Thank you for your question. The best way to get a flat tummy and a tight tummy is a tummy tuck where the muscle and skin are surgically repaired in such a way they are really tighter, and the excess skin is removed. There is a scar so this is an issue for some. See a Board Certified Plastic Surgeon, and ask them to determine if your goals are feasible via non surgical alternatives. I hope this helps!
Both CoolSculpting and liposuction are great ways to eliminate stubborn pockets of unwanted fat. It really depends on the patient. For patients who are not ready for surgery, or who are better suited to a non-surgical procedure. CoolSculpting is a really effective treatment option. We have seen excellent results with both approaches, so an in-person evaluation with a board certified plastic surgeon who has a lot of experience with both would be the best way to determine which is right for you.
Liposuction and Coolsculpting are both excellent options with the appropriate candidate. Consult in person with a board certified plastic surgeon who can offer surgical options and coolsculpting to determine the best option for you.
The treatments you mentioned are all great options. However, it is best to be evaluated by an experienced provider who can determine which option is best for your body type. CoolSculpting is great for targeting stubborn areas of fat in patients who are close to their ideal weight. The fat must be "pinchable" in order to be effectively treated with Coolsculpt Vanquish can also be used to treat the areas you mentioned. Unlike Coolsculpt, the fat does not need to be pinchable. The biggest advantage of these non surgical procedures is no downtime following the procedure. Of course, the results of a non surgical procedure can not typically compare with a surgical result. However, a plastic surgeon can evaluate your needs and determine whether a surgical or non surgical procedure will give you the best results.
Everyone by now knows that when you want the best results in liposuction, then the tumescent technique under local anesthesia with the micro cannulas can't be beat. It is a little more expensive but well worth it. Sincerely, David Hansen,MD