The procedures you list here offer very different results. CoolSculpting targets unwanted fat, freezing fat cells in the treatment area so they can be eliminated through natural body processes. ThermiTight does not target unwanted fat - instead, this radiofrequency treatment works in the underlying dermal structure to firm and tighten skin. However, the ThermiTight probe can be placed in the fat to melt it a bit and then I often perform microliposuction at the same time. This allows me to go beyond the limits of the CoolSculpting applicator and both tighten skin and remove fat in the same setting. Since you’ve been disappointed with two sessions of CoolSculpting, I would recommend this combination procedure. ThermiTight combined with liposuction has been proven to offer the desired outcome, with long-lasting improvement. However, your satisfaction with your results will depend on your expectations and goals. I recommend that you work with a board-certified dermatologist who is an expert in non-surgical body contouring. Through a comprehensive assessment and discussion of your goals, you should come up with a treatment plan customized to you.