I had this procedure twice, one year apart. I felt it definitely improved my appearance so went back for more. Of course you look SUPER the first 2 days and then the swelling and fluid is absorbed. I felt it was worth the money again AND I WILL CAREFULLY WATCH MY RESULTS THIS TIME. Some bruising,discomfort but Dr. is very skilled and uses lido & a topical. Basically KNOW your Dr. ***UPDATE !!! Six weeks after second treatment my face is great. Really nice on puppet mouth lines.