Evaluation for skin laxity & cellulite - What results can I expect from Renuvion and Aveli? (Photos)

Question

I am reaching out due to skin elasticity issues after losing weight. I am 5'7" tall and successfully dropped from 243 lbs to 132 lbs over 5-6 years. My weight has been stable for a few years, but intense exercise did not resolve my skin laxity. Since I am 32 and have no children yet, I want to avoid invasive surgeries (tummy tuck, lifts) and long scars. I am looking into Renuvion and Aveli for a noticeable improvement.My goal is to treat loose skin on my thighs, buttocks, abdomen, and arms, and reduce cellulite with Aveli. Based on my attached photos, I would appreciate your guidance on these questions:What kind of results can we realistically expect from these procedures?Is it possible and appropriate to perform them without liposuction?Would adding post-op Morpheus8 to J-Plasma guarantee a better outcome, and is it necessary for me?

Leyla Arvas, MD · Answer

Congratulations on maintaining such a significant weight loss. After losing more than 100 lbs, it is very common to have residual skin laxity that cannot be corrected with exercise because the issue is primarily related to loss of skin elasticity rather than muscle tone or remaining fat.Renuvion (J-Plasma) may provide noticeable skin contraction in appropriately selected patients, particularly when there is mild to moderate laxity. However, after major weight loss, if there is a significant amount of true excess skin, no non-excisional treatment can reliably reproduce the tightening achieved with a tummy tuck, arm lift, thigh lift, or body lift. This distinction is important when setting realistic expectations.Renuvion can technically be performed without traditional liposuction when there is little excess fat and the primary concern is skin laxity. However, the decision depends on the thickness of the remaining fat layer, the degree of skin redundancy, and the specific area being treated. In some patients, limited liposuction or tissue undermining may be incorporated to optimize contraction, while in a very lean patient aggressive liposuction would generally not be desirable.Aveli addresses a different problem. It is designed to release the fibrous septal bands responsible for individual cellulite dimples, particularly on the buttocks and thighs. It can improve appropriately selected cellulite depressions, but it does not tighten generalized loose skin. Therefore, Renuvion and Aveli can be complementary when both laxity and true cellulite dimpling are present.Regarding Morpheus8, combining different energy-based treatments does not guarantee a better result. Morpheus8 may provide additional improvement in skin quality and mild tightening in selected patients, but I would not consider it automatically necessary after Renuvion. Treatment should be staged according to how your tissues respond rather than simply combining multiple technologies.At 32, your age and stable weight are favorable factors, but the most important factor is the actual amount and quality of excess skin. Based on an in-person examination, I would determine which areas have enough remaining elasticity to benefit meaningfully from minimally invasive tightening and which areas are unlikely to achieve your desired result without skin excision.If avoiding long scars is your priority, a staged minimally invasive approach can certainly be considered, provided you understand that the goal would be improvement rather than the degree of tightening obtainable with surgical lifting.

Evaluation for skin laxity & cellulite - What results can I expect from Renuvion and Aveli? (Photos)

Answers (1)

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