The fold of crepey skin above the kneecap, the one that shows in a skirt or shorts, is on the maker's list of Endolift areas. No published series has measured the knees, and we say so; the fibre is passed under the skin above and beside the kneecap from small entry points, under local anaesthetic, in one session, both knees together. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.
What it does on the knees
Endolift tightens the loose skin above the knee by contracting the fibrous layer under it and prompting new collagen. The 1470 nm wavelength is absorbed by fat as well as water, so the aim is that a small fat pad above the kneecap reduces in the same passes. It does not change the joint or the kneecap, and skin that has lost its elasticity entirely is more than one session tightens, and the doctor says so.
What the evidence covers
The maker lists the knee; no series has measured it, so we quote no figure. The mechanism is the one measured on the abdomen and arms and on the face, and those stand for the mechanism rather than as a promise for the knee. The full guide sets out every series.
The session and after
Local anaesthetic along the path of the fibre, the fibre passed under the skin from small entry points above the knee and drawn back pass by pass, and in our practice you walk out the same day. Swelling, tenderness and some bruising above the knee for several days, loose trousers and no running for the first days. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.
Who it suits
In our practice, an adult with a crepey fold above the knees and skin that still has elasticity, who wants one session. A knee replacement or metal in the knee rules it out, and a 2026 review lists active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The inner thighs page covers the area above, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.
Not sure you are suitable? Ask the clinician, it is free

