Patients who have had the Cool Sculpt will tell you that is is painful both during and after the procedure. This does not occur with Vanquish, patients report a slight warmness during the 30 to 45 minute procedure and no discomfort afterwords. There is no bruising following Vanquish, some patients have reported slight redness for about an hour following the procedure. There is no rest or downtime needed after Vanquish, in fact it is recommended that you walk following the procedure to accelerate the elimination of the fat cells.