I have an abnormal EKG I'm very active, would laser lipo be more of a safer procedure for me instead of 360 lipo?

What reason did the cardiologist provide for the abnormal EKG reading?  If it is not pathological, then it will not pose a threat. If your cardiologist clears you before surgery and has no reason to believe that you would suffer an anteroseptal infarct during or after the surgery, you should be reassured to proceed with the surgery.  Of course, your plastic surgeon must be notified of all of the EKG results and determine the risks. Because CoolSculpting is a nonsurgical procedure, it comes with no surgical risks. However, the procedure does have some side effects to consider.

Dear Goodform,
if you have abnormal ECG, then you might need a clearance from a cardiologist prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There are many things that can be abnormal on an EKG, some are significant like signs of a previous heart attack or the presence significant electrical conduction problem like a bundle branch block. If it is a minor EKG abnormality like a sinus arrhythmia, that likely won't increase your risks.  If the abnormality is significant I would recommend considering only Coolsculpting and not laser liposuction.

If you have an abnormal EKG you should see a cardiologist who will evaluate your heart and tell you whether its safe to have liposuction

If you have a medical clearance from your cardiologist for elective surgery, liposuction can be done safely to remove excess fat. Not all noninvasive "fat removal" procedures work in everyone. I would suggest meeting first with your cardiologist and then with a board certified plastic surgeon to discuss your options.