I'm considering having Smart Lipo or Thermitight. Which procedure offers the best results? I'm 64 years old with good skin.

hello kit10 
I have researched and used most laser and body contouring devices and have chosen to use Vaser to provide my patients with the safest treatment and most consistent excellent result. #options #comparison

Hello and thank you for your question! SmartLipo is an excellent option for removing unwanted, stubborn fat from the areas you listed. This procedure uses laser energy to liquefy fat cells so they can be eliminated by the body naturally. At the same time fat is destroyed, the heat from the laser stimulates collagen production to create smoother, firmer skin in the treatment area. It is a minimally-invasive procedure that I perform in my accredited surgical center using local anesthesia. Most of my patients enjoy full results after a single treatment session. ThermiTight is a non-surgical method of skin tightening that does not provide the fat reduction you are looking for. However, if you experience some residual skin laxity after your liposuction procedure, ThermiTight may be a good procedure to put the finishing touches on your body contouring efforts.
Thank you.
Best,
 Jacqueline T. Cheng, MD

Smart lipo is good for stubborn areas of fat, but lacks body contouring and shaping. For best results, I recommend a hi definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck, if there is skin laxity. I use VASER HI DEF with ThermRF 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

Thanks for the question, as someone who focuses on energy based minimally invasive liposuction I see a lot of patients like you. There and lipo are not great for thin people with loose skin, I tell patients they need it cut out and they will be much happier a year later when they are tight and the scar has faded. That being said I can't see or feel your skin quality but I find the lipo with tightening to be much more effective in the younger population where the collagen is thicker and stronger. Make sure you choose the procedure that matches your goals and don't do something expensive with a lot of downtime that won't give you the results you want!