, arms, breasts, abdomens, flanks, buttocks and thighs. Many bariatric surgeons try to provide surgical rejuvenation procedures themselves, leading to less than desirable outcomes and even unnecessary deaths. Plastic surgeons have additional training and expertise and are uniquely qualified to provide patients with a “get- out-of-jail card” from their excess skin. The important principles of body contouring procedures can only be learned in a plastic and reconstructive surgical residency.

What are the procedures that can help you look and feel better?

A total body lift is usually broken up into three distinct procedures, each one taking 6.5 to 7 hours to perform. These are complex and nuanced procedures that necessitate a tremendous amount of skill to remove and reshape the skin. This operation is a life-changing event, and everyone is universally very happy.

1. Circumferential lower body lift with gluteal augmentation: The first procedure I routinely begin with is the circumferential lower body lift with gluteal augmentation with vascularized flaps from the flank region. Upon completion of this surgery, I can make better aesthetic judgments about the breasts and legs. The lower body lift is actually three separate operations performed at the same time: a tummy tuck and flank-plasty with lateral-thigh repositioning and gluteal augmentation utilizing skin from the muffin top and positioning the tissue into the gluteal region to enhance the buttocks.

Despite the long surgical time and the complex number of procedures performed, I almost always send patients home that night. They actually do much better at home than staying in the hospital. All incisions are closed deeply, so no sutures need to be removed. There are four drains, which stay around a week. We utilize a pain pump with a long acting local anesthetic to block pain response. Everyone gets a blood thinner for five days to prevent clots. It generally takes around two weeks to start feeling better.

2. Upper body lift (bilateral brachioplasty with lateral chest wall reshaping and breast rejuvenation): The next procedure is usually a combined upper arm and lateral chest wall contouring (otherwise known as an extended brachioplasty). This surgery is often blended with a breast lift with or without an implant. The brachioplasty is a one-stage procedure with very few complications, and patients love the results. The breast rejuvenation is almost always a two-stage procedure, because the tissues after weight loss are quite complex. If the residual breast tissue is very thin, it may require an implant to help create shape and volume during the second stage.

3. Medial thigh lift: The final surgery is typically the lateral thigh lift. In most cases, we perform aggressive liposuction in the area of the medial thigh, then resect the loose tissue left after the liposuction. The incision spans from the knee to the groin crease on the inner aspect of the leg. This allows us to transversely tighten the skin in this distribution for a much smoother, firmer look. Patients can resume fairly normal activities in a week. It’s a transformative experience to feel comfortable in shorts, dresses and pants by unburdening yourself of loose, hanging skin.

If you have lost significant weight from bariatric surgery or by other means and are experiencing the difficulties of carrying around excess skin that is adversely affecting your quality of life, please contact me at 865.218.6210 or go online to thelucascenter.com to begin your three dimensional rejuvenation today.