Unlike some energy sources that might traumatize fat cells and make the fat liquify and leave the cells until more fat is produced by those cells, CoolSculpting kills a certain percent of cells that are frozen. Liposuction removes a greater number of cells per volume treated than CoolSculpting kills but both leave behind, purposely, some living fat cells. One must have a thin layer of fat between the skin and underlying tissues, whether bone or muscle, to help with circulation, temperature regulation, insulation, nerve supply, glucose metabolism, etc. Neither liposuciton nor CoolSculpting are replacements for diet and exercise. If one has gained weight because there is a surplus of calories coming in over what is needed for the energy expended by the body for normal functions and exercise, then if that person has fat removed but doesn't change their diet or exericise, then fat must be stored because they are continuing to eat too many calories for what their body needs. That fat goes to different places, not just the area treated. But new cells don't grow; the fat gets stored in the residual cells, but usually less in the treated areas because there are less cells now to store that fat.Remember, CoolSculpting is designed to treat stubborn focal bulges of fat in a person who is relatively in shape, and not to be used for obesity. So freeze the fat away with CoolSculpting but eat a well balanced meal without exceeding the calories needed to sustain your body's metabolism, and you will see long term correction of fat reduction.