First and foremost, congratulations on your weight loss. Unfortunately when you were bigger in size you permanently effected your skin which causes it to thin and lose its elasticity ( ability to recoil). Because of that, excisional surgery may be your only option. 

There are a few nonsurgical skin tightening devices out there but currently  I do not feel they can improve skin like you are suggesting. 

It is best that you see an ASAPS member. They are board certified in plastic surgery and can evaluate you and determine what your options are. 

Miscellaneous

I am sorry to hear you are having problems following your laser resurfacing. Without seeing you it is always hard to know exactly what is going on. Pigmentation following and skin treatment can occur and is more common in patients who are a bit darker in skin color.  We often pretreat patients who are at risk for pigmentation with a bleaching agent.

Depending on what laser was used, it may result in different outcomes. It shouldn't cause your skin to be dry and have lines however. It would be important to know what skin care products you are using including what cleanser and sunblock.  I would suggest seeing an ASAPS member who can assess your skin possibly with their aesthetician and see if they can turn things around for you.  

 

 

 

Miscellaneous

When we evaluate patients for any body contouring procedure there are several things to consider. First, is your weight stable and are you actively embracing a healthy diet and exercise regimen? These are critical to successful surgery. I always tell patients that 50% of the result is what I do and 50% is what the patient does ( meaning following an appropriate diet and exercise program). Once this has been established preoperatively your plastic surgeon will examine your skin and how much fat you have to determine what would be the best procedure for you. Liposuction? Thigh lift? Combination of both?  Once this is done your plastic surgeon can sit down with you and determine if you are a good candidate and establish realistic expectations with you. 

Remember to see an ASAPS member which ensures that your plastic surgeon is board-certified and specializes in cosmetic surgery. 

www.drkenkel.com

Miscellaneous

Tightening the skin can be done but there are many factors to consider. The type of skin you have, the degree of skin laxity, your medical history and what your goals are all considerations. We have some nonsurgical devices that do tighten the skin to some degree but surgery remains the most predictable way to achieve it and the gold standard. 

If you are looking to slim your face again a few questions. Are you overweight? Is it localized? For example, some people have fat in their necks and good overlying skin. These patients may be great candidates for liposuction of the neck which in many cases can be done in the office. 

 

Miscellaneous

A "butt lift" can be accomplished in a number of different ways depending on what the problem is.

Flat, non-projecting buttock:

Filling the buttock with either your body's own fat or with an implant are the most common ways to address buttock deflation. There are pros and cons to each. While fat transfer to the buttock uses your own tissues, retention or "take" of the fat can be somewhat unpredictable and may require more than one treatment. Implants can give you the projection you want but are associated with a higher risk for wound problems and possible infections. Depending on how much "donor" fat you have and what your goals are will determine which is best for you.

Sagging buttock:

in some cases, the above will improve this. In others, it may require removal of some skin around your hip to elevate your buttock.

See a board certified ASAPS member to review your options

Jeffrey Kenkel, MD

Cost of Procedure