Yes it is permanent! Because it is for stubborn fat that will not release!.  It is specifically for men/women that cannot get rid of stubborn fat pockets no matter what. With our age and hormones and the way that our bodies are made we exercise (but we cannot spot reduce/spot train) and do all that we can and for some reason these stubborn fat pockets just will not release. So this ultrasound machine and ultrasonic waves are able to break open those fat cells and liquefy the fat.