By Dr. Gina Maccarone, MD, FACS, FAACS

Losing weight can change your body in ways you worked hard for and in ways you didn’t quite expect. I often meet women who feel healthier and stronger, proud of what they’ve accomplished, but when they look in the mirror, loose skin keeps them from fully seeing the result. Their question is usually some version of: “Can we tighten this without removing skin?”
Sometimes, yes. But not always.
This is one of the places where Renuvion can be genuinely useful, and also where realistic expectations matter most. Using helium plasma and radiofrequency energy beneath the skin’s surface, Renuvion creates tissue contraction without the large incisions to remove skin. For someone who’s lost weight and is left with mild to moderate laxity around the abdomen, arms, thighs, flanks, or elsewhere, it may create a smoother, more refined contour. Depending on anatomy, I may use it alone or combine it with liposuction if we’re also addressing stubborn fat. But it doesn’t make significant excess skin disappear. That distinction matters most after major weight loss. If you’ve lost 10, 20, or 30 pounds and notice your skin isn’t quite as firm, we likely have an opportunity to tighten and refine. If you’ve lost 50 pounds or more and are left with significant folds or hanging skin, that’s a different conversation. There may simply be too much skin for tightening alone to give you the result you’re hoping for. A tummy tuck, arm lift, thigh lift, or another skin-excision procedure may be the better option, because it actually removes the excess tissue.
I know that isn’t always what a patient wants to hear. After working so hard to lose the weight, the idea of a bigger procedure, the scar, and the recovery can feel discouraging. It’s understandable to want the less invasive option. But I don’t believe in recommending a smaller procedure simply because it’s easier to hear. The real question is: will this give you enough of a result to make it worthwhile? That’s where patient selection matters most.
Weight loss alone doesn’t tell me whether someone’s a candidate. I look at how much loose skin remains, its quality and elasticity, where it’s located, whether there’s residual fat beneath it, and what kind of improvement the patient’s hoping for. Two women can lose the same amount of weight and still need completely different plans. And sometimes the answer isn’t either option yet. If your weight is still changing, giving your body more time to stabilize may be the most thoughtful first step.
I don’t want patients to think of Renuvion as the “no skin removal” option after weight loss. It isn’t a substitute for excision when excess skin genuinely needs to come off. It’s another tool, and used for the right patient, at the right degree of laxity, it can fill a meaningful space.
Final Thoughts from Dr. Gina
If you’ve done the work to lose weight but feel like loose skin is keeping you from seeing the result, you don’t need to know which procedure you need before coming in. We can determine whether your skin needs tightening, removal, or simply more time. The goal isn’t the least invasive option just because it’s the least invasive. It’s the option that actually honors the work you’ve already done.
Xo,
Dr. G.
