I am a skinny girl: should I get liposuction or more CoolSculpting treatments? (Photos)

Hello and thank you for your question. Based on your photograph, you are a
better candidate for waistline contouring liposuction of your abdomen, flanks,
and lower back.  This can improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

    Liposuction will result in an effective one time treatment for that issue.Kenneth Hughes, MDLos Angeles, CA

Liposuction under tumescent local with the micro canulas can really get rid of that pouch quickly and easily and safely without a lot of complications nor downtime.

Liposuction specially micro tumescent lipo sculpture performed by a surgeon with at least 15 years of experience will give you amazing results.  Avoid hypes such as laser, cool sculpt, smart, Vaser, etc.  go for Gold Standard and experienced surgeon. 

In general, for visible results and the most dramatic improvement, surgical treatments far surpass the capability of non-surgical at the present time.   This holds true in most cases, provided the surgery (liposuction) is well planned and performed by an ethical and skilled operator.  Surgical treatments remain more operator dependent and less technology dependent than non-surgical choices like Cool sculpting. You're not alone, Cool-sculpting has been a disappointing investment for many.