Can coolsculpting be use before or after a vaser lipo, for a better overall result, if yes wich first?

CoolSculpting can be done before or after vaser liposuction.  Most people would probably do one procedure or the other, but not both.  If you don't have a lot of fat, the CoolSculpting alone may be able to give you a good result.  If you have more fat, it's possible the vaser liposuction might be a better alternative.  The vaser liposuction can potentially remove more fat in a single treatment session versus a single treatment of CoolSculpting.  I would discuss your options with your treating physician.  

While coolsculpting can be combined with other treatments such as vaser lipo, there is no indication in the case studies that combining modalities will yield a better overall result. Consult with a board certified physician who has multiple treatment options both surgical and nonsurgical to determine the best option for you.

I have used both Vaser Liposuction and Body Jet in my practice for several years.  Each system works well to remove fat improve the areas being treat.  With liposuction more areas can be treat at one time but requires the use of a facility and in my practice an anesthesia provider.  Cool Sculpting is noninvasive and treats an area at a time.  We have two machines so we can treat areas simultaneously.  A consult would help explain which areas can be treated and with what technology depending on your desires.