Coconut cream and coconut milk are not the same. Coconut milk is made from the flesh of the coconut, while coconut cream is made from the thick layer of cream that rises to the top of coconut milk. Coconut cream has a higher fat content than coconut milk, and it is also thicker and richer in flavor. Coconut milk is typically used in cooking, while coconut cream is often used as a dessert topping or in smoothies.