Subcutaneous Neck Skin Plasma Tightening


Book Chapter


Jack Zamora, MD and Shawn Roman, BS


We provide an introduction to a minimally invasive suturing technique allowing for the plication of the platysma and superficial musculoaponeurotic system for optimal deep tissue positioning. The use of VASER ultrasound energy using emulsification of fat for debulking and contouring of the face and neck and preparing subdermal tissue for plasma energy application is described.


Jack Zamora is a Medical Advisory Board member and consultant with Apyx Medical and receives compensation in the form of Apyx stock and hourly compensation. Jack Zamora has not received any compensation for this article. Shawn Roman, an employee of Apyx Medical, provided scientific material to the primary author from internal studies on the mechanism of action of the Renuvion® technology.


  • The use of the terms “Skin tightening” and “body contouring” in relation to the use of the Renuvion/J‑Plasma® technology has not been approved or cleared by the FDA.
  • Apyx Medical wants to present you with current scientific discourse. Specific usage outside of the general cleared indication may not be safe or effective. Renuvion/J-Plasma has received a general clearance and has not been determined to be safe or effective for use in any specific indication or anatomical location including skin tightening indication referenced in this article.
  • Apyx Medical manufactures and owns the Renuvion/J-Plasma technology discussed in this article.

Risk associated with the use of the Renuvion technology may include unintended burns (deep or superficial), pneumothorax, scars, temporary or permanent nerve injury, pain, discomfort, gas buildup resulting in temporary and transient crepitus or pain, infection, hematoma, seroma; asymmetry and/or unacceptable cosmetic result. There may be additional risks associated with the use of other devices along with Renuvion and there may be an increased risk for patients who have undergone prior surgical or aesthetic procedures in the treatment area. As with any procedure, individual results may vary. As with all energy devices there are inherent risks associated with its use, refer to the IFU for further information.

The Renuvion/J‐Plasma Precise Open® Handpiece is intended to be used with compatible J‐Plasma electrosurgical generators for the delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue during open surgical procedures. The Renuvion/J‐Plasma Precise & Precise Open Handpieces are compatible with electrosurgical Generators BVX‐200H, and BVX‐200P. Refer to the Instructions for Use for the currently approved or cleared indications.