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.