Thank you for the question. PLEASE do not do this at home. We have seen tissue damage from attempts to replicate the CoolSculpting machine at home. Your health is not worth the money saved, and cheap gets expensive FAST. CoolSculpting is FDA approved and has millions of cycles done. CoolSculpting can get a 25% reduction. We have found it to be very effective for the love handles, abdomen, bra area, arms, thighs, neck, and other areas. We have found that treating the area twice usually improves the fat cell kill significantly. Other physicians I have spoken to have found similar findings. The fat cells die and are taken up by the normal cell disposal mechanisms of the body. Liposuction is a surgical modality that is usually more dramatic, with a greater reduction. The fat cells are physically removed with liposuction. A tummy tuck is a surgical procedure that can be very powerful in the right patient. Again, the CoolSculpting non invasive, no surgery, no downtime. As always, the modality should be appropriate to the individual patient. Best to see a Board Certified Plastic Surgeon, who can evaluate for all modalities. Many offices have payment plans. Ask to speak with the office manager.Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery