Does not having the "cool clump" mean my fat cells weren't cooled enough or my treatment won't have good results?

Some people refer to this as the butter stick - the hardened area that can result after a Coolsculpting session. To answer your question - it doesn't necessarily mean that you had a suboptimal treatment. Consult with your Coolsculpting specialist to get some more clarity regarding this.

the less clump the less result, but it always works and is best to combine with vanquish to get even more improvement.  Best, Dr. Emer.