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Fifty-something-year-old Noemi Castro-Feinstein is like millions of Americans: She's healthy and physically fit but no matter what she does she can still pinch more than an inch.

"With the baby, even though you exercise you have a tiny little reminder that it was stretched out to capacity," says Castro-Feinstein.

Dr. Sheryl Clark, a dermatologist on Manhattan's Upper East Side, uses a device called coolsculpting to get rid of stubborn fat around the middle and the lovehandles. She explains that the applicator is really more like a vacuum with two plates inside.

"And when this is applied the vacuum will take her skin up and it's rather a dramatic effect," says Clark.

Once applied, the cold air rushes in within seconds and the plates clamp down on the bulge, causing fat cells to slowly disintegrate.

"The cold is constantly monitored because you don't want to freeze the skin. That could cause frostbite," notes Clark.

Dr. Clark says there are no risks associated with the procedure. Patients experience just a little tenderness in the treated area because they have to sit still while the applicator sucks the skin for an entire hour. But Dr. Clark says the procedure reduces bulges over time by at least 25 percent and the results are permanent.

To learn more, visit www.sherylclarkmd.com.