Dear saffron:Fat is primarily stored in 2 areas of the body, around the organs called visceral fat and under the skin called superficial or subcutaneous fat.The applicators of the CoolSculpting (CS) machine have cooling temperature plates which must be in contact with the skin to properly cool the fat down to the "working" temperature. If this does not occur, the effect is minimal if any fat loss to that localized bulge.Visceral fat is too deep for the cooling plates to "cool" the fat. This fat must be lost currently with weight loss using lifestyle changes of exercise and diet.Should you lose subcutaneous fat with CS or any other option, remember that fat re-accumulation will occur in other areas of fat cells including around the organs or other superficial body areas (breast, booty, waist, arms, legs, etc) if you do not maintain your new "fat-lost" weight. In essence, you must still consider a weight loss, then a weight maintenance regimen even with CS. CS simply focuses where the fat loss will occur and provide a improved body contour in that area. This is why patients choose the CS "Treatment to Transformation" protocols to contour their bodies. Please visit a Certified CoolSculpting Practice and well experienced, Board Certified Plastic Surgeon for evaluation and recommendations as to the best options for you.All the best!