If you have an excessive amount of fat, liposuction would be more effective. However, if there is a focal bulge of fat, and if the CoolSculpting applicator fits well over the area, then with several non-invasive treatments, you might be pleased with the fat reduction that Zeltiq causes by permanently killing some of those fat cells. Some doctors have found that using more than one applicator in an overlapping pattern can help reduce the amount of fat better than with one solitary treatment. Repeated treatments can be given every six weeks or more. There can be side effects, and although they are tolerable, make sure you discuss them in detail with your doctor.Our NYC patients continue to be very happy with their Zeltiq CoolSculpting results.