Cosmetic surgeon says sagging skin by knees can add years to age

Are your KNEES making you look old? Cosmetic surgeon says sagging skin around the joints can add years to your age – and reveals a 45-minute procedure to turn back the clock

  • Dr Angelica Kavouni, based in London, said knees show the first sign of ageing 
  • Thankfully she’s turning back the clock with a non-invasive £2,000 treatment
  • The cosmetic surgeon uses a skin tightening treatment known as Thermage FLX

A cosmetic surgeon has revealed how your knees can make you look much older than your actual age.

Dr Angelica Kavouni, based in London, told FEMAIL that the sagging skin around the joints can add years to your appearance – but thankfully she’s turning back the clock with a non-invasive treatment.

She uses a skin tightening treatment known as Thermage FLX, which is a radiofrequency therapy that can help smooth, tighten and contour skin for an overall younger-looking appearance.

The 45 minute treatment, which costs from £2,000, delivers a uniform heating effect that penetrates deep into the collagen-rich layers of the skin. 

In turn, this gentle heating causes existing collagen tissue to tighten, stimulates the production of new collagen, and helps to define contours.


Dr Angelica Kavouni, based in London, told FEMAIL that the sagging skin around the joints can add years to your appearance – but thankfully she’s turning back the clock with a non-invasive treatment. Pictured left to right, a 48-year-old’s knees before and after undergoing treatment

Dr Angelica said she’s seen a rise in women wanting the skin around their knee area tightened, and admitted that this is the first place to show signs of ageing.

She said: ‘I’ve seen a significant increase in enquiries for treatment on the elbows and knee area. I’ve actually seen around a 200 per cent increase in patient enquiries since the start of the year.’ 

Suggesting why this is, she added: ‘As we’re moving into the summer months we’re of course seeing more of our knees and elbows. We’re also slowly coming out of a pandemic where we’ve had time to reflect on things that bother us. 

‘A lot of people have spent time getting fit during the pandemic and now wish to tighten skin, others have taken time to research treatments that they may not have otherwise had time to look into.’ 

She warned people to moisturise their skin and limit sun exposure to ensure their skin didn’t look too saggy. 

She uses a skin tightening treatment known as Thermage FLX, which is a radiofrequency therapy that can help smooth, tighten and contour skin for an overall younger-looking appearance. Pictured left to right, a person’s knees before and after the treatment


It’s not just knees that can benefit from the treatment, with elbows also being improved. Pictured, a 56-year-old person’s elbows before (left) and after (right) the procedure

‘The knees and elbows are one of the first places to really start to show our age,’ said the expert.

‘ The knees in particular take on a lot of stress because they are a weight-bearing area and they have to constantly bend, so the skin is always having to stretch. 

‘This, along with ageing, sun exposure and volume loss, can lead to loose skin around the knees. Sagginess can also be attributed to a lack of hydration, which is why it’s important to keep your skin moisturised, as well as protected from the sun.’

It is said the result of the treatment is an immediate skin tightening, with a person’s skin condition continuing to improve for the next six months, with results lasting up to 12 months.

It’s reportedly loved by celebrities including Demi Moore, Gwyneth Paltrow and Jennifer Aniston.

The cosmetic surgeon said the area only needs to be treated once, explaining: ‘Many patients see immediate results and then these just get better over time as the body starts to produce more and more collagen.’

However, she added: ‘Top ups can then be carried out once a year if required.’ 

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