What is best for fat reduction on the arms: J- Plasma, Vaser lipo, or Smart Lipo? (Photos)

Good news and bad news. Bad news first: Your arms are too loose for anything except an arm lift (aka brachioplasty). The upper half can be done with a short scar, but if you want maximal tightening you will need a long scar. Good news: you look like you scar well. No guarantees, of course, but you've got a good chance that a long scar won't be dark, wide or lumpy. I have ALL of the technologies you asked about and they are NOT for you. The video shows what kinds of arms are suited for those things.

If you want a private one on one conversation with a full plan of action, many experts, myself included offer the convenience and ease of a virtual consult. It's a conversation on skype, zoom, email or phone.

if you have significant loose skin you need skin removal with liposuction. if you do not then VASER + Renuvion may help.

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Thanks for your question! I think you could be a candidate for SmartLipo, but you really need an in-person evaluation. You also may benefit from something more invasive. Good luck!