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 and/or thigh lift 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