Will Renuvion/J Plasma be safe and effective during lipo with Ehlers Danlos?

Question

I am scheduled to have 360 lipo with breast fat transfer in a month My biggest anxiety about the lipo at the moment is skin laxity - I'm not significantly overweight, but I do hold extra fat in my stomach, sides, and back so we are opting to only do lipo and fat transfers from these areas (no arms or legs). There is a strong likelihood I have Ehlers Danlos Hypermobility - not 100% because there's no genetic testing, but I do test high in many areas - and because of this my Dr. is unsure if Renuvion would be a good idea for me due to collagen production issues. I can't find muchinfo about this specific question - is Renuvion safe for me? Will it make a significant enough impact in skin laxity after the surgery to be worthwhile? I opted not to do a tummy tuck at this time as I am concerned about recovery time, cost and scarring. My doctor also recommended holding off and if needed revisting it as a second procedure in the future if I have too much loose skin. I'm really hoping to avoid another surgery if possible.

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. This is a very reasonable concern. Renuvion can improve skin contraction after liposuction, but there is essentially no good clinical data specifically evaluating Renuvion in patients with hypermobile Ehlers-Danlos syndrome (hEDS). Therefore, I don't think anyone can confidently tell you that it is equally effective in that population.

Renuvion works by delivering helium plasma/radiofrequency energy to the tissue beneath the skin, producing immediate tissue contraction as well as a longer-term healing/remodeling response. Studies in the general population show meaningful tissue contraction and high overall satisfaction, but these studies have not specifically evaluated patients with EDS.

With EDS, my bigger concern would be predictability rather than simply whether the device "works." There are different subtypes of EDS which all involve abnormalities of connective tissue, and varying degrees of skin laxity, bruising, tissue fragility and impaired wound healing can occur depending on the subtype. That means your skin may not retract after liposuction—or remodel after an energy-based treatment—as predictably as someone with normal connective tissue. Renuvion also cannot compensate for significant excess skin in the way a tummy tuck can.

Based on what you describe, I actually think your surgeon's approach is very reasonable: perform conservative, well-planned liposuction, allow the tissues to completely settle, and then reassess whether the remaining laxity bothers you enough to justify another procedure. I would personally be cautious about adding Renuvion simply because you're hoping to guarantee avoidance of a tummy tuck—it may improve contraction, but it cannot guarantee that outcome, particularly when an underlying connective-tissue disorder is suspected.

Will Renuvion/J Plasma be safe and effective during lipo with Ehlers Danlos?

Answers (1)

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