Renuvion after ThermiTight/BodyTite?

In my opinion Renuvion is the best internal heating treatment, but if you need skin removal you nee skin removal and should be assessed as to if removal is better than internal tightening. most tightening treatments do 30-40% improvement and you can build upon this with numerous treatments and adding morpheus or Thermage.  Best, Dr. Emer..
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.

The world of skin tightening has always been an intriguing topic to both plastic surgeons and patients.  There are currently two devices on the market that provide an option for skin tightening that can be done as a stand-alone treatment or in combination with other treatments such as liposuction.  It is important to remember before we start this discussion that neither of the device are a replacement for a tummy tuck or neck lift surgery.  They can bridge the gap for patients that need some skin tightening but don’t need a full tummy tuck or neck lift.  They are also an option for patients that have loose skin, but just are not ready for a tummy tuck and or neck lift. 

Both the BodyTite and Renuvion (J-Plasma) are radiofrequency skin tightening devices that have cannulas that go under the skin.  The fact that both devices have a cannula that is actually placed under the skin they are able to use a higher amount of energy to that leads to a greater affect in terms of skin tightening. 

Renuvion (J-Plasma) has the advantage that it combines the radiofrequency energy with helium.  This unique combination of helium and radiofrequency leads to this generation of plasma.  Thus, the nickname J-plasma.  The benefit of the helium and creation of this inert plasma is that it almost instantly cools the area so that there is less risk for injury to the superficial skin.  This design allows for Renuvion to be used in combination with large body contouring surgeries such as Brazilian Butt Lifts without adding an enormous amount of time to the surgery.  The Renuvion (J-Plasma) can be used in a variety of areas, typically any area that is liposcutioned such as the abdomen, back and neck ect… 

BodyTite is also a great product in that it uses radiofrequency energy as well to tighten skin with a specialized cannula.  BodyTite in unique in that it comes with a variety of hand pieces and can be combined to do several different treatments.  It can be used in combination with microneedling and converted to a much smaller hand piece to do a treatment called AccuTite that is used around the peri-orbital area.  However, since it does not have the helium or another rapid cooling system it does take a little longer to do treatments.  In most cases this extra time is not an issue.  In our large body contouring procedures, I would recommend doing the Renuvion (J-Plasma) as it can decrease the overall surgical time. 

In summary both devices are great skin tightening devices.  The both have advantages that may make them better choices in specific situations.   It is important to remember that neither of these devices (or any other device on the market) is a replacement for surgery.  They are an incredible leap for forward in technology, however they do not replace a tummy tuck or neck lift.  It is important to consult with your Board-Certified Plastic Surgeon to discuss if Renuvion/BodyTite or surgery is the best option to help you achieve the aesthetic results you desire.  

Thanks for your question. I would likely recommend NOT doing any more heat-based skin treatments, including Renuvion (J-Plasma). I think it would offer little benefit and may lead to more irregularities in your skin/contour. You could still consider facelifting procedures, or skin resurfacing procedures (lasers, chemical peels, etc.). Best wishes