Jacobus A Vlok, MBChB

Your pictures are useful to help give you an idea how best to proceed. In a nutshell: 

The cellulite phenomenon is not permanently curable. Curable might not be the correct term because more ladies present with it than those that don't, therefore it can be seen as a variation of normal. More importantly is to take note that liposuction by wichever technology does not guarantee anything.

You have pockets of fat above your knee caps that are fairly straight forward to remove and that's about it. Your upper thighs responded well to the thigh lift and I do not think further liposculpting by whichever method will add benefit. 

Essentially, in my opinion, based on the photographs it is only your knees (mainly anterior and medial) that require some treatment

The chin is probably the most delicate area that we treat with liposuction and we therefore use low energy settings and thin cannulas. The more fat in the double chin that can be removed, the more significant the change in the person's profile. It can be rather dramatic and satisfying to both patient and clinician. Your age and lifestyle also contribute to a good outcome. Regarding your question about necrosis: This extremely rare phenomenon would occur with extensive burns as caused by over zealous superficial vaser at high energy and/or the liposuction stage is performed too aggressive and too superficial. Simply find a liposuctionist with experience and who had treated many chins and you will be fine. It can be a life changing experience and the result is visible to the patient every day being an exposed part of the human anatomy, the face&neck region.

Observing your age and weight I can imagine you might be best to avoid any treatment, for the time being in any case.

Bodytite alone I would usually not consider for a patient in your profile.

Cryolipo: I do not offer this treatment but I have over the past 18 months treated at least seven patients for complications after cryolipolysis (asymmetry, dents, lumps and bumps). After cryolipo the sub-dermal layer becomes very dense, fibrotic and resistant to vaser and cannulas.  A straight forward process can then become very difficult in  reaching  the desired end point.

I have treated patients in your profile who wanted a bit more definition of the abdomen with vaser and micro cannulas but you also have to take note that we work with what the patients have on offer regarding fat content as well as muscle tone and fitness. It becomes a cost benefit issue especially if the post op change is subtle.

Bodytite as a stand alone treatment is rather rare in our clinic. The areas that are susceptible to Bodytite   (a technology driven by radio frequency) especially when used in conjunction with liposuction are the chin/ neck region, the inner thighs and the lower abdomen.

Recovery is rather quick and depends on the age, gender and anatomical region treated. Compression garments are not an exact science. Duration and extent will be prescribed by the treating clinician.

The picture indicates you might have just too much excessive skin for a 'stand alone' liposuction treatment whether by Vaser or any power assisted method. The principal to treat arms like yours is to be able to help the patient by minimal invasion as we do with liposuction  through tiny incisions and using fine specialist instruments. Obviously surgical skin removal will give the most dramatic result unfortunately with significant scarring. There is always room for a combination of treatments, surgical excision of excess skin with liposuction, simultaneously or in different phases. You might therefore consider the liposuction route initially, and know that if the skin is not retracting to your satisfaction excision of the excessive skin can then be considered.