I would imagine it's just like any surgery - every surgeon you ask will have slightly different preferences and methods in terms of what they will do, who they will do it to, and how they will do it. So just because one has told you no doesn't mean another will. Shop around.
I do agree with Alex though. If the tissue just isn't there to remove in areas that you're seeing as problematic, there isn't much they can do for you. The unfortunate thing about weight loss and targeted toning workouts is that you can't actually spot reduce. If you lose weight, you don't have a choice what part of you it comes from. So in addition to the workouts you're doing, you should also be doing cardio to maximize both the weight loss and the improvements in those areas that you dislike.