Your planner sounds appropriate. I would say that unless your last session of cool sculpting is pre-paid, you may as well skip doing it. The procedure is renowned for leaving patients disappointed. That said, it’s also really important to get a proper assessment in regards to what are correct treatment options. Not everybody who consult for fat removal are great candidates for these procedures. People often are not able to clearly differentiate the impact that skin laxity or pregnancy related changes may have on body contour and often believe fat is the main corporate when in reality, treating other tissue variables are more Important. When it comes to quality Liposuction results, there are two variables you need to take into consideration. These two variables are the only variables that really matter when it comes to getting quality results in High patient satisfaction. The first is patient candidacy. This basically means getting a quality assessment and having a clear understanding of what is causing contour issues. You didn’t describe what area is being treated but by far the most common area to be treated with Liposuction and cool sculpting is the abdomen. In regards to be able to minute. There are four variables that contributes to what the abdomen looks like. In other words, if somebody doesn’t like the way, their belly looks it is always because of one or more of four different variables. These variables are abdominal skin, laxity typically related to previous pregnancies or weight loss, excess, subcutaneous, fat, muscle separation from previous pregnancies, or excess visceral or intra-abdominal fat. Ideal candidate, for Liposuction tend to be young pudgy women who have not had previous pregnancies. This means older individuals or women with pregnancy related changes are not always ideal candidates for quality results from any type of fat removal procedure because the problem is often more related to skin laxity or muscle, separation, or potentially excess visceral fat. Secondly, is the choice of the provider. Delivering consistent quality liposuction results is much more difficult than most people believe. The number of plastic surgeons who do liposuction exceptionally well on a consistent basis is relatively few. People have a false understanding that Liposuction is a simple procedure that most plastic surgeons can handle without difficulties. In reality the number of plastic surgeons, who do Liposuction well is in a small minority. Because Liposuction can leave people permanently disfigured patients need to be very selective when it comes to choosing the right provider. Do this by having multiple in person consultations at which time you should insist on seeing sufficient number of before and after pictures of previous patient to have similar body characteristics to your own, to get a clear confirmation, that you have a very good understanding of what average results look like in the hands of each provider And get a good understanding of how many of these procedures each surgeon has actually done. Being shown a handful of preselected images, representing the best results of a provider’s career is completely insufficient to get a clear understanding of what average results look like or how many procedures they’ve actually done. Being board-certified plastic surgery with an overall good reputation and years of experience does not mean that somebody has mastered Liposuction. Results from these procedures are permanent and irreversible. You’ve done poorly patients are left just figured, and poor outcomes are almost impossible to improve upon. I suggest patient start by having at least five in person, consultations and consider scheduling more than that unless they feel very confident they found one of the best providers for this procedure in the community. This process will most likely take time and it’s unlikely one more session of something that’s not working is going to make a significant difference. When it comes to the abdomen, I generally prefer to treat the entire torso as a single anatomic unit in order to leave people without unnatural transition zones between treated and untreated areas. Lower extremity liposuction is technically difficult as his arm liposuction. Arm liposuction generally has the potential for giving much better results than lower extremity liposuction but both areas can give good results if patients are good candidates, and choose sufficiently skilled providers. I personally do not recommend patients, have virtual consultation, and I highly recommend against traveling long distances for elective surgical procedures. When in doubt slow down and schedule more consultations. You need to have a clear understating of your assessment and what each procedure can and can not accomplish. Likewise it is critical you choose a sufficiently talented provider. Best, Mats Hagstrom, MD