African American Fat Removed from Abdomen and Skin Tightening

Loose skin and multiple stretch marks will not improve with Vaser /smartlipo/ etc..  It sounds like you may need a tummy tuck.  Go to a qualified plastic surgeon to be evaluated. A tummy tuck will remove many stretch marks below the umbilicus and tighten the abdominal wall.

Your description of your "belly" is a common scenario for most women after pregnancy. However, you will need a complete consultation for liposuction versus other surgical options, such as a full abdominoplasty (a "tummy tuck"-involving both the upper and lower abdominal skin/subcutaneous tissue and complete rectus and possible oblique abdominal muscle support/repair) or a "lower" or "mini" abdominoplasty ( a surgical procedure which involves dissection of the lower abdominal skin/subcutaneous tissue, below the belly buttom, and a partial repair of the lower rectus muscles). These are the main options for you and most women following pregnancy or weight loss-conditions which affect the skin, subcutaneous adipose tissue and the muscles of the abdominal wall.
Your candidacy will require a complete history, review of your medical health in general, and a complete examination of all anatomical aspects of your abdomen (skin, fat, muscle, surgical scars, check for hernias and abdominal wall tone). All types of liposuction may be of benefit to you. Most surgeons have a technique that they feel they are adept at performing and gives the best results to their patients.
These options can include techniques that involve tumescent liposuction along with forms of energy that are used to help melt and sculpt the fatty tissues for improved and predictable outcomes. In my practice, over the course of my plastic surgery residency training and private practice in Los Angeles, I have used tradtional liposuction (liposuction with vacuum assisted cannula liposuction alone, ultrasonic liposuction and laser-assisted liposuction (Smartlipo MPX).
There are other types of laser-assisted liposuction, including VASER. For the past year, I have used Smartlipo MPX and I have been very satisfied with the outcomes, and have observed improved and predicable body sculpting results, including skin tightening. Most recently, there have been scientific peer-review published studies by reputable plastic surgeons in the United States, who have had tremendous experience with both liposuction and laser surgery, that have demonstrated skin tightening with Smartlipo MPX using very specific techniques that methodically treat small segments of the skin, heating them to defined temperatures that allow for interaction with dermal collagen -- and -- skin tightening and shrinkage have been documented.
Another advantage of Smartlipo MPX is that it can be performed under local anesthesia. I have found this type of liposuction techinque, ie., Smartlipo MPX, to be very safe and patients can return to their normal life, work and activities of daily living, because only limited amounts of liposuction (1 or 2 anatomic areas-for example, abdomen and hips, or just arms, or arms and neck) can be performed. This is because the amount of numbing medication-lidocaine- that is given, is based on the patient's kilogram body weight and there is a definite limit to the amount of lidocaine and therefore a limited body surface area that can be "numbed" to permit liposuction. Blood loss is minimal, both because the amount of liposuction is limited and another benefit of the laser is that is coagulates the blood vessels, so there is much less blood loss, bruising and swelling.
In my practice, I have never chosen a piece of equipment to assist me with surgery on the basis of marketing, or as a "gimmick". Each machine or technological advancement that I use has to have a real effect, has to make a difference, and has to be backed by research and development and clinical studies. I have had extensive experience with laser surgery since 1994, and I am very comfortable with lasers, but they have to produce outcomes, or else they will not be of benefit to me or to my patients.
Not all surgeons are comfortable with all techniques and especially lasers, so each surgeon must chose what works best for him or her andbe confident with that technique and execute it well to produce the best outcome for their individual patients. Each surgeon who has experience in liposuction, will be comfortable with their specific technique, so you do not have to base your decision -- on a particular technique. What is most important is that you base your decision on the surgeon-- his or her board certification, credentials, experience, knowledge, informed consent, outcomes, concern for safety, "bedside" skills and honesty. These factors are of utmost importance. If you find a surgeon with the best credentials, experience, ethics, and technical skills,and concern for your safey and outcome, you will make a good choice and your outcome should be most predictable and successful.