Hi Niknel, thank you for your question regarding whether VASER will fix botched CoolSculpting. Thank you for your history and your pictures. First, it is important to have a consultation with an experienced plastic surgeon. Based on limited information, I would suggest you initially start with VASER liposuction. VASER can help to break up scar tissue and remove any residual fat. It is difficult to say whether these back rolls are due to excess back skin, excess back fat, normal back scar tissue or hard scar tissue that developed after CoolSculpting. There is a very known complication of CoolSculpting called paradoxical adipose hyperplasia. This is the development of excess scar tissue in areas that have undergone CoolSculpting. Paradoxical adipose hyperplasia is perhaps what Linda Evangelista developed after her CoolSculpting. Treatment for paradoxical adipose hyperplasia is removal of the scar tissue. In these areas you depict in your pictures, I would initially use VASER. If you do not get the results you want, you may need an open incision. The incision would go over these rolls to eliminate the excess back skin and underlying back scar and possibly, back fat. Therefore, my final answer is definitely go with the VASER first; you may need one or two treatments. If the VASER does not work, you may need an incision across the back. Thank you for your question regarding will VASER fix botched CoolSculpting. Sincerely, Dr. Katzen