Lipo+Thermage immediately after for saggy stomach skin. (photos)

This will ultimately depend on the skin laxity and requires an in-person evaluation to answer. You appear to be a candidate for a tummy tuck and when combined with liposuction, which can be performed at the same time, will give you great results. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, body shaping and definition. This combination will give you a toned, yet natural looking physique. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer