ANSWER BY DR. GERRISH
It is absolutely normal and to be expected that at the 4-week mark you do not see much or any results from the CoolSculpting treatment. On average, patients will see the start of the results at 6 weeks. By 8 weeks patients typically see 50% of the results and by 12 to 16 weeks the full response is obtained.
The upper abdomen bulge just under the breast can be treated with Coolsculpting as long as the geometry of the applicator and the bulge match. An examination by an experienced Coolsculpting provider can qualify if the area is appropriate for treatment.