Your photo shows an oval ring of fat centered around your umbilicus. You've also got obvious stretch marks and loose skin above and below the umbilicus. If you do lipo only with or without a laser, I can predict reliably that your skin will wrinkle ugly above and below the umbilicus and give you a not-so-pleasing results. You look like a typical tummy tuck patient. I've been doing lipo and tummy tucks for almost two decades and I would strongly recommend a tummy tuck if your goal is to look flat and smooth and not flat and wrinkled.
Smart Lipo or Vaser ultrasound liposuction will remove stubborn fat and tighten skin. Recovery is also easy. I routinely use this to avoid tummy tuck in proper patients.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.