During a Renuvion treatment, a thin wand is inserted at small entry points at the target area (similar to liposuction) and the energy is applied underneath the skin. The anesthesia required is at the discretion of the practitioner. Your doctor may perform the procedure with a local anesthetic while you are awake, or he or she may opt for you to be asleep. If you have any further questions, please call/email to schedule a consultation. We can give you more details about how it works, what to expect, and what other patients have experienced.