This is a good question. First, you have to understand that laser lipolysis,because it is an in office procedure, can be performed by physicians that do not have the same training and background as board certified plastic surgeons. In addition in not having the years of training,these physicians cannot discuss with you alternatives that may be better for you such as tummy tucks if you are considering abdominal lipo or facelifts if you are considering neck lipo. I do think that the laser does add an element of skin tightening in some cases. I do like it in my practice. But I agree with one of the answers below that the surgeon is more important than the tool, therefore if you are considering laser lipo, you should still go and see a Board Certified Plastic Surgeon.