Hi there! Great question! You are a good candidate for ThermiTight. You don't appear to have a lot of fat, but rather loose skin. Skin tightening procedures are typically best for patients such as yourself. You do get a minimal amount of tightening with fat reducing procedures such as Coolsculpt. But I would stay away from anything that further reduces your fat and focus on skin tightening. I think you will get moderate results. Doing multiple modalities with combination therapy would be helpful. For example, consider ThermiTight and after you have seen maximum effect, consider going behind with Ultherapy or Vanquish. ThermiTight is "minimally" invasive. I use a small catheter which is introduced under the skin. It stimulates collagen through radio-frequency heat. Ultherapy is noninvasive and works by ultrasound energy to achieve skin tightening. As we age, we continue to loose collagen, so be prepared to repeat the procedure in a few years. A tummy tuck would give you better results with some downtime and is considered surgical. Noninvasive treatments are less effective but are obviously less invasive. Yours in Health, Dr. Arianna