In my experience, CoolSculpting cannot effectively smooth out irregularities in scarred (underneath the skin) fatty tissue that remains after liposuction. I have found significant improvement non-surgically by injecting fat-destroying medications into these areas, very precisely, with a procedure called Mesotherapy-- consider it "Kybella for the body." No anesthesia is required, and you can return to work right after the treatment, saving time and money. For for resistant areas, I use VASER Liposuction, which employs ultrasonic energy to emulsify ("melt") the fat trapped in the scarred liposuction area, to make fat removal or smoothing out more effective and even. Tumescent liposuction or microliposuction alone will create more scarring because the trapped irregular fat must be treated more aggressively than virgin fat to get it out. This less traumatic VASER Liposuction is safely performed in the office using mild sedation and local anesthesia. Some patients return to work the next day. For areas where too much fat was removed or destroyed, fat grafting-- taking a little fat from an area where you do not want it and injecting into the hollowed depressed area(s)-- can smooth out the surface appearance. These techniques that I have explained can also be used to correct irregularities that sometimes occur with CoolSculpting itself. These techniques require NO expensive and risky general anesthesia.