Mini arm lift, Renuvion, arm lipo. Is Renuvion enough to tighten my skin? (Photo)

Question

I'm 60 years old. Considering having these procedures (lipo/Renuvion/mini lift) done to my arms and would like to know from those who have done these 3 things in the arms; pros and cons. I work out regularly. This area just isn't cooperating. I don't want a long scar. This mini would be under my arms. I will use a board certified plastic surgeon who I understand does these quite often. Is the Renuvion enough to tighten my skin? Has anyone done this and had to do Renuvion more than once?

Vaishali B. Doolabh, MD, FACS · Answer

Hi labwstone,
Your picture shows loose skin and a mild to moderate amount of fat under the skin.  Renuvion yields about a 40% improvement in skin looseness.  The liposuction will remove the fat and you may see some tightening just from the deflation of the skin envelope.  I have not had to do a second Renuvion on any of my patients, regardless of the body area.  None of the patients whose arms have been treated required secondary skin excision either.  The picture, while helpful, is not a substitute for an in person assessment of your tissue-not sure if the mini lift is appropriate to be done or even at the same time.  Remember, expectations of maximum tightness can only be met with a full lift to remove tissue along the length of excess.  Best wishes, Dr.Doolabh

Jason Emer, MD · Answer

if you have looseness and you want full tightening you will need a lift. if you want less improvement you do internal heating with mini pinch. I suggest you consult an expert. I would start hormonal optimization now (see link).

my whole practice is doing lipoabdominoplasty/brachioplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Connie Hiers, MD, FACS · Answer

Just based on the one photo with one view, I think liposuction and Renuvion would be a good option for your arms.

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