Thighs Treatments in New Jersey

Our New Jersey offices have a reputation for the best, most natural results. We achieve those results by having a collaborative team of cosmetic physicians and plastic surgeons, all of whom have areas of speciality and focus, which overlap, so that we can offer patients all of the best treatment options – not just 1 or 2.

How to Get Results for Your Thighs: Treatment Options by Concern

When you’re choosing to treat various concerns or symptoms regarding your thighs, it’s important that your doctor offers and has ample experience with a variety of treatment options. There are many cosmetic options available, ranging from injectables to no-downtime laser treatments to liposuction to thigh lift surgery, and each treatment is suited best to a handful of unique concerns. A professional with a wider range of experience is best able to pick the right choice for you, while others may just suggest the only treatment they offer. Below, we break down the best treatment options for each type of concern.

Removing Fat from Your Thighs

There are several options available to remove excess fat from the thighs.


CoolSculpting is a popular nonsurgical treatment which makes use of a proprietary process called cryolipolysis to freeze away unwanted fat. The body naturally flushes away these frozen fat cells, and they are permanently removed. This treatment works best for those looking for spot reduction of curved, pinchable fat with no downtime. Unfortunately, the CoolSculpting handpieces can either not fit your curves OR this procedure can sometimes work a bit too well in the inner thigh area – so it’s critical that an experienced provider do your consultation and evaluate this procedure for your legs, individually.

SculpSure is a laser fat reduction treatment that, like CoolSculpting, requires no surgery or downtime, and produces very similar results to what CoolSculpting does. Flat treatment panels are placed on the body and alternate between warming and cooling laser energy, which is absorbed by the fat cells. This treatment works best for those looking for spot reduction of flat areas with no downtime.

Kybella is an injectable treatment that destroys fat cells using deoxycholic acid. Kybella was initially developed to reduce fat from the double chin area, but it can be used to spot-reduce all over the body, and it’s gained a reputation as one of the most effective treatments for that little pocket of fat on the back of the thighs just below the butt, sometimes called the “banana roll.” This area can be tricky to treat, because surgical fat removal, liposuction, detachs the skin from the fascia, and in the case of this particular area, that detachment can lead to a really saggy behind and poor healing. So it’s not usually recommended. Kybella can dissolve that fat without creating these issues, in just a few series of injections.

Liposuction has been one of the most popular plastic surgery procedures for several decades now because it produces the very best and complete fat removal results. During liposuction, fat cells are suctioned away using a cannula inserted through a small incision in the body. The incision points are very small – about the size of the eraser on a no. 2 pencil – so there really aren’t big scars from this procedure, and it’s usually performed under local anesthesia at our offices, which also makes for a faster recovery and lower cost.
In the legs, if you need skin tightening and fat reduction, Smartlipo or Vaser can be really good liposuction choices, because they will cause some skin tightening in addition to full removal of fat.

Tightening Sagging Thigh Skin

If sagging or loose skin is a concern, removing excess fat through procedures like liposuction or SculpSure can exacerbate the problem, because to some degree, the extra fat is supporting that skin, and when it’s all removed, skin that’s completely lost its elasticity will droop. Skin with stretch marks and skin that’s very thin is generally unable to rebound and snap back after all of the fat is removed. Fortunately, there are several skin tightening procedures available. We discuss stretch marks treatments in more detail in its own section below.

If you’re specifically looking to treat inner thigh sagging, we have a post that covers that specific issue in much more detail here.

A thigh lift is a surgical procedure that reduces excess skin around the thighs. Thigh lift incisions are generally made around the groin or inner thighs so that scarring is well hidden. Newer techniques hide the incision along the back of the thigh in the lower butt crease, which allows for a longer excision line, which leads to smoother and more complete tailoring of the results, and which also leads to an incision that has less pressure on it (per inch), leading to better scar healing, and the scar is hidden in a crease, which always allows for a more discreet and camouflaged scar.

