It's normal to feel a bit overwhelmed given the array of treatments available today. Your desire to understand the best approach for your specific needs is a great first step. When considering the best treatment to address stomach fat and stretch marks, it's important to evaluate the degree of excess fat, the amount of loose skin, and the extent of stretch marks. Traditional liposuction can be quite effective for removing localized fat deposits, but it may not address loose skin or stretch marks. In the case of moderate to significant skin laxity or many stretch marks, a tummy tuck (abdominoplasty) might be a more suitable option. This procedure not only removes excess fat and skin but can also tighten the underlying muscles, providing a smoother and firmer abdominal profile. The stretch marks in the lower abdomen would be removed with the excess skin, and the remaining ones could appear less noticeable. That being said, the best way to determine the most effective treatment for you would be a personal consultation with a board-certified plastic surgeon. They can evaluate your anatomy, discuss your goals, and provide a recommendation tailored to your specific needs. Thank you for your question, and I wish you the best of luck in your body contouring journey. Sincerely, Dr. Katzen