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.

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.

Coolsculpting and Smart Lipo are both excellent therapeutic
options for managing localized fat of the lower abdomen and flanks. Both
procedures offer advantages and the choice of procedure depends on a variety of
factors.

                  Without
pictures or a physical exam it’s hard to know which option is best for any
given patient. When larger amounts of fat are present, liposuction will most
likely yield a superior result. Unfortunately, this procedure may be
associated, with more pain and longer recoveries.

                  When
smaller amounts of fat are present, excellent results can occur with
coolsculpting with shorter recoveries and less pain in the post-operative
period.

                  If
you’re considering treatment of your “Spare tire”, consultation with a board
certified plastic surgeon would be appropriate. This surgeon can advise you
regarding which procedure is best for you.

It sounds like you may be an ideal candidate for CoolSculpting especially if your are fit and have stubborn areas around your waist.   SmartLipo (or "SlowLipo as I like to call it) is much more invasive and I always combine it with standard suction lipectomy.  I love SmartLipo in the area of the neck, however.  If you want to avoid downtime and time away from your job, life and the gym then I would seek out a certified CoolSculpting physician and see if CoolSculpting is right for you.

Think of Coolsculpting as liposuction lite.  The patient who is a good candidate for lipo will be a good candidate for Coolsculpting as well.  Any lip procedure, whether conventional, power, smart lipo, or ultrasonic will by definition be more aggressive than Coolsculpting as it is a surgical invasive procedure.  If you are comfortable with a more subtle improvement without surgery go for Coolsculpting, if you want one treatment and are ok with surgeryE dn recovery go for lipo.