Bodytite - liposuction before or after using the skin tightning device?

Bodytite is a radio-frequency treatment which serves to tighten skin. This accomplished by subdermal heating of the collagen fibers which can cause tightening as well as stimulate fibroblast activity for collagen deposition. This can be combined with liposuction (but does not necessarily need to be). 
The fat removal component is no different than traditional liposuction. For those patients with excess fat in the absence of skin laxity Bodytite does not necessarily hold an advantage over more traditional liposuction. However, in patients with laxity or in whom there is a concern for worsening laxity post liposuction, a radio-frequency tightening will help.
With regards to your specific question, aspiration (not necessarily liposuction) is a component of every BodyTite procedure although the aims will differ. In those patients seeking only tightening, liposuction will be employed not for the purposes of fat removal but to remove excess heated fluid in order to better to limit tissue exposure (aspiration). However, for those who would benefit from further contouring more aggressive liposuction can be performed post tightening.As for the order, there is no absolute standard. Many will begin with tightening and follow up with aspiration. This is more of a technical choice.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

BodyTite does not remove any fat but it tightens tissue.  It can be combined with liposuction to improve contours dramatically. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA