Is this fat or loose skin? (Photo)

Thank you for your pictures and questions. It appears that you have a little bit of both, but I would say that the majority of the problem is skin laxity. As we age (I would guess you are probably late 30s, early 40s), we start to see skin laxity due to skin aging, loss of elasticity, and sun damage. Changes in weight and pregnancy can also significantly alter the skin quality and stretch of the abdominal skin. I think that most patients in your situation would benefit from a small amount of lipo-contouring but more so a skin tightening procedure and I would recommend BodyTite to a patient such as yourself. Give us a shout if you want to discuss options further. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Hello, thank you for the question and great photos.. 
After analysing your case, I can say you have a lil bit of both and tat problem could be fixed with 360 lipo vaser. This should give you great results and improve the look of your belly.
It is important that you communicate to your board-certified plastic surgeon what are expecting, to make certain that your goals are realistic. It's helpful to show pictures of results you'd like, but please keep in mind that these are other people and your body is different from everybody.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Best of lucks.
Dr. Luis Mejia

you have loose skin and to be honest need a tummy tuck to be fully flat, if you want to try renuvion and.or morpheus you can. non invasively trusculpt ID and FLEX will help.  Best, Dr. Emer.
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.

Probably both.  Recommend discussing the possibility of using lipo and BodyTite to address fat and loose skin with a board certified PS.  BodyTite is capable of producing a 45% contraction in tissues. It can be combined with liposuction to improve contours dramatically. BodyTite rids the body of some fat cells and is less traumatic than traditional liposuction. However, BodyTite only works well for people who are near their target weight and who have skin elastic enough to bounce back from the procedure, If you maintain your target weight within 5 to 10 pounds of your goal weight, the results should last for years. 

Thank you for the great photos. From the pictures, it appears that you have very little excess subcutaneous fat. What you are seeing is mostly skin laxity. You abdomen appears to be in great aesthetics shape. In order to address the skin laxity and remove excess skin, it is likely that you will need an abdominoplasty.

You have a combination of fat and skin laxity giving your abdomen its current appearance. You do not have much fat, but it is enough to mask the underlying abs and the key lines between and to the sides of your abs. From your flexed photo, it appears that you have some degree of skin laxity also. You are an excellent candidate for high definition liposculpture. This would involve melting the stubborn fat with ultrasound-assisted liposuction (VASER), removing the fat with fine cannulas and providing the definition you desire, and tightening the skin with a plasma or radio frequency device. The downtime from this procedure is minimal. You will be required to wear a compression garment under your clothes for a few weeks. 

Hello, thanks for your question and photos. It seems that you have both fat and saggy skin. You may have liposuction using J-Plasma or Vaser to eliminate body fat and stretch the skin. Consult a board-certified plastic surgeon in your area for an in-person exam. Best luck!

You have a combination of fat. The question is whether the fat is visceral, which isn’t terribly responsive to liposuction. See a board certified plastic surgeon for an evaluation. Best wishes.

Given your photos, you would likely benefit from high defintion VASER liposuction and renuvion skin tightening. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Those are pictures of you flexing your torso pushing your skin together.
If you had tight skin with flexed hips you wouldn’t be able to stand up straight.
you don’t appear to have a fat issue.
To judge the thickness of your subcutaneous fat gently put your skin under tension and push against your skin with one finger until you feel the underlying muscle layer.

Best, 
Mats Hagstrom MD