Maria 2277 thank you for your question. An in person consultation is necessary to determine your best course of action. I highly recommend your are evaluated at an office that has attended Coolsculpting University. Also utilize a practice that offers multiple modalities for body contouring. While coolsculpting and Sculpsure can eliminate fat they are not best for skin tightening. They can be combined with other procedures like:VenusExilisThermageOr you may have better results with a combination of liposuction and / or tummy tuck.
Coolsculpting is good for stubborn areas of fat, but lacks skin tightening and body shaping. If the skin is loose, a tummy tuck is needed and can be performed at the same time as hi definition liposuction. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer