What is better, BodyTite vs J-Plasma for abdomen loose skin tightening after weight loss?

Question

Lost huge weight, have lose skin but don't want to do a tummy tuck. Which of these technology would give me best result? Can both be combined in the same session? Can they be done after reach other? If so how long should I wait in between? Just want to get maximal improvements without the scar and downtime of a tummy tuck!

David Shokrian, MD · Answer

Hi, thanks for your question! One of the most important differences between the two is that with BodyTite, the surgeon can see amount of energy being used and the energy emitted is limited for patient safety, and with J-Plasma the energy is not controlled or limited. Since there are no controls for the energy with J-Plasma, risks of burns are increased. And since J-Plasma is fairly new, most surgeons do not have enough experience using it to ensure the correct amount of heat/energy is being used per area.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. You probably need some sort of skin removal to be happy, but this really just depends upon your expectations.  BodyTite is a non-excisional device that utilizes radio-frequency assisted lipolysis to address the shortcomings often associated with traditional liposuction or surgical body and face lifts, including sagging or wrinkly skin and scarring, by inserting a wand under the skin to coagulate inside while tightening the skin on top. 
While a traditional TT can do wonders for your body, it leaves a large and unwanted scar behind. At Hughes Plastic Surgery, we offer a better option: the short-scar TT.
A short-scar TT was developed to enhance a patient’s abdomen and get rid of excess fat and skin in a way that created more attractive results. The shorter scar it leaves is the same length as that of the mini TT.  While the mini TT is less invasive, it also isn’t as comprehensive as the full TT. A short-scar TT, however, offers double the amount of loose skin and fat removal that a mini offers. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

Jason Emer, MD · Answer

if you have really loose skin you will need skin removed. if there is little loose skin internal heating can give improvement. 
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.

Donovan Rosas, MD · Answer

Liposuction alone is not the solution to saggy skin. To a certain extent further volume reduction will serve to further exacerbate the problem.
Typically, excisional procedures represent the starting point for bariatric patients. Most will start with their core and work outwards over a series of procedures (depending upon patient preference). Liposuction plays a role as an adjunct.With regards to your specific question, RF skin tightening (BodyTite etc.) is a more controlled (and thus safe) modality for inducing skin tightening through heat. That being said, the skin laxity which is commonly seen in the MWL population often represents too great a challenge for minimally invasive skin tightening tech.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame

David Hansen, MD · Answer

BodyTite is the Best!  J plasma has recently changed its name because of all the complications and problems it has had over the yrs. BodyTite is a controlled radiofrequency which has controlled heating of the skin and subcutaneous tissue for precise results. J plasma which is now called something like renuvion is like placing an uncontrolled blow torch under the skin. It's scary and too risky.

Daniel Barrett, MD · Answer

Dear Just_me_but_better,
it is hard to tell for sure without an examination. Generally speaking, treatments like BodyTite or J-Plasma won't have a significant effect if you have a lot of loose skin.  If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

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