Hello jasonslyric5, Thanks for your question! Yes, CoolSculpting could be a good treatment option for the "W"-shaped fullness you’re seeing on your lower abdomen, especially if it’s been resistant to diet and exercise. This kind of stubborn contour is exactly what CoolSculpting is designed to target. That said, it’s important to work with an experienced provider — especially since your area of concern may require non-traditional applicator placement to effectively smooth out the shape and create a more even result. Treating with CoolSculpting Elite (the latest version of the technology) is ideal, as it offers faster treatment times, improved comfort, and better fat reduction outcomes compared to the original system. In most cases, treating the entire lower and possibly full abdomen provides the most natural and balanced result, rather than spot-treating just the central area. Your provider can assess the tissue in person and create a customized plan, but it sounds like you could be a great candidate. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston, MA