Laser + Ultrasound assisted liposuction will give you flat and shapely tummy with best possible skin tightening to avoid major procedure like tummy tuck. follow up procedure like fractional CO2 laser will help to improve the appearance of the stretch marks.
I agree totally with Dr Singer. You will not get the desired result without surgery
Unfortunately, you will not achieve a flat stomach and small waist with Thermage, laser tightening treatments, or any non-surgical procedure.
would suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with. You should
discuss your concerns with that surgeon in person.
Singer, MD FACS
Thank you for your question and photos. Looking at your picture(s) you seem to be an excellent candidate for procedure(s) that can avoid the large scar associated with a tummy tuck. Laser tightening treatments such as Thermage only treat loose skin conditions - e.g. loose skin after weight loss. Liposuction with internal lasers (e.g. SmartLipo) would be a great option. It would remove the excess fat and laser energy is used to reduce bruising / swelling, and increase skin tightening.