Skin tightening or thigh & arm lift? Revioun or J-Plasma - does it really work? (Photos)

Hello. Thank you for your question what to do with your thighs and arms. In my opinion, the best results would be achieved with an arm reduction (arm lift or brachioplasty) and a thigh reduction. However, if you cannot “deal” with the arm and thigh lift scars, your results will NOT be as significant. You mentioned that you have had “liposculpture” before and the skin became “worse.” Therefore, you must realize that if you have further “liposculpture”, your skin will probably get worse. Based on your pictures, and diet history, I do not think Renuvion or J-Plasma will provide any significant impact. (Yes, I have both machines.) Renuvion and J-Plasma are for minimal skin contracture. In plastic surgery, there is what is called the “treatment ladder.” That mean a plastic surgeon slowly climb the ladder and will use more aggressive methods to treat more “difficult” areas. Usually, if the J-Plasma or Renuvion does not work, a plastic surgeon will pick a more aggressive modality, like liposuction. If liposuction does not work, then, a plastic surgeon will probably proceed with an incision. You have already had liposuction. Therefore, since liposuction did not work, you should not go back down the ladder and have a LESS invasive treatment like J-Plasma, and expect it to work. Therefore, in the end, you have 3 choices: 1) Renuvion and J-Plasma (which I do not think will work on you), 2) liposuction (which you mentioned did not work on you), and 3) an incision (which you say you do not want). Therefore, in my opinion, do not waste your money on Renuvion or J-Plasma and proceed with liposuction, but do realize that your skin may get worse. I am sorry this may not be the answer you want; however, if you do not want an incision and your skin got worse with liposuction, I would not waste your money on Renuvion or J-plasma with your history. I hope that I have answered your question regarding what to do with your thighs and arms. Among other things, I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Hi TaraUK

The cosmetic options for improving the look of your upper arms include Coolsculpting for minimal to moderate amounts of fat to be removed, liposuction for moderate amounts of fat, and liposuction combined with a surgical arm lift for large amounts of fat that requires skin excision for tightening.
For more information about this procedure, please visit our website.

Hello, thank you for your question. It seems like you may benefit from an arm lift and thigh lift, the extended arm lift allows more fat and skin to be removed, and it can produce a much better contour. Because the laxity extends all the way to the elbow, the longer incision is needed. In an extended brachioplasty, I can put the scar anywhere the patient desires (inside of arm, back of arm). It is my belief that the incision in the bicipital groove is the most appropriate in most patients as most people during casual observation do not expose the medial aspect of their arms. The posterior scar is more visible in walking in short sleeve tops. I recommend you to schedule a consultation with a board certified plastic surgeon.

From the photos you may want to consider BodyTite. This is a minimally invasive procedure that can address excess fat and tighten skin. It is best for those who have mild to moderate skin laxity and can be used on the arms and legs. Aveli is a great option for cellulite. It is performed in the office with only a single treatment required. I've included a video that I hope you find helpful.

Thank you for your questions and photos. Liposuction is a great way to reduce fat and contour the body however, it can leave excess tissue, especially on the medial thighs and arms. Based on your photos, I would recommend liposuction and a medial thigh lift. The liposuction will sculpt down the thighs and shape them. The medial thigh lift can be done with the incision placed in the groin area. The scar heals well and is hidden in the groin crease. You could consider Body Tite on your arms. This is a technology that uses radiofrequency to shrink wrap the tissues. It does work but will not give a surgical result. In general it tightens the tissues about 30-40%. The arms can be done in the office under local anesthesia. If your goal is a sculpted arm without any loose tissue, you would need liposuction and an arm lift. I recommend scheduling a consultation with a board certified Plastic Surgeon who can assess your specific anatomy and evaluate if Body Tite is a reasonable option for you. In our office, we offer 3D imaging to give our patitents an accurate idea of what their final result will look like. I hope this helps. Good luck!