Will I get loose skin after smart lipo?

At least based on your photos, you are a perfect candidate for a tummy tuck 360.  When a patient is an ideal candidate for one thing and chooses to do something else, the result is compromised.  It your desire is to have the tightest, flattest tummy you can have, liposuction is not the best option.  If you are content to be smaller and likely have more lax skin, liposuction is an option.  All patients just need to understand their options and the upside/downside of each potential procedure.  Good luck.  Dr. Greenwald

Hello and thank you for your question.Based on your photos, you may need a tummy  tuck with additional liposuction. Hard to tell without seeing you in person. I recommend consulting with a board certified plastic surgeon to discuss your options. Best of luck!

You need liposuction + tummy tuck to get the best results here. Smart liposuction alone will not be helpful for you.
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.