Helium Plasma-Driven Radiofrequency for Skin Contraction: Clinical Use, Safety Recommendations, and Results in High-Definition Body Contouring Surgery

Abstract Background For many years, liposuction has remained one of the most-performed cosmetic procedures by plastic surgeons around the world. However, determining the degree of residual skin laxity after evacuation of fat remains a challenge. Renuvion (J-Plasma, Apyx Medical, Clearwater, FL) is a radiofrequency device propelled by helium plasma that generates rapid heating at the subcutaneous layer leading to controlled skin retraction. Objectives The authors present the clinical results of their experience with the J-Plasma device in combination with high-definition liposculpture (HDL), while providing some safety recommendations for its use. Methods The authors retrospectively collected data from a cohort of patients who underwent HDL in combination with J-Plasma therapy in at least 1 body segment between January 2018 and June 2019 at Dhara Clinic (Bogota, Colombia). Also, 100 patients were randomly selected to complete a satisfaction survey of their results. Results The authors evaluated 174 consecutive cases: 149 females (85.6%) and 25 males (14.4%). J-Plasma was performed in addition to HDL alone in 96 cases (55.2%), whereas other aesthetic procedures were performed in addition to J-Plasma and HDL in 78 cases (44.8%). They reported 44% of patients as being “very satisfied” and 41% “partially satisfied.” Conclusions The helium plasma-based device, J-Plasma, has several unique features that enable surgeons to achieve adequate levels of soft-tissue contraction when used in conjunction with liposuction during High-Def body contouring surgery. Level of Evidence: 4 (Therapeutic)