Liposuction can reduce pinchable fat, but it cannot remove extra skin or tighten a true fold of loose abdominal skin. In the photo, there appears to be some lower abdominal skin laxity and creasing in addition to fullness, so lipo or muscle-toning treatments alone may leave loose or wrinkled skin behind. If the main issue is excess skin, a tummy tuck is usually the more reliable option because it removes skin and can also address muscle separation if present. If the skin quality is good and the concern is mostly localized fat, lipo with a skin-tightening device may be considered, but that decision really depends on an in-person exam, how much skin can be pinched, and whether there is any diastasis or hernia.