I hope you don’t let anyone talk you into smart lipo because it will be a total failure and waste of your money.
You need a full TT including smart lipo. Smart lipo can be of any type. The variious names are more marketing gimmicks than anything. (Ronald V. DeMars, MD)
A full tummy tuck with smart lipo of the flanks is your best option
Based on your photographs, smart lipo or laser liposuction will not tighten your skin and following fat removal loose hanging skin will be worse.
A full tummy tuck to remove excess skin accompanied by smart lipo in the flank areas is your best option based on your photographs. (Brooke R. Seckel, MD, FACS, Boston Plastic Surgeon)
The only way to remove the excess skin would be a tummy tuck. Smart lipo causes minimal skin retraction and likely would leave you more deflated. I think you will be very happy with a full abdominoplasty. (Reps B. Sundin, MD, Richmond Plastic Surgeon)
You will get a lot of benefit from a standard abdominoplasty (tummy tuck) along with smart lipo of your hips.
Although its tough to see from your pictures, you seem to have a fair amount of excess skin of the abdomen. This can only really be addressed by a tummy tuck. Smart lipo won’t fix the loose skin. Make an appointment with a board certified plastic surgeon. (Adam Saad, MD, Atlantic City Plastic Surgeon)