ThermiTight and SmartLipo offers the best and most complete skin tightening (as opposed to removing excess skin, and potentially stretching thin skin even tighter – which will only lead to more drooping later). While ThermiTight uses radiofrequency energy, Smartlipo uses laser energy, but they essentially work the same way: heating the collagen layer precisely from below to remodel and restore skin’s tightness, firmness, and elasticity. Because these treatments are delivered from underneath the skin, they are much more intense than a laser resurfacing or RF microneedling treatment. Smartlipo is always performed as a part of a liposuction procedure, and ThermiTight can be performed at the same time as liposuction or on its own.

Exilis Ultra combines ultrasound and radiofrequency energy to produce a skin tightening effect without needles or downtime. The ultrasound and radiofrequency waves are administered to the skins surface and penetrate deep into the skin, heating collagen fibers and causing them to contract. This procedure is by far our least expensive option – and the results are actually really great – but they won’t last as long as the results from some of our other options. That having been said, results that show up in a few weeks, are affordable, and make a big impact is just what many of our patients need to feel confident for shore season or a big event.

Thermage and Ultherapy can be used on the body – and sometimes we do recommend it – but usually those patients who have the budget for these procedures, which is not too far off from a ThermiTight procedure, will opt for that because it offers bigger results. It does come with downtime, though, which Ulthera and Thermage do not. Finding the exact right treatment that gets you the results you want, within your budget, and without disrupting your life is our specialty.

Saddlebags & Hip Dips Smoothing

There are three basic approaches of reducing the appearance of saddlebags or hip dips: reducing areas of excess fat, filling in sunken areas, or a combination of the two to create an even contour.
Laser Liposuction can be used to reduce the appearance of saddlebags or hip dips by removing fat. In some cases, fat transfer may also be used to create a smooth, even contour.

CoolSculpting or Sculpsure are nonsurgical options to reduce fatty deposits in the saddlebags. These procedures each permanently remove fat cells without requiring incisions, surgery, or downtime.

Sculptra is an injectable agent that can be used in some cases to fill in hip dips for a more even contour and even to enlarge the buttocks. This is an ideal option for those who really don’t have excess fat in this region, but rather want to smooth out their silhouette and have a natural indentation between hip and thigh.

Treating Cellulite on Thighs

Treating cellulite on the thighs largely depends on the root cause of the uneven appearance. Often, treating cellulite is achieved by strengthening and tightening the skin, reducing fat, cutting the tethers between skin and fascia that create deep dimples, or some combination of the three.

Sculptra can be used in some cellulite cases to create a more even skin tone by gradually increasing the thickness of the skin. This firmer and thicker skin reduces the appearance of cellulite. This injectable procedure has no downtime.

Qwo is a new type of injectable treatment that severs the fibrous tethers that create deep dimples with an injectable procedure. Previously, this was only possible with surgical procedures that, to be honest usually lead to significant and painful bruising.

Exilis Ultra tightens the skin and creates firmer collagen fibers using a combination of ultrasound and radiofrequency energy. This treatment really only works for cellulite that’s caused by aging and is at its source a skin laxity problem. This generally manifests as wavy diffuse texture throughout large portions of the thigh during or after menopause.

Profound RF is a form of radiofrequency microneedling which uses needles charged with radiofrequency energy to create micro-injuries in the skin, stimulating the healing response. This leads to strengthened collagen and a firmer tone and texture. Unlike other RF Microneedling procedures, we use Profound RF almost exclusively for cellulite treatment. The needles are much larger and go much deeper than our other RF Microneedling devices, but that’s exactly why it creates a bigger impact for Cellulite, as opposed to skin resurfacing offered by other similar treatments.

Cellulaze has long been a gold standard among plastic surgeons. It’s the most comprehensive treatment for cellulite – covering the excess fat, skin texture, and deep dimples – but it is not inexpensive and there is a real downtime with significant bruising that can last for several weeks. Generally, the results are much better than other treatment options (for those that have all 3 symptoms) and the treatment only needs to be performed once.

Getting Rid of Wrinkles at the Top of Knee


Wrinkles at the top of the knee are generally caused by volume loss and/or age-related collagen loss. The way to tighten skin and remove those wrinkles on the knee is to build up the collagen.

