If you have loose or crepey skin after weight loss or a previous liposuction procedure, you are not alone. It is one of the most common concerns we hear from patients in our St. Louis and O’Fallon offices, and it is also one of the most misunderstood.
Many people assume their only option is a surgical skin excision procedure, with its longer recovery and more visible scarring. But for the right candidate, there is a less invasive path that can deliver meaningful tightening without a large incision.
That option is Renuvion.
What Is Renuvion?
Renuvion is a skin tightening technology that uses a combination of radiofrequency energy and helium plasma. During the procedure, a small, thin probe is inserted under the skin through a tiny incision, similar in size to what’s used for liposuction.
The device delivers controlled energy just beneath the skin’s surface. This heats the deeper layer of tissue, called the dermis, which causes existing collagen fibers to contract immediately. Over the following weeks and months, the treated area continues to stimulate new collagen production, which is what creates the gradual, natural-looking improvement patients see over time.
Because Renuvion works from underneath the skin rather than through an external cut, it is considered minimally invasive compared to traditional skin excision surgery.
Who Is a Good Candidate?
Renuvion tends to work best for patients who have:
- Mild to moderate skin laxity, rather than large amounts of excess, hanging skin
- Good skin elasticity to begin with, even if it has loosened
- Loose skin following liposuction, pregnancy, or weight loss
- Realistic expectations about gradual improvement rather than instant results
Common treatment areas include the abdomen, arms, thighs, neck, and jawline. It is frequently used alongside liposuction, since removing fat can sometimes reveal or worsen the appearance of loose skin, and Renuvion helps that skin retract more smoothly.
Patients with significant excess skin, particularly after major weight loss, may still be better candidates for a surgical skin removal procedure. During a consultation, Dr. Wright can help you understand which approach fits your specific anatomy and goals.
What Does the Procedure Involve?
Renuvion is typically performed as an outpatient procedure, often under local anesthesia with sedation. Many patients are able to go home the same day.
Here is a general overview of what to expect:
- Consultation and planning. Dr. Wright evaluates your skin quality, treatment goals, and whether Renuvion, liposuction, or a combination is most appropriate.
- The procedure itself. A small incision is made, and the Renuvion device is used to apply energy beneath the skin in the treatment area. This typically takes one to two hours, depending on the size and number of areas treated.
- Initial recovery. Most patients experience some swelling, bruising, and tightness in the days following treatment. Compression garments are usually worn to support healing.
- Gradual improvement. While some tightening is visible early on, full results develop over several months as the body produces new collagen.
What Kind of Results Can Patients Expect?
Renuvion is shown to improve skin tightness and texture in appropriately selected patients, though individual results vary based on skin quality, age, and the treated area. Many patients report a smoother, firmer appearance without the longer scars associated with surgical skin removal.
It is worth setting realistic expectations from the start. Renuvion is not a substitute for surgical excision in cases of significant excess skin, and results are gradual rather than immediate. Your provider can help you understand what improvement is realistic for your specific situation during your consultation.
Recovery: What to Expect Week by Week
- First few days: Swelling, bruising, and tightness are common. Most patients take a few days off from work.
- First one to two weeks: Swelling gradually decreases. Light activity can usually resume, though your provider will give specific guidance based on the areas treated.
- One to three months: Continued improvement in skin firmness as new collagen forms.
- Three to six months: Final results become more apparent as the skin fully remodels.
Every patient heals differently, and Dr. Wright’s team will provide a personalized recovery timeline based on your treatment plan.
Why Choose Dr. Wright for Renuvion in St. Louis
Dr. Thomas F. Wright is a board-certified physician with more than 25 years of experience and among the first 200 diplomates of the American Board of Phlebology. His practice has built a reputation across the St. Louis and O’Fallon area for combining advanced, minimally invasive body contouring techniques with an emphasis on patient safety and realistic outcomes.
Because Renuvion requires precise control of energy delivery beneath the skin, experience matters. Dr. Wright’s background in both vascular and aesthetic procedures allows him to evaluate your skin and underlying tissue carefully before recommending a treatment plan.
Is Renuvion Right for You?
If you are dealing with loose or lax skin and want to explore options beyond traditional surgery, a consultation is the best next step. Dr. Wright can assess your skin quality in person and walk you through whether Renuvion, liposuction, a combination approach, or a different treatment altogether makes the most sense for your goals.
Schedule a consultation with Dr. Wright’s St. Louis Lipo team today to find out if Renuvion is the right fit for you.

