You can do liposuciton + internatl heating typically if there is looseness then a mini thigh lift does best. fat should be used for buttock lifting. add sculptra for best results.
my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold...
Aggressive liposuction with the micro canulas can really tighten up the skin a lot especially if you use bodytite rf with the lipo under local. Jplasma is too risky for scarring. I don't think you need a back tuck.
Arian Mowlavi, MD, FACS (license on probation) says:
It is best to lower your BMI under 30 before receiving any surgical procedures. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases...