What is the best non-surgical alternative to an abdominoplasty (solely for skin laxity)? (Photos)

Thank you for your question and pictures. Congratulations on your weight loss. Unfortunately, nothing except surgery will "resolve" your issue. You may see some improvement using a combination of fat reduction (CoolSculpting), abdominal muscle toning (EMSculpt) and skin tightening (ThermiTight/BodyTite). However, the costs of these treatments will add up and can come close to costs of surgery. Make sure you see an experienced physician for an in-person consultation and examination. Best wishes.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

In  my opinion, the Profound subcutaneous micro-needling device will provide skin tightening as well as reduce some of the subcutaneous fat. This is a non-invasive treatment. Liposuction, Thermi and Body tite are more invasive good options. 
Jeff Rapaport MD FAAD
Realself All-star

In truth, non-surgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, Cellutone/Zwave. However, for best results, a Tummy Tuck procedure can be combined with a high definition procedure at the same time. For best results, I recommend VASER HI-DEF Liposuction with ThermiRF, Renuvion, InMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer

Thank you for your inquiry.  Based on your photos it would appear that a tummy tuck or surgical procedure would be your best option.  Noninvasive procedures would give you some improvement but  you would need to be realistic about your expectations.  A combination therapy with a noninvasive fat reduction device such as Coolsculpting combined with a skin tightening device such as Exillis or Lutronic Infini would be good options.