A dental block was recommended, which I opted for at no additional cost. I was expecting a couple of shots in the mouth but was surprised to get 4 shots inside the mouth and 5 shots on each side of jawline! During treatment, I felt no heat, only sharp electrical pulses when the instrument was applied. I had minimal swelling and a slight bruise on my neck. I'm sure bruising could be attributed to how heavy-handed the technician was.
Bottom line: Be prepared for some pain during this procedure. A company rep was present during my treatment and she recommended a pre-treatment dose of 800 mg. Ibuprofen. I could have used a Klonipin or stiff drink prior. I'm looking forward to seeing results in the coming weeks.