Conveniently located to serve Fairfield County, Westchester County, and the greater New York City Area.
Skin laxity is the result of a number of factors including genetics, pregnancy or weight loss, or post-menopausal hormonally-induced changes to one’s muscle mass and skin quality. Once present, there is very simply nothing one can do with skin excess. There are no diets or exercise regimens that can shrink your skin. Historically there were two options: live with it or excise it.
However, with the advent of J-Plasma/Renuvion® helium plasma technology, performed in much the same way as liposuction, skin tightening is possible in a large number of patients and in many areas of the body. J-Plasma/Renuvion® tightens the connections between the skin and muscle drawing the skin toward the underlying muscle.
“Like all other surgeries, it is not what you do, but who does it that matters.”
Dr. Kornstein has 25 years experience in body anatomy, aging, and surgery and was the pioneer in J-Plasma/Renuvion® body skin tightening in 2015. Dr. Kornstein continues to work intimately with the company to elucidate the science behind the technology and optimize its clinical efficacy.
“Designed to tighten deep ligament support of the skin, providing long-lasting skin shrinkage.”
It is safe and FDA approved for intra-abdominal surgery since 2013.
Recently J-Plasma was discovered to shrink skin; providing an enhanced long-lasting solution for skin-shrinking for liposuction patients.
Safe and Delicate
J-Plasma is an especially safe modality. The plasma gas has the ability to not damage delicate intra-abdominal organs.
All other available modalities, including laser liposuction, Body Tite, etc. rely on heat, therefore must closely and rigorously monitor temperatures to avoid skin irregularities and burns. Clinically, they also do not allow for free form sculpting, as J-Plasma does.
Clinically, J-Plasma tightens deep ligament support of the skin bringing the skin toward the underlying muscle and thus providing for anti-gravity protection. Pre-clinical research indicates that the plasma gas kills bacteria, cancer cells, and increases vascularity. The results should be long-standing.
I'm very concerned about J Plasma; I saw the FDA warning. Why are you still using this technology?
I have been using J -Plasma/Renuvion (JP/R) since 2015. After seeing a friend use JP/R to shrink neck skin in person, I was encouraged to investigate its use for body skin tightening.
At the time J Plasma was FDA approved for intra-abdominal surgery, specifically to remove tumors in thin slices from abdominal organs without damaging the underlying delicate structures. Based on this safety profile I began using JP/R for body skin shrinkage.
Since 2015 I have seen nothing that concerns me with respect to its safety profile. As with many other procedures, surgical training and a thorough understanding of the technology is paramount.
I have always maintained:” it is not what (the surgery or technology) but who (performs the procedure) that matters “meaning it is not the procedure or technology but the practitioner performing the procedure that result in a safe and optimal outcome
Based on my discussion with the executives at JP/R immediately after the FDA warning, their complication rate is less than any other plastic surgery procedure or about 1%.
This is very reminiscent of the early days of liposuction in the 1970s. The Lipoplasty Society of North America was formed to teach safe technique for those who were not intuitive and or well-trained surgeons; the same may be necessary for JP/R.
I read about people being burned and having serious issues? Is this common with your practice? How many of these scenarios occurred in the past.
I have never seen any burns in my JP/R patients. In fact, during a tummy tuck, I tried to burn the tissue of an abdominoplasty specimen (to be removed during the tummy tuck) but was unable to do so.
Is it illegal to use J Plasma?
- Dermal resurfacing for facial wrinkles, akin to deep resurfacing lasers or chemical peels. The handpiece for this procedure was approved on May 25th 2022
- Tightening of the neck and submental (under the chin) skin laxity. The handpiece for this procedure was approved on July 15, 2022
- Generalized body skin tightening with or without liposuction. This is the third and final area and still under FDA investigation
JP/R may be used “off label” at the physician’s discretion. In fact, 1 out of every 5 prescriptions are written for an off-label use.
“Off-label” use of medical products (i.e., drugs, devices, and biologics) is the practice of prescribing drugs and biologics, and using medical devices, in a manner different from that approved by the U.S. Food and Drug Administration (FDA) as “safe and effective.” It is common, frequently beneficial to patients, and may represent the standard of care for a given condition.
Off-label prescribing, while an accepted practice, adds risk management considerations and additional requirements for clinical decision making and documentation of rationale and consent. This is particularly so in the case of “novel” or “innovative” off-label uses, in which safety and efficacy have not been established to the extent associated with the FDA approval process.
Is there an alternative to tighten the skin or is this a lost hope for me?
Yes, there are alternatives, however few if any technologies are able to accomplish what JP/R is able to accomplish all over the body with reasonable operating room time.
JP/R is able to “unstretch” the ligaments that connect the skin to the underlying supportive structures. These ligaments get stretched out with age, weight gain and loss and/or pregnancy.
Rejuvenating these ligaments is akin to shortening the tethers on a parachute bringing the silk(skin) closer to the body.
However, this is not the only way that skin can be stretched out. Skin can also be stretched parallel to the skin surface, or using our metaphor, stretching the parachute silk.
Therefore, combination therapy may be required to address all aspects of skin stretching.
How do you approach using J Plasma and why is it different from these other doctors that are using the same technology?
It is simply a matter of decades of surgical experience with liposuction all over the body and in many different patient clinical states of fat and skin excess.
Knowing the anatomy, including knowledge of the studied safe and danger zones, as well as accepted cannula techniques translates very well to the safe use of JP/R.
With respect to JP/R specifically, a knowledge of its heat generation and helium properties completes the safety quotient for clinical use.