My best guess is you do not need any form of liposuction.If either of the previously performed procedures were done correctly, your diagnosis is no longer subcutaneous fat.Sometimes loose skin can be deceptive and feel like thick layers of fat.Other times, intra-abdominal, or gut, fat can seem like fat that can be removed with liposuction, but it cannot.It would be a rare for anyone to ever need liposuction done three times.Please understand laser liposuction is simply liposuction with the adjuvant treatment of a laser.Please have a consultation with an experienced, board-certified plastic surgeon to see what your true options are.Best of luck,Mats Hagstrom, M.D.