Post lipo 360 and loose skin. Is skin excision the only real option for me? Photo)

I am 5months post my 360 PAL tumecent lipo . Following the procedure I wore my garment 24/7 for 6weeks and 12hrs a day for about 14weeks, had z wave done 6 times and 6 lypmphatic massages. At 14weeks I started RF treatments on my abdomen (2 treatments have been done 1mth apart). I am supposed do 1 more RF microneedling in 2weeks from now plus an Accent prime treatment on my flanks and abdomen. I feel like skins esp on my back is too loose & that skin excison may be my only real option??