Renuvion J plasma is an amazing adjunct procedure post liposuction if performed by experienced surgeons and on the right patients. After lipo is performed (traditional vs VASER), the remaining anchoring ligaments of the skin to the underlying muscles are referred to as the FSN or fibroseptal network. What renuvion J Plasma does is cause contracture (shrinking) of the FSN. Renuvion J plasma is NOT a substitute for a skin excision- and this is where most surgeons inexperienced with the device find themselves getting into trouble, or stating that the device does not work. Renuvion J plasma does NOT address skin redundancy (skin excess) but rather helps with skin laxity (skin looseness). It also tightens the skin by about 40-50% as opposed to a traditional excision (or cut). The major benefit is that there is no large incision associated with the procedure as it can be done through the same poke hole incisions as the lipo. The FDA has cleared the product for "improvement of the appearance of loose skin" of the neck. In my practice, we offer this on all areas of the body that may benefit from a minimally invasive approach to tighten or address the skin, off label. A great parallel can be Botox. Botox was initially only FDA approved for use on frown lines (between the brows). It was used, however, on the forehead and crow's feet as common practice, off label, with great results. Today, Botox is FDA approved for all three areas. I find this to be the case with Renuvion J plasma as well. The goal is to always set realistic expectations with your patients, and I encourage you to have frank discussions with your surgeon on what he/she expects to see post-op. Warm regards, Dr. Satey