Which Procedure Would Work Better for the "Spare Tire", Coolsculpting or Smartlipo?

Assuming you have an expert provider in both solutions, I would say that Smartlipo or even traditional liposuction can outperform Coolsculpting.  As the first plastic surgeon in Houston to adopt Coolsculpting, I am very familiar with the capabilities of what Coolsculpting can do.  I do get very nice results for my patients, but I do know that I get even stronger results using Slimlipo, Vaser lipo, or traditional liposuction.

It sounds like you might be a good candidate for either procedure.  SmartLipo is going to give you much more dramatic results more quickly because more fat can be removed at one time.  CoolSculpting treats about 20-25% of the fat cells in the specific treatment area and takes about 3 months to show full results.  SmartLipo has minimal downtime and costs more.   CoolSculpting is less expensive, and offers zero downtime.  Some people do not want surgery and CoolSculpting offers a nice alternative with realistic expectations.  We offer both procedures and have patients who may be candidates for either procedure but personal preference dictates which option they choose.  SmartLipo results will be highly dependent on the skills of your plastic surgeon. Be sure to look for a board-certified plastic surgeon if you decide to opt for liposuction.  

CoolSculpting has become quite well known as an effective fighter of "spare tire." The condition you are describing is exactly what we look for in a good CoolSculpting candidate. A person who is fairly fit and in good health who has stubborn areas of fat that don't respond to diet or exercise is typically a great candidate for CoolSculpting. The best way to know for sure is to have a consultation with a highly experienced CoolSculpting specialist who can evaluate you in person.