Ideally, CoolSculpting works best for patients within 10-15 pounds of their ideal weight who have localized bulges of fat. Its important to realize that CoolSculpting is not a method for weight loss so if your goal is to lose weight then you are likely to be disappointed. Given that, it can be performed on patients who don't meet the ideal weight characteristics as long as they realize that the farther they are from the ideal candidate the more likely they wil need multiple treatment. , Once you get past treating the same area more than twice it can get expensive and probably be more expeditiously treated with weight loss first or a surgical method such as liposuction, bariatic surgery, or a tummy tuck.