I had ulterapy done for the second time ten days ago (first time in March 2011). The first time I experienced minor pain and minimal downtime, but did see a bit improvement. The second time was a nightmare. I was not advised beforehand that this would be a much more aggresive treatment with significant downtime. The nurse shot my face up with lidocaine so the pain would be bearable. I had a bad reaction to this drug, but managed to finish the procedure. The worst part is that I experienced nerve damage. Certain facial muscles seem to be paralyzed and my lower lip is now uneven. The doctor assures me that this will heal and go away, which I hope is the case. I would NEVER recommend this treatment. The pain and the risk factor are much more than promoted. Stay away from it.