We have a whole page dedicated just to the treatment of knee wrinkles, which we encourage you to check out. This is a very interesting and rapidly developing area of treatment in cosmetic medicine today.

Contouring Fat Around the Knee

Unwanted fat around the knee can be treated in much the same way as unwanted fat throughout the rest of the thighs.
CoolSculpting is one of the most popular nonsurgical options, although as we mentioned above, for some patients this treatment won’t be their best choice – it’s all about how well the contour of the applicator fits to the curves of your body. However, when CoolSculpting isn’t a perfect fit, Sculpsure usually is. SculpSure works similarly but uses heat instead of cold and has flat applicators instead of curved ones. The results and cost are very similar, and both have no downtime or needles involved.

Kybella is an injectable that reduces unwanted fat by using one of the enzymes that are involved in the digestion of fat cells – so it selectively targets and breaks down the fat cells, and your body clears these away as a normal part of homeostasis over the next few weeks. Treated fat cells are permanently removed.

Laser Liposuction may be your best option if you have more significant amounts of fat near the knees, or knees are not the only area that you want treated for fat removal.

Stretch Marks on the Thigh

Stretch marks are incredibly common, and there are several options to reduce their appearance.

We have a page that digs deeper into the treatment of stretch marks and the nuances of treatment selection here.

Laser skin treatments are one of the most common methods of treating stretch marks. Laser treatments repair broken blood vessels and damaged fibers in the skin while stimulating new collagen. Pulsed dye lasers like Vbeam Perfecta are better-suited to removing red or purple coloring, while Fraxel Re:Store Dual or RF Microneedling, especially when enhanced with plasma therapy, are best at restoring normal skin texture and elasticity, by remodeling collagen support from below.

Spider Veins & Visible Blood Vessels on the Thigh

Visible blood vessels, varicose veins, or spider veins can be treated using a variety of nonsurgical treatments.
Laser treatments are one option to treat visible veins on the thighs. Some options include VBeam Perfecta or GentleYAG. These treatments are effective in targeting the blood vessels causing redness or discoloration without damaging surrounding skin.

We have a page dedicated to explaining the newest and most effective treatments for red spots and broken blood vessels on the body that’s worth a read if you’re considering how to remove these. They are very common on the legs, especially as we age.

Removing Unwanted Hair on Thighs

Laser hair removal is an option for permanently removing unwanted hair from the thighs (or any other area of the body). Reflections Center offers several different systems of laser hair removal to suit patients of varying skin tones and types, with treatments performed by trained cosmetic physicians.

Revision of Surgical Scars on Thighs

Surgical scars on the thighs can, in some cases, be treated using RF Microneedling. By creating controlled micro-injuries in the skin, RF microneedling stimulates your body’s healing response to reduce the appearance of scars. CO2 Lasers work in a similar way, and may be more appropriate for patients with certain skin tones, and in particular those with discoloration (loss of color and darkness).

Non-Surgical Thigh Treatments

You’ll notice the majority of the treatments listed above are actually non-surgical or minimally invasive, meaning there’s very small incisions, low risk of scarring, and no need for general anesthesia. There’s a reason for that: thigh lifts are often chosen as a last resort for more extreme symptoms because they result in visible scars and require a highly-skilled plastic surgeon to execute them well. Few people are truly good candidates for thigh lifts; most patients are better suited to a nonsurgical option.

What Should I Expect During Thigh Treatment at Reflections?

First, we’ll start with a consultation with a cosmetic physician who specializes in your concern. When you make your appointment, we’ll suggest a physician who is an expert in treating your specific symptom. Each of our team members specializes in a selection of treatments, so we can match each patient with a doctor who has the experience and skills necessary to achieve the best possible results.

Cosmetic & Laser Physician at Reflections Center

Dr. Renata Wix-Harris has extensive experience as a general surgeon and work in the plastic surgery department has helped to her to become an excellent laser liposuction surgeon. She is also skilled at laser and energy-based skin therapies, injectables, and non-invasive body contouring.