What type of lipo to tighten my skin? 39 with mild loose skin from rapid (not massive) weight loss.

Thanks for the question, I like using VASER to melt the fat and tighten the skin as much as I can and than a lot of the time I will do a skin only removal at the bottom (mini TT). If you wanted to wait a bit the J PLASMA system seems to have a big effect on skin so the combination of plasma and vaser may be the best bet for you if you are really against having skin removed and the associated incisions

Thank you for the detailed question. There are many different types of liposuction that I offer in my office, choosing the right one for each patient requires an in-person consultation. If you have some loose skin then it is possible to tighten it with laser-assisted liposuction, but if you have more loose skin than fat, liposuction may not be the right procedure for you. I recommend seeing another board-certified plastic surgeon in-person to go over your concerns and come up with the right treatment plan for you. For more information please visit our webpage. 

Liposuction is a body-contouring procedure that removes fat under the skin to address trouble spots throughout the body to achieve a more pleasing shape. The ideal candidates are young patients like yourself with good quality, elastic skin who are targeting stubborn areas resistant to diet and exercise.
Based on your description, a combination of small and medium cannula power assisted liposuction should give you a nice improvement without need for a skin excision.
See the link below for more information. 

A detailed examination will help delineate the best surgical treatment. Consultation with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.

Frequently, subtle differences in anatomy can make one procedure better than another for that individual.  Photos or an exam are critical for these determinations.

Hard to advise without photos. Liposuction is ideal for well defined areas of fat unaffected by diet and exercise. Tummytuck addresses redundant skin and fat and also tightens stretched abdominal wall muscles after pregnancy.  Sounds like liposuction alone may leave you dissatisfied. Consult with a board certified plastic surgeon to assist with your decision.

It is very difficult to provide detailed answer without prior assessment but based on your story it appears that skin tightening +/- fat removal would be good alternatives.I have been performing BodyTite Liposuction for over 5 years and it is s great technique for fat removal as well as skin tightening.Please make sure that you see an experienced doctor for a thorough consultation and assessment prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you have good skin elasticity, then liposuction may be effective for you.  Vaser or PAL are both good options.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Without any images of your abdomen, it’s hard to say. 
But based off what you described - you could seek out plastic surgeons that have Vaser (ultrasonic waves) vs RFA (radio frequency waves) liposuction - and basically both are different energy sources that help tighten mild loose skin along with liposuction. But again, this isn’t the solution for everyone and is very selective with how loose your skin is and where on the body. 
Otherwise, with no history of pregnancies - a mini tummy tuck could be your best solution to address the mild loose skin. 
Best of luck. 

If you notice looseness in your skin already, liposuction is likely to make the effects more pronounced rather than improve them. Body contouring surgery is the better option for addressing loose skin. An in-person consultation with a board-certified plastic surgeon would help advise you about the options that would be best for helping you meet your goals.

Although I have done all different types of Liposuction  for 30 years it doesn't mean that everyone wao has a small amount of unwanted fat needs Liposuction.
If there is only a small or moderate amount of fat with mild skin laxity the totally non invasive TruSculpt procedure may be an excellent  treatment for you. TruSculpt  not only targets  and eliminates fat cells but also tightens the skin because it produces heat to the deep tissues with Radio Frequency. TruSculpt  is the only non invasive system that simultaneously monitors the internal temperature of the deep tissue being treated and the skin temperature with an automatic feed back control for maximal treatment and safety.  No other method including Cool Sculpture does this.
There is no need for anesthesia or the operating room. The treatment takes less than an hour and you can resume your normal activity-including weight lifting- immediately.