Thermage, Venus Legacy or best skin tightening minimal/non-invasive procedure to help tighten loose abdominal skin? (Photo)

Non surgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, Venus Legacy, Exilis, Cellutone/Zwave. However for best results, a tummy tuck can be combined with a high definition procedure at the same time, depending on skin laxity. For best results, I recommend a hi definition procedure like a VASER liposuction. I use VASER HI DEF with ThermiRF and Fat Grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

I do often see improvement in loose skin when Thermage radiofrequency is done to abdominal skin. To  hope one might achieve enough improvement with the laxity of skin demonstrated in these photographs, however, would not be realistic.A skin only abdominoplasty could be done by a plastic surgeon for the best results, but you requested a minimally invasive procedure, therefore, one might consider Thermitight which involves local anesthetic injections to the skin and a thin probe is inserted underneath the skin providing internal radiofrequency energy. The best result with ThermiTight however,  would not come close to that expected to be gained with a Tummy Tuck.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

I prefer the Thermage laser to tighten the skin, in the jowls, abdomen, arms, knees, buttocks, legs.  However, the photo shows too much skin laxity for traditional radiofrequency non-invasive skin tightening.  Please consult an expert in abdominoplasty if you decide to have surgery.  Best, Dr. Green