Bumpy skin on the body – what can I do?

Hi Dr.Irwin, I have two different questions that I would love to hear your opinion on: 1) what do you think about skinceuticals body tightening concentrate? I am quite skinny and in good shape but have some bumpy areas on my legs, especially above knees. It is not the skin's surface that is bumpy but looks like the underneath. Looks like sellulite but a little diffrent I think. Would you recomeend to try the skinceuticals product? Or would you have another suggestion? 2) what do you think about strivectin and their retinol products? Thank you very much for all the great information youu provide. I find myself very lucky to have found your website. Sincerely, Nelly

Thank you for reading and writing!  This is a tough one but let’s go back to the first principles, which are first, what’s causing this?  Because you can’t target the treatment well until you target the cause!  Your doctor may be able to help with this.


For example, if the bumpy quality around the knees is due to little pockets of uneven fat (i.e. more like “cellulite,” then a cream which doesn’t penetrate very far in, isn’t likely to help much.)  If you pull the skin tighter with your fingers, does the bumpiness go away which would make you think the problem is more just loose skin.  I’m sure you see what I’m saying.


If the problem is more fat, then a technology like Exilis which has a fat melting component to it, or liposculpture or liposuction (done well), may help.  The last two have more risks and complications with them.   If the problem is more skin, then a skin tightening therapy like Exilis (used with just the “skin setting”) or Ultherapy might help.  These are off-label (FDA) uses in the U.S.  Find a good dermatologist who does cosmetic skin treatments and a good plastic surgeon and get several opinions before deciding!


Hope this helps,  Dr. I


Read Dr. Irwin’s article on cosmetic skin treatments.


Learn more about finding an excellent cosmetic dermatologist.

Dr. Brandith Irwin, MD

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