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31m, 6’0”, 145lbs - 80 lb. weight loss when I was 21. Will Evolve work for me or do I need something more invasive? (Photo)

Nurturing311492Jul 18, 2025
Hello. I am a 31m, 6’0” and 145lbs. I lost about 80lbs back when I was about 21, but I have struggled since then to finish flattening my stomach. Despite regular exercise and a fairly clean regulated diet, I have never been able to lose the last bit of belly flab. I have lost patience and just want it gone, but I am not entirely confident in figuring out what procedure I need. I like the sound of evolve for both less fat and more defined abs. But do i need to bite the bullet and go for something more invasive like SmartLipo?

Answers (1)

From board-certified doctors and trusted medical professionals
David Hansen, MD profile photo
Dr. David Hansen, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.5 | 80 Reviews
Answered on Jul 22, 2025
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Camille Cash, MD

It may have been that you were a better candidate for a different treatment. As it seems you have a good relationship with your surgeon I encourage you to discuss your concerns with her/him. Perhaps an alternative such as Morpheus8 or BodyTite would be a better fit.

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Luis A. Perez, DO

You would be safer using the modality of Tite , this will allow RF to penetrate and no EMS, (electrical muscle stimulater) flanks can also be treated with Morpheus 8 body and get great results as well.

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Camille Cash, MD

The best treatment really depends on the quality of the skin, the amount of laxity, and the lumpiness. While nonsurgical options are wonderful, not everyone is the right candidate. If there is loose, hanging skin a tummy tuck may be the best option. If the laxity is minimal Evolve or perhaps...

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