The answer to this question depends on the amount of excessive and loose skin, the degree of skin elasticity (often age-dependent), and individual patient goals - such as removal of “stretch marks”. Generally, patients who are younger than 65 years old and have only mild to moderate lipodystrophy (excessive abdominal fat) will have excellent results from abdominal liposuction alone. This is especially true for younger patients who are interested in “liposculpting” of relatively minor regional excessive fat deposits. In these patients, the fat can be removed, and the abdominal wall can be sculpted so that the underlying muscles are visible (often producing a visible “6-pack”). The natural elasticity of the skin, combined with the inflammation from the procedure, will produce excellent skin retraction with a sculpted contour as a result. Radio frequency-assisted liposuction (i.e. Vaser) or laser-assisted liposuction (i.e. Smart Lipo) may be used to ensure optimal post-operative skin retraction.