Generally the only way to manage loose skin is via a dermolipectomy procedure.
There are alternatives. Titan, Thermage, Velasmooth, Accent, etc. However, I generally see the patients who have tried these and have been dissatisfied. I rarely see someone who has undergone these treatment modlaities and achieve satsifactory results. It doesn't mean that it doesn't work but on a scale of 1-10, these techniques may accomplish a 2-3 when you need an 8-9.
Furthermore, it has been my experience that even at the end of a tuck/lift/tighthening procedure on a weight loss patient, I have been surprised by the laxity which can recur several months later and have advised patients that they may need a second tightening procedure for the best result.

