Kninkles || The Saggy Knees Syndrome

The Saggy Knees

Well we’re guessing you haven’t put a dress on in quite a while.  You may feel inclined to do so however with the intimate festivities of 2020.  I am sure we are celebrating the end of 2020 for a variety of reasons, the traditional thankfulness and a good measure of good riddance as well.  And we thought 2019 was bad..

Well, a raised hemline can add a skip to your step but can also be an uncomfortable reminder that aging doesn’t just happen in the face..  As we grow older and wiser, we tend to start suffering from the saggy knee syndrome AKA kninkles (knee-wrinkles), where the skin on your knee drops, creating a puddle of excess skin that is particularly pronounced when wearing short skirts.  It’s the sort of thing that is actually quite difficult to address, and can be seen on the knees of the most famous women in the world, namely Gwyneth Paltrow, Demi Moore and Jennifer Aniston.

Like all body areas, the knees do show the signs of aging. The constant flexion and extension of the knee eventually causes loose skin to appear in folds or rolls above the kneecap. These skin folds can also be exaggerated by the downward descent of the thigh skin which pushes down against the fixed skin on the kneecap.

The good news is, there is something that can be done about it!  In addition to the below suggestions there is the surgical knee lift.  It is not as popular however, firstly because the skin is actually cut away, this causes a substantial scar.  More importantly however, the constant flexion and extension can once again sag the tightened skin..  So cutting the skin away is not the solution because ultimately there needs to be a measure of some excessive skin to allow the joint to move.  The better concept is to fill out the areas under the skin that are causing the sagging.


Threads but for the Knees

The Saggy Knees


The threads technique is that usually used to improve the appearance of sagging jowls, is also used for the knees.  This progressive non-surgical procedure not only lifts the tissue, but also builds collagen over time.  The suture technique used, provides immediate lifting and tightening of the knee area.

Silhouette InstaLift uses threads made from absorbable sutures and bidirectional cones, which upon entering the skin provide immediate, subtle suspension to sagging tissue. InstaLift’s sugar-based cones are made from a material called poly-L-lactic / glycolic acid (PLLA and PLGA); as they dissolve into the tissue over weeks to months, the cones have a bio-stimulatory effect on the skin, producing long-term natural collagen production and gradual skin tightening benefits.


Knee Contouring

The Saggy Knees


The knee contouring procedure is administered under local anesthesia in an out-patient setting.  This four step process addresses all the issues that one may experience with aging knees.  The first step is to identify the areas with excessive amounts of fat which cause what is generally known as knobby knees.  The knees are contoured using a very gentle liposuction using vibrational cannulas.  The second step is to redistribute the loosen fat from process #1.  The fat is pushed into areas under the skin where there is a lack of underlying soft tissue due to volume loss.  This is where the skin gathers and sags.  The third step involves inserting a laser fiber under the skin for skin tightening.  Low-level laser light is used for gently heating the skin on the under surface.  This gentle heat stimulates the skin to produce new collagen over time.  The final step involves fractional laser resurfacing on top of the skin.  This final step in the process is essential as one must also address the skin changes that appear on the surface of the skin also.


Radio Frequency Treatments

The Saggy Knees


Many of the radio frequency treatments used on the face to tighten slack skin by stimulate collagen can also be used on the knees. Thermage for example delivers heat to the dermal tissue causing the collagen to tighten and over time; produce more collagen.  This helps tighten and contour the sagging skin around the knee area.


Derma Fillers

The Saggy Knees


Again, just like we fill out depressions in our face such as laugh and marionette lines with fillers.  The same can be said for using the same derma-filler technique to create a beautiful contour and an overall more pleasing aesthetic. This is not as popular as the other techniques though, possibly because of the amount of filler required..



The Saggy Knees


We asked Sports and Fitness specialist and OneIIOne gym owner Osama Abu Al Haj about the exercises that best help the saggy knee syndrome.  The muscles that actually need to be addressed, according to Abu Al Haj are those above the knee, which help lift the skin and stretch out any kninkles.  The VMO (vistas medals obliquus) right above the knee, is part of the quadricep or thigh muscle.  His muscle can be toned by practicing deep squats, this means crouching down like a ski jumper, and standing up again using those thigh muscles.  To take it up a notch, the personal trainer suggests trying the same exercise with elevated heels, on a block a few inches thick.  Starting with 20 squats, three times a day and build up.