Is vapor and water jet lipo enough to flatten my tummy? (Photos)

you need a tummy tuck with liposuction and internal heating. I would suggest moving the fat removed and placing into your hips and buttock to get more contouring.
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.

There are many forms of liposuction that can be performed while you are awake.
Vaser liposuction is ultrasound assisted liposuction. The heat produced by Ultrasound can enhance skin tightening but not as well as laser assisted liposuction such as Smartlipo. Vaser and Smarltipo can also be used in combination for enhanced skin tighening.
Water-jet liposuction can be effective in removing fat but it does not have the benefit of enhanced skin tightening that you will see with Vaser and Smartlipo. I offer all three technologies in my practice.
Water-jet lipo is my favorite technique for the thighs but it can be used in any areas of the body, It is an excellent choice when considering a fat transfer procedure. If is possible to use water-jet lipo and Smartlipo skin tightening in the same procedure.
i don't think you will require a fat transfer for the hip dips if you have the fat removed above the dip and in your flanks. It will soften your side curve so the dip is not as noticeable. Your recovery will be much easier without a fat transfer. Body Jet and Smarltipo recovery in general are much easier then traditional liposuction for a person of your size.

Thanks for the photographs. It appears that you may have had at least one pregnancy judging from the amount of stretch marks on your belly and looseness of the skin. It doesn't matter what name is given to a liposuction procedure, it still boils down to the same thing liposuction. It's not the procedure or the name behind it that produces the results but the plastic surgeon performing it. You need to be evaluated by a plastic surgeon who performs j plasma tissue tightening and if you are candidate, liposuction in combination with J Plasma can produce good results in properly selected individuals Even though I did not see you in person I tend to think that a tummy tuck may actually be a better option. At the same time of any of the above procedures fat grafting to the hip dips can be performed. I hope this helps and good luck from New York City plastic surgery