The waist (or love handles) is an area of the body that is effectively treated by either surgical or non-surgical options. There are several non-surgical devices on the market that reduce fat . They work by destroying fat cells using various modalities such as the device you referred to using ultrasound energy. The destroyed fat cells are then removed by your body over time. There are other modalities available as well such as cryolipolysis (freezing the fat), which is known under the brand name CoolSculpting. However, it is important to understand that the advantages and disadvantages of non-surgical treatments compared to liposuction. Non-surgical devices have the advantages of minimal discomfort with no need for anesthesia and no downtime from work. However, their effect is limited and typically requires multiple treatments. Therefore, there is not much of a price advantage and can actually be more costly than liposuction depending on the number of areas and treatment sessions needed. Conversely, liposuction works by mechanically removing the fat cells with a cannula, which can be viewed as minimally-invasive surgery. The advantages of liposuction include a single treatment (one and done) with a drastic effect that requires a recovery period of about 1 week to return to normal activities. The effect of liposuction is immediate, but there is swelling that takes weeks to months to completely resolve in order to see the shape. If you are willing to have some downtime and mild recovery, liposuction will typically give you the most bang for your buck. There are several different liposuction technologies, but the exact type is less important than the surgeon's ability. There are many gimmicks and marketing tools surgeons use to attract patients. Make sure you consult with a plastic surgeon that offers the full spectrum of aesthetic procedures to get the best possible advice on treatment options. Ziyad Hammoudeh, MD