Thank you for your question regarding whether you will have loose skin after VASER liposuction of your abdomen flanks, back and arms. Based on your pictures and your history, I do think you will have loose skin. I believe even with the VASER technology you will have loose skin of your abdomen, flanks and arms. Your back may not have much loose skin based on your pictures. However, your abdomen, arms and flanks will be significantly improved with VASER liposuction. The question is whether you would be satisfied with a smaller abdomen with VASER liposuction and skin wrinkles and/or tummy tuck and arm lift. On your abdomen you have distended muscle and excess skin and fat. The VASER will take care of the fat but I do believe the skin will sag. In addition, the muscle on the abdominal wall needs to be sutured not suctioned. Therefore I do think your abdomen will distend after VASER liposuction. After examining your arms, you have excess fat which don't significantly tighten with the VASER liposuction technique. Your back should VASER liposuction and I do not think the back will be left with loose skin. In regards to the scars from liposuction they fade very well. The scars will take approximately two years to fade but will always be visible. There are skin bleaching creams which can minimize the scarring. Additionally there is the fraxel laser to also make the scar imperceptible. Thank you for your question garding whether you will have loose skin after VASER liposuction of your abdomen flanks, back and arms. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)