CoolSculpting is designed to treat resistant fat in areas that don’t respond to diet and exercise. Typically, these are the abdominal, hip and thigh areas, arms, and also the back around the bra-line, as well as the neck. If your hands and feet are fatty in disproportion to your body, that is highly unusual. In fact, we often need to place your own fat in the back of the hands for volume loss and aging. I’d recommend a medical evaluation to rule out an underlying condition that may be causing edema or swelling. If you’d like to contour your body or neck, then CoolSculpting is the right choice. If perhaps you have thick ankles or fatty pads along the ankle bone, then tumescent liposculpture would help that. Please find a board-certified dermatologist to take a look at your hands and feet once you get a medical OK; liposuction with mini cannulas might be a solution.