Cosmetic Guide to The Butt, Thighs, and Legs
Contoured, Toned, and Smooth
From New York City's Cosmetic Experts
Cosmetic Procedures for The Butt, Thighs, and Legs
At The Dermatology and Laser Group, we believe in a comprehensive and customized approach to cosmetic treatment, including when it comes to the buttocks, thighs, and legs. These areas are frequently of concern for both body contour and skin quality, and our goal is to address both with precision and artistry.
From unwanted fat deposits and cellulite to issues like crepey skin, stretch marks, and pigmentation, we offer advanced treatments that target the full spectrum of concerns. We carefully evaluate the underlying structure- muscle tone, fat distribution, and skin laxity- alongside the condition of the skin itself to create a treatment plan that delivers smooth, sculpted, and more youthful-looking results. Whether your goal is tightening, lifting, smoothing, toning, or slimming, our minimally invasive technologies allow us to enhance the natural contours of the lower body while restoring the skin's tone and texture.
Body Contouring
When it comes to reshaping the buttocks, thighs, and legs, we take an individualized, non-invasive or minimally invasive approach to help you achieve a sculpted and balanced lower body. Using advanced body contouring technologies, we can reduce stubborn fat in areas like the inner and outer thighs, smooth bulges above the knees, and enhance the overall silhouette of the legs- all without surgery or downtime.
- Emsculpt NEO: Emsculpt NEO uses electromagnetic energy to build muscle and radiofrequency to reduce fat, making it ideal for contouring the thighs and lifting the buttocks. For the butt, we focus on muscle building only- never fat reduction- to enhance shape and lift naturally. In the thighs, Emsculpt NEO can both slim and tone, helping to improve definition and balance as part of a comprehensive lower body contouring plan.
- Trusculpt ID: TruSculpt iD uses monopolar radiofrequency to permanently reduce stubborn fat and tighten skin at the same time. It's especially effective for contouring areas like the inner thighs, outer thighs, and above the knees, where fat can be resistant to diet and exercise. Treatments are quick, comfortable, and require no downtime, making it a great option for refining the shape of the legs.
- Sculptra: Sculptra is an injectable treatment that stimulates your body’s natural collagen production and fat production to gradually restore volume and improve skin texture. For the buttocks, a Sculptra butt lift enhances shape and projection without adding unnatural bulk, offering a subtle, long-lasting lift over time. It’s also an excellent option for filling in hip dips, helping to create a smoother, more contoured silhouette. Results build gradually over a series of treatments and continue to improve for months after your visit.


Skin Tightening
Sun Damage
Loose or crepey skin on the buttocks, thighs, and legs is a common concern, often caused by aging, weight fluctuations, or postpartum changes. Tightening the skin in these areas can significantly improve contour and skin quality, especially when combined with muscle-toning or fat-reducing treatments. We offer a variety of non-invasive skin tightening options tailored to your skin type, goals, and comfort with downtime.
- RF Microneedling (Potenza): RF Microneedling with Potenza is one of the most effective non-surgical options for tightening loose skin on the body. It combines microneedling with radiofrequency energy to stimulate deep collagen production. While it delivers impressive results, patients should be prepared for up to 1–3 weeks of redness or pinkness in the treated area.
- Radiofrequency (RF): For patients who prefer a no-downtime solution, we recommend Emtone- a powerful RF treatment that firms skin and improves texture by delivering thermal energy to the dermis. It’s a great option for those looking for steady improvement without taking time off.
- Biostimulatory Injections: Hyperdilute Radiesse injections stimulate the skin’s own collagen production without adding volume or bulk. This injectable treatment is ideal for anyone looking for a non-energy based solution and can treat a surface area of up to 300 cm² (roughly half a standard sheet of copy paper) with just 1–2 syringes spaced about four weeks apart.
Stretch Marks
Stretch marks are a common skin concern on the buttocks, thighs, and legs, often resulting from growth spurts, pregnancy, or weight changes. While completely erasing them isn't always possible, we offer advanced treatments that significantly improve their color, texture, and visibility. By stimulating collagen production and encouraging healthy skin remodeling, we help restore smoother, more even-toned skin in areas affected by stretch marks.
