This maryland abdomen smartlipo triplex patient got amazing skin tightening and it helped avoid a tummy tuck. Skin looseness often presents a choice between a tummy tuck and smartlipo, but if the muscles are intact (as they were in this patient), and the skin is bulging due to fullness, but overall of good quality (as they were int his patient), smartlipo can be a reasonable option to get minimal scarring abdominal reshaping.