Have you had previous cosmetic surgery? Previous Liposuction of your torso? If so, that would be very important information in regards to making an assessment. Patients over the previous Liposuction are going to have limited potential for improved result by having secondary liposuction procedures. The areas marked off have significant amounts of skin, Laxcity and skin. Laxcity is not treated with fat removal. The transition between your waist and buttocks could be improved, but it’s not the area you’ve circled. Well done arm liposuction can give very high patient satisfaction and excellent results even in individuals who have skin laxity. Delivering consistent quality liposuction results is more difficult than most people believe. Extremity liposuction is technically more difficult and the number of providers who can do this procedure well on a consistent basis including making accurate assessments and deliver predictable results is relatively small. There is a substantial variation in Liposuction’s skills among plastic surgeons, despite being board-certified, having years of experience, and an overall good reputation. Do not assume that somebody is good at Liposuction, because they have all the right credentials. A substantial number of plastic surgeons are simply not good at liposuction and don’t like performing the procedure. Because Liposuction results are permanent and irreversible and can lead people to be disfigured. It is paramount the patience to put in a solid effort to find the best provider. It’s also very important to understand your own candidacy for the procedure. Not everybody is a good candidate for Liposuction and understanding who is a good candidate and who is not is very important. Personally, I don’t think you’ll find Renuvion to add anything beneficial to the procedure. Finding the right provider is the single variable that is going to determine if you have quality outcomes or not. To find the right provider and get quality assessments, I recommend patience, have multiple in person, consultations with local, board-certified plastic surgeons, who seem to have a solid reputation for doing Liposuction. I suggest patients start by having at least five in person, consultations and consider scheduling more unless they feel very confident they found one of the best providers. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients, who had similar body and arm characteristics to your own. And experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a provider’s career is totally insufficient to get a clear understanding of what average results look like in the hands of each provider, what results would look like, based on your candidacy or how many procedures like this they’ve actually done. Do not assume anybody is good at Liposuction until you’ve been shown sufficient quality and quantity of documentation, proving competence. It is also imperative, that patients understand their own candidacy for the procedure. Individuals who have other variables like skin laxity are never going to have the same type of results that patients who have good skin elasticity without skin laxity have the potential of obtaining. In the end, the skill of the surgeon and the candidacy of the patient are the only two variables that matter. In my first-hand experience, Renuvion did not offer any significant skin tightening on any of the patients I treated during a year of using that device. Best, Mats Hagstrom, MD