Do you think aqua lipo would eliminate this fat? How much fat can be removed from my abdomen? Is aqaulipo the best procedure?

Thank you for posting your question. These photos are not very adequate for evaluation, but it seems to me that you might be overweight and lipo is not your best option. Lipo only treats the fat beneath the skin. Some types of lipo can help with skin contraction but they will never be comparable to a tummy tuck. If your BMI is good then you would be a candidate for a TT with Lipo. Every surgeon has his own BMI limit. If your BMI is too high, it would be safer to start with weight loss prior to having the TT done. Please don't be fooled by the cool sounding names for different types of lipo. Your best choice is without a doubt a tummy tuck. Some of these do help with skin retraction. But generally speaking, results depend on the surgeons expertise and not on the technology being used.Best of luck,Dr. Miguel Mota

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.

Thank you for your pictures and questions. Do not be fooled by fancy advertising and cool sounding names. AquaLipo, LaserLipo, the list goes on and on. The bottom line is that none of these things come close to the results from a traditional surgical liposuction procedure. You would be best to have a consultation with a plastic surgeon that is board certified by the American Board of Plastic Surgery to figure out what might be best for you. You might find that you are not even a good candidate for liposuction at all depending on your expectations and goals.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

There is nothing inherently special or superior about "aqua-lipo".  It's just one particular form of liposuction.  The other forms of liposuction work just as well.  It's more about the surgeon and their skill and experience, not the cannula.  If I gave you Leonardo da Vinci's paintbrush, for example, would you suddenly paint a Mona Lisa?  Of course not.  Don't buy into the marketing hype.Since you are in Florida, the maximum fat that can be removed is 4 liters.Honestly, I would suggest weight loss first, then keep the lipo for later, to get the stubborn fat.  Perhaps you could consider using one of the FDA-approved weight loss medications, like Qsymia, for a while.  We've had good success with this in our practice.  Then lipo, when you closer to your goal weight.

Liposuction - regardless of the specific technology - will remove fat under the skin.  This can improve your contours but if you have lax skin, that will remain. So in your case, you may consider an abdominoplasty either as a second procedure or initially, if you mainly want to lose that lower portion of skin and fat.The specific technology (SmartLipo, Aqua, or whatever) is not important though you can expect to hear otherwise. None of these have been shown to be superior to standard liposuction and good postoperative care.