Q: Dr. Eppley, I had liposuction six months ago that has left me with some unevenness over the thigh areas. The skin has some dimpling and a few more obvious humps in the upper portion of outer thighs. My doctor told me to give it six months after surgery to see if they would smooth out and they definitely haven’t. Would Exilis be able to fix or improve how this looks? I have read about it and it seems like it would be one option. I don’t think there is a surgery that can fix this. My doctor said I would just have to live with it but she hadn’t heard about Exilis though. Thank you for your time.
A: Skin irregularities are the result of an uneven fat layer under the skin. They can become apparent after liposuction due to pre-existing cellulite, poor skin elasticity and an irregular layering of residual fat left behind. One has to look carefully at the lumps and bumps to determine if filling the indentations, decreasing the height of the lumps or some combination approach is best.
Exilis is a radiofrequency device that does spot fat reduction and has some degree of a skin tightening effect. I find it to be one of the best non-surgical approaches to treat liposuction deformities that are available today. It will likely have some beneficial effects on the contour of the thigh skin by helping to reduce the thicker or raised fat areas. It usually requires three or four treatments done in the office every two weeks to see the best effect.
But if the indentations are the main contour problems, those are best treated by fat injections.
Dr. Barry Eppley