Lower Body Rejuvenation

local anesthesia and with mild sedation if requested.

2. The next most common lower body treatment requested is the BBL or Brazilian Butt Lift. Aging often causes a decrease in buttocks volume, particularly in the outer part, and oddly an increase in volume in what is called the “muffin top” just above the lateral buttocks. The treatment is generally fat grafts, or other products, into the buttocks. The fat must be liposuctioned from one area, processed, and injected into the areas of the buttocks that need volumizing. Donor sites are often the abdomen, sides, or the “muffin top.” This is usually performed under general anesthesia according to how much liposuction must be done.

3. Saggy thighs with wrinkles or in extreme cases the “cobblestone” appearance. The treatments vary significantly according to how severe the problems are. In the mildest cases maybe only the knees are wrinkled and can be treated with the VirtueRF (radiofrequency) micro needling and with PDO threads or a mild CO2 laser, such as the Tetra. Even for more severe cases this treatment can be effective.

4. For severe cases of loose skin in the anterior thighs, a liposuction with a “basket” cannula or even what is called a “pickle fork” is used to break up the fibrous bands like those mentioned above. This is followed by the Renuvion, which is a radiofrequency device that tightens skin and any fibrous bands connecting the skin to the underlying muscles. Somewhat like shrink wrapping the skin.

When resurfacing is performed such as the mentioned lasers or VirtueRF, it is helpful to apply Exosomes to the skin for more collagen production and much faster recovery time. Most often a combination of treatments mentioned above is needed to achieve the optimal goal with the problem at hand.

Through thorough assessment with your plastic surgeon, your goals are evaluated, and the choice of treatment(s) are decided upon.

E. Ronald Finger, MD, FACS is a board-certified plastic surgeon with offices in Savannah and Bluffton. fingerandassociates.