Loose inner thigh from lipo. Would J-Plasma be the only solution to tighten my skin? (Photo)

this needs a thigh lift for improvement, liposuction with internal heating will give little improvement and will still have sagging (see link).
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.

Yes Renuvion (J Plasma) would be a fantastic option for skin tightening of the inner thigh. I do this on almost every one of my patients to prevent loose sagy thigh skin after liposuction.

Hi ByeByeFatty_HelloHottie,I think that J Plasma, now known as Renuvion, is a reasonable option to help tighten this skin as long as you have fully healed from the liposuction (given it enough time to contour). I don't feel that fat transfer is a good option given your pictures. The changes after Renuvion continue for many months so you will need good compression postoperatively.  Best wishes, Vaishali Doolabh

Thank you for your pictures and questions. Sorry to say, but I think that you were probably not an ideal candidate for thigh liposuction due to skin laxity. This should have been discussed ahead of time as I am guessing it could have been foreseen based on a pre-op exam. The inner thigh is notorious for poor skin laxity. The best option for you would be a thigh lift to remove the excess skin and improve the contour. Nobody wants the scar, but that is the answer to get the best result. You can pursue skin tightening such as J-plasma or BodyTite, but there is no assurance these will work and could potentially lead to you spending more money and not getting the best result. I think it would be fine to try them as long as you understand up front there are no assurances they will get you where you want to be.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery