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For more significant laxity, particularly involving larger areas of loose skin, a conversation about surgical options, such as body contouring procedures that directly address excess skin, may be the most realistic path to the outcome a patient is looking for, and I think it is important to have that conversation honestly rather than implying a topical or minimally invasive option can substitute for surgical correction when the degree of laxity genuinely calls for it
Joshi GP, Abdelmalak BB, Weigel WA, Harbell MW, Kuo CI, Soriano SG, et al