How is the treatment plan decided, including the number of shots

Shot count is not a quality marker. What matters is where each pulse is placed. Your surgeon assesses skin thickness, laxity, and target zones, then maps out the tip depth (1.5/3.0/4.5mm) and shot distribution that best serves your anatomy. Excessive shots can cause unnecessary discomfort or, in the wrong hands, fat atrophy or surface irregularity — more is not always better.