Can Vaser Lipo benefit me and would I need to get a skin tightening treatment as well? (Photos)

Thank you for your question and photos. Based on your images, it appears liposuction will be a good option for you. This procedure is designed to remove stubborn fat you can’t get off with diet and exercise. It is truly the only way to reshape the body and achieve a smaller waist. At your young age, I would suspect your skin would conform over your slimmer contour quite nicely without additional intervention like Vaser, which requires much larger instruments and risks of burns. 
I offer liposculpture with microneedling in my practice, which combines the liposuction process with tumescent fluid and tiny instruments for a gentler procedure and less trauma to surrounding tissue. The fluid loosens fat cells to make them easier to suction out. I usually perform this procedure using local anesthetic and patients have just a few days of recovery time. I recommend finding an experienced, board-certified dermatologist who is an expert in body contouring. Through an in-person assessment and discussion of your goals, your doctor will create a personalized treatment plan to meet your expectations beautifully. 

Whether you have surgery or not, being as healthy and fit as possible will be necessary to achieve the overall look you had previously. You should establish an exercise routine you can live with and include healthy foods in your diet to reduce your body fat percentage.

Thank you for your question and photos. you look like a good candidate for Vaser liposuction. Vaser liposuction is an advanced body sculpting procedure that eliminates fat to reshape and contour your body to give you that athletic look, making you look and feel your best. Using targeted ultrasound technology to liquefy and then very precisely remove fat from targeted areas to help reshape your body with minimal downtime and permanent results. This treatment only targets fat cells, causing significantly less damage to other tissues, resulting in less pain, bruising and recovery time and is suitable for both men and women that want to achieve a more refined shape using a less invasive surgical procedure. It is also suitable for those who may not be overweight and already have a lean figure but require localised fat removal from a specific area to achieve a defined body (ripped or shredded look). Consult with a board certified plastic surgeon, who will talk through your options and advise you on skin tightening All the best 

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into 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 a combination of Cellfina, 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: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.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. See an expert. Best, Dr. Emer.