The skin above the knees often sags with age. Many women feel very self-conscious about this area. As cosmetic surgery has evolved, so have the techniques and the results. While this are is a bit more difficult to rejuvenate because of the mobility and visibility there are still some very effective treatments now available.
The two non-surgical treatments that are highly recommended by physicians to tighten the skin around the elbows and knees are the Thermage and Titan lasers that emit radio-frequency waves. These two modalities are still the closest we can come to "shrinking" the skin without surgery.
Skin-Tyte is another pulsed-light device by Sciton that heats the collagen and tightens it and there is the "Affirm" pulsed-light device, however, the best skin-tightening results seem to be with the "Thermage" radio-frequency procedure.
Fillers such as Juvederm, Restylane and Radiesse can also be used to "plump-out" the areas, however, it requires a lot of expensive filler and it is not permanent. Out of all fillers available, Radiesse would be the best filler to use for the elbows and knees for the longest lasting results.
Autologous fat can also be used but usually the patient that has sagging with fat loss in those areas, has fat loss everywhere so very little fat can be extracted to inject into the knee or elbow areas. Conversely, someone with excess fat (fullness), primarily in the knee areas, could have contouring with liposuction.
Finally, a minor surgical procedure can also be done to actually remove the excess skin. The surgeon excises the excess tissue, above the knee combining several creases into one. The same procedure can be done around the elbow area with good results. Small scars are present but usually fade with time.
Approximate Length of Procedure: 1 hour
Approximate Cost: Approximately $2500 A
verage Recovery Time: 1 month