For small problem areas, you can use non-invasive methods like Coolsculpting with Vanquish ("Fire & Ice" Treatment) for fat reduction. You can achieve skin tightening if you combine this with radiofrequency treatments like truSculpt iD, Exilis Ultra or Venus Legacy. If you add in shock therapy treatments like ZWave and Cellutone, you can get even faster results, more improvement, and less risk of complications like nodules, swelling, neuropathy or paradoxical hyperplasia. Coolsculpting often takes a few treatments separated 8 to 12 weeks apart to get significant improvement.However, to get the most fat removal, contouring, skin tightening and definition, a VASER HI-DEF liposuction / liposculpture procedure with ThermiRF, Renuvion (J-Plasma), InMode BodyTite and fat grafting is your best bet. This will give you the most toned result. I recommend getting a formal evaluation with a body contouring and hi-definition physique expert. Best, Dr. Emer.