Is Renuvion J plasma worth it? (Photo)

Question

33 y/o female, no kids. I work out quite regularly, eat decent foods and have a moderately healthy lifestyle (no smoking, drinking). However, I am still interested in improving my physical body to slim down my flanks, back and flanks and wish to add hips and more volume to my buttocks. I heard great things about J plasma and I wonder whether this will be beneficial in my case, to both my abdomen/back/flank area and also possibly thighs (if lipo is performed). Please advise.

Mats Hagstrom, MD (license on probation) · Answer

Quality Liposuction results are based on only two variables.
As a general statement, all other variables become fairly insignificant.
The two variables that matter are patient candidacy, and provider selection.
If you focus all your efforts on only those two variables, then the chance of having a high-quality outcome, and overall positive patient experience is quite good.
My personal first-hand experience using Renuvion for approximately one year was that there was zero subjective or objective skin tightening in every patient I treated.
I literally made skin measurements between incisions and skin marks and there was zero skin contraction in every case. None of my patients thought they had any visible skin tightening from the treatment.
I personally could not see any clinical difference from Liposuction with or without Renuvion.
I became uncomfortable, recommending the device and charging patients for a service. I knew in my heart delivered nothing.
I sold the device shortly thereafter at a substantial financial lossI regret having purchased the Renuvion device.
You seem like a good candidate for Liposuction.
Individuals who do well with Liposuction tend to be young people with tight skin who have excess subcutaneous fat in undesirable areas.
The opposite is also true.
Older individuals, individuals with skin, laxity, or pregnancy related changes tend to not get Quality results from Liposuction the same way patient who are good candidates can.
A patient who is an excellent candidate, for Liposuction has the potential to have excellent results if the procedure is done by an exceptional provider.
The same patient can have this figuring outcomes if the procedure is done by a provider who lacks skill and experience.
A patient who is a poor candidate, for Liposuction does not have the potential of quality results regardless of who does the procedure.
At this point, there is only one variable left to consider and that is provider selection.
 Delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who’ve truly mastered this procedure is much smaller than people think.
Most plastic surgeons think they’re better at Liposuction than they actually are.
To find the right provider, look for plastic surgeons, who specialize exclusively in this procedure, or who have extensive proven track records of doing thousands of cases.
To find the best provider, I recommend always avoiding virtual consultations whenever possible, and always meeting in person with the provider.
Bring pictures of your body taken the same way plastic surgeons take before and after pictures and use those as reference during the consultation.
It’s better if you print these pictures.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who look very similar to you.
 Being shown a handful of pre-Selected images, representing the best results of a providers career or of patients who have different body characteristics to your own maybe insufficient to get a clear understanding of what average results look like in the hands of each provider
In my opinion and experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Highly experienced surgeons should easily have access to hundreds or preferably thousands of before and after pictures to choose from.
 When reviewing results, ask each provider to point out exactly what areas were treated and what areas were not treated and look very carefully at transition sounds between treated and untreated areas.
You may need to look very carefully at small detailed areas.
It’s very important to have a clear understanding of exactly what part of the body will be included with the treatment.
I generally view the torso as a single anatomic unit, and generally treat the entire torso when doing liposuction of the abdomen.
A full torso typically includes upper abdomen, lower, abdomen, Love handles, waist, full back, and under arms all the way to the side of the breast.
If that is present in other areas, they should be included as well, such as pubic region, lower back, front bra roll , etc. etc.
By treating the entire torso as a single anatomic unit patients are left with an even thin, natural fat distribution without transition zones between treated and untreated areas.
This becomes more important on individuals who have thicker layers of subcutaneous fat.
I generally do not like spot treating the torso.
My personal preference is to keep my patience awake during this procedure instead, relying on sedation and local anesthesia.
Doing body contouring with patients awake takes experience and having that skill is not something all plastic surgeons have.
To do this without causing unnecessary discomfort or pain, requires having the skill and experience to do Liposuction.
This is a skill I was not taught during my residency training. 
The main advantage of keeping patients awake is the ability to have patients lay in different positions, especially having them lay on their side, which is ideal for treating waist and love handles.
The form of anesthesia is not as important as the skill of the provider.
There’s no correct number of consultations needed to find the best provider for Liposuction.
The more consultations you have the more likely you are to find the better provider.
The biggest mistake patients make is having only one consultation and then scheduling surgery.
Having only one consultation, more or less eliminates the ability to choose the better provider.
Considering that permanent irreversible body contouring treatments can easily leave people disfigured for life I think investing the time to have at least five or six consultations before selecting a provider is warranted.
 I do not believe you can adequately select providers based on using your cell phone or computer.
Surgical skill and self promotion are often inversely correlated.
Anyone who claims they can deliver better results because of the equipment they use should probably be avoided.
If one set of equipment was clearly superior, then all plastic surgeons would be using it.
If Renuvion really worked, then every plastic surgeon would be employing the device.
Best,
Matt Hagstrom, MD

Is Renuvion J plasma worth it? (Photo)

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