I have seen Dr. Duke for Coolsculpting 3 times this year, as sessions are spaced out 3 months apart. She was very congenial, helpful and supportive, even when I was embarrassed about my abdomen. After assessing the problem, she recommended 3 separate sessions for me in particular. It doesn't always take that long, depending on the extent of the problem. I am now fitting into clothes I haven't worn in years, and I am no longer embarrassed about my body. The fat I lost is gone permanently, but I still exercise because you can gain in other areas. The procedure itself is performed by her nurse Erika, who was also easy to work with. A suction cup shaped like a vacuum wand is placed over the area to be done, then the area is sucked into the cup and the temperature slowly lowered to the point where fat freezes but skin doesn't. There is a protective sheet between the skin and the cup. It pinches for a minute, but then feels numb and there is no pain. I had some bruising, and a tingling sensation after the first session (2 hours), but pain after the second one (4 hours). I think had I opted for a shorter session that might not have been the case. I am very pleased with my results so far, and will be having at least one more session soon. By Christmas I hope to be back into a size 10. There is no surgery, so no risk of infection, and an ugly caesarean scar I had for 30 years is hardly visible anymore. Dr. Duke told me that the skin had a natural tendency to want to adhere back to the body, so there is some skin shrinkage, but I will still have some loose skin. But I don't care about that, I am just happy to be looking good in my clothes. Another advantage is that it happens so gradually that people just think you've been losing weight. I would highly recommend Dr. Duke and her staff for a safe and effective procedure of Coolscupting.