Carboxy and Smart Lipo 4 weeks ago. Stretch marks, 32 years old, no kids.

Your skin should in theory get tighter, but it does depend on the technique of the surgeon when it comes to smartlipo.  It looks like you have fair amount of laxity in the skin of your abdomen, so even if it does get a little tighter you may not notice it. I know you said you don't want a tummy tuck, but it may be a good option for you.

Nothing, I believe, can truly improve stretch marks. If there was an effective treatment, every plastic surgeon would be offering it and we would rarely see stretch marks anymore since every women hates stretch marks. I think the carboxy treatments, if there was ever a large scale study, would be shown to be worthless. Smartlipo will continue to help you for 6 months. however, if you want the best results, it is important for you to realize it is a partnership and you need to work on dieting and exercising to enhance . your results. there are no miracles out there.david berman 

Unfortunately, you have been blessed with stretched skin an stretch marks. Once these happen, the usual thermal types of skin tightening work minimally. Fortunatetly, tummy tucks are available and you should consider this procedure. Performed correctly, most people do very well and are happy they did it. Good luck.