- Fractional Laser Resurfacing: We treat stretch marks using fractional laser resurfacing with devices such as ResurFx- an FDA-cleared laser specifically approved for the treatment of stretch marks. This non-ablative laser stimulates collagen remodeling deep within the skin, helping to fade discoloration and improve texture over a series of sessions. It’s a well-tolerated, non-invasive solution that can significantly improve the look of both newer red and older white stretch marks.
Leg Veins
Visible leg veins—whether they appear as small red spider veins or larger blue-green reticular veins—are a common cosmetic concern that can affect confidence, especially in warmer months. These veins often develop due to genetics, hormonal changes, prolonged standing, or aging. Fortunately, we offer effective, non-surgical treatments that safely diminish the appearance of unwanted leg veins, leaving the skin clearer and more even-toned.
- Laser Leg Vein Treatment: We use a state-of-the-art Nd:YAG laser to treat unwanted leg veins with precision and minimal discomfort. This laser targets the blood vessels beneath the skin without damaging the surrounding tissue, causing the vein to collapse and gradually fade from view. It’s particularly effective for small to medium-sized spider veins and can be used on a range of skin tones. Most patients see noticeable improvement after just a few sessions, with little to no downtime required.
- Sclerotherapy: Sclerotherapy is a quick injectable treatment used to eliminate small to medium-sized leg veins. A specialized solution is injected directly into the vein, causing it to collapse and be naturally reabsorbed by the body. It’s a trusted, effective option for improving the appearance of spider veins with minimal downtime.
Cellulite Treatment
Cellulite is an incredibly common condition that affects the appearance of the skin on the buttocks and thighs, often presenting as dimpling or an uneven texture. It occurs when connective tissue bands beneath the skin pull down while fat pushes up, creating a lumpy or “cottage cheese” look. While it's completely normal, many patients seek smoother skin and improved contour. We offer effective, non-invasive and minimally ivasice cellulite treatments that target the structural causes of cellulite, helping to restore a firmer, more even surface to the skin.
- Avéli: Avéli is a minimally invasive, FDA-cleared procedure that treats cellulite at its structural source by manually releasing the fibrous bands beneath the skin that cause dimpling. Performed in-office with local anesthesia, Avéli offers long-lasting results in a single treatment with minimal downtime. It’s an excellent option for patients seeking a definitive solution to cellulite on the buttocks and thighs, delivering visibly smoother, firmer skin with results that continue to improve over time.
- Emtone: Emtone is the best non-invasive option for treating cellulite with a rippled or wavy appearance rather than deep dimples. It uses a combination of radiofrequency and targeted pressure to improve skin texture, increase collagen production, and reduce the look of cellulite. Emtone is ideal for patients who are not candidates for Avéli or prefer a completely non-invasive approach. While results can be impressive, regular maintenance treatments are needed to sustain improvement over time.
- Biostimulatory Injections: Hyperdilute Radiesse injections stimulate the skin’s own collagen production without adding volume or bulk. This injectable treatment is ideal for anyone looking for a non-energy based solution and can treat a surface area of up to 300 cm² (roughly half a standard sheet of copy paper) with just 1–2 syringes spaced about four weeks apart.

Arash Akhavan, MD is founder and owner of The Dermatology and Laser Group, one of the top centers for cosmetic procedures in New York City for over a decade. Arash Akhavan, MD, FAAD is a Board Certified Dermatologist and an Associate Professor at The Mount Sinai School of Medicine. Dr. Akhavan is a Castle Connolly Top Doc, New York Magazine Best Doctor, and Super Doctor featured in The New York Times. Dr. Akhavan is a key opinion leader that has been featured on hundreds of media publications including The New York Times, Allure, Marie Claire, Women’s Health, Cosmopolitan, ABC News, Fox News, Fox 5, NY1, WPIX, and more. He has been featured on nationally syndicated television programs such as The Doctors.
Dr. Akhavan serves as an educator and lecturer for multiple aesthetic device and injectable companies. This allows his office access to newer technologies at an earlier date than other offices, as well as a higher level of expertise in the use of these devices. This, in turn, translates to more effective and safer treatments for our patients.