A study in Plastic in Reconstructive Surgery compared results of Smart Lipo with tumescent liposuction. Patients had one side done by Smart Lipo and the other done by conventional liposuction. There was no difference.
A Prospective, Randomized, Double-Blind, Controlled Clinical Trial Comparing Laser-Assisted Lipoplasty with Suction-Assisted Lipoplasty.
Of course, the machine is expensive, and purchasers of the machine are hoping to acquire more patients.
Thermage can be done after liposuction for more tightening , but one fourth see no improvement with the rest seeing a mild to moderate tightening.
There is a mini arm lift that excises a small amount of skin in the axilla for further tightening.
Your skin tone looks reasonable, and although there are risks, your picture shows skin that should tighten on its own fairly well most of the time.
