Thank you for your question. As I look at your abdomen, I cannot appreciate the flaccidity that you reference. Pictures of you slightly bent forward and another set with you pinching the problems areas, both upright and bent over, would help me better assess the flaccidity portion of your question. If you have minimal laxity and the pinch shows a decent amount of fat, then lipo only would be indicated. Then the question becomes what is the best type of lipo. Having done SmartLipo and Tickle Lipo, I feel very strongly that Tickle is far superior for removal of fat. SmartLipo uses excessive heat and vaporizes the tissue it touches and burning adjacent tissue. Finally, suction is done, typically with a sharp cannula, essentially a traditional liposuction to finish the procedure. Therefore you are literally burned then cut to extract your fat. The tissue damage is significant and the healing is prolonged, up to 3-6 months to see end results. Tickle uses rotation and vibration to liquify your fat followed by suctioning with a blunt, not sharp, cannula. This causes minimal adjacent tissue damage, so your healing time is minimal with end results being seen in only 3-4 WEEKS, not months as is true with laser.