I was informed I will have loose skin after my BBL. Do you think J-Plasma will work? (photos)

Question

My height is 5’2 , weight 164 . Roughly BMI of 30 Based on my shape what kid of results to expect .. just to note I do like the size of my thighs and do you think realistically that Jplama will work? I don’t wish to get a tummy tuck

Jason Emer, MD · Answer

you need a tummy tuck, j plasma will help but you will still have loose skin with tightening and liposuction alone.

my whole practice is doing lipoabdominoplasty, 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

I think you would do well with liposuction and Renuvion to your abdomen, and then later consider EMSculpt to help tighten your abdominal muscles.

Darryl J. Blinski, MD · Answer

My own personal experiences with J-Plasma has been horrible! I am fixing so many internal burns and severe fibrosis. I DO NOT recommend it! Lipo360/BBL has many risks but if done carefully the results whether 1 or 2 rounds can be great. Be safe out there... Dr B IF:drfixitmiami

Mats Hagstrom, MD (license on probation) · Answer

High-quality Liposuction does not worsen skin laxity nor does it improve it.

My first hand experience with Jay Plasmsma was unimpressive and I have since sold the equipment because it didn’t deliver any visible skin tightening.

If you want tight abdominal skin you’ll need a full tummy tuck.

You can always move forward with your BBL and consider a tummy tuck down the road.

Personally I believe the J plasma will eventually fall out of favor as a viable skin tightening option once people (surgeons and patients )realize it does not deliver. The device can be used for ablative facial skin tightening in a different manner which is a reasonable use for the device but not applicable for someone’s abdomen.

Best,

Mats Hagstrom MD

I was informed I will have loose skin after my BBL. Do you think J-Plasma will work? (photos)

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