Thank you for the question. They are two different modalities. CoolSculpting can get a 25% reduction. We have found it to be very effective for the love handles, and other areas. The buttocks is considered an "off label" area. 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. Liposuction is a surgical modality that is usually more dramatic, with a greater reduction. Again, the CoolSculpting is 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 both modalities.