Would I have success with Smart lipo for my stomach and hips? Worried about stretch marks. (photos)

Thanks for your question! I worry that your skin might be too loose for SmartLipo. It will promote some skin tightening, but nothing will give you a tummy tuck result short of a tummy tuck. If you would be satisfied with some improvement, but not perfection, it may be an option. An in-person consult will be your best bet. Good luck!

no liposuciton alone will not help and smart lipo is outdated. you need liposuction, tummy tuck and renuvion.

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Your problem is that you need a tummy tuck, but you think you don't have help. You have two excellent options that women in your situation take all the time in my practice:

Option 1: get a visiting nurse to help you out. These are arranged beforehand and are reasonably priced for the amount of help you need.

Option 2: do a mini tummy tuck instead. The recovery is quicker and you don't really need a full tummy tuck because y our muscles are in pretty good shape.

Many experts, myself included, solve problems like yours all the time and offer the ease and convenience of a virtual consultation to discuss all of your important questions and concerns one on one privately. It's just a conversation on Skype, Zoom, email or phone.