I've had single procedures of fractora, forma, lumecca. But the best results have been when I've combined them. You just have to make sure there is enough appointment time. As far as down time, honestly, it's a matter of how "perfect" you feel you need to look the days following the procedure. There is no pain (nor was there during the procedure thanks to their medical grade numbing cream.) But I do feel kinda gross with the streaks of redness and rough/flaky skin. Day one was smooth but a bit red; day two and three are easily covered with a bit of foundation but I'm not used to the uneven skin tone and roughness; but remind myself that this is PROGRESS! I know it will be remarkably better in just a couple more days. I compare this to the fractional Co2 that I had a few years ago and this will be more effective and MUCH less down time. (c02 was like having 2nd degree burns) Thank you, modern technology!! I could literally do this every month and it would not affect my productivity. My experienced advice: go to a real, caring, experienced doctor. Many of the medspas just try to sell you on the machine that they invested too much money in. It was very confusing to research. Dr. Werner is so caring, genuine and passionate...he is both a board certified family practice physician and 20 year veteran of medical cosmetics. Even though his cost per syringe was higher than the others, my results were better and my end cost MUCH lower! It is because he knows how to best inject with the least product for maximum results. (That lesson cost me many thousands of dollars!) Bottom line....I feel relieved and confident with my subscribed treatment plan; and hope others can learn that the key is to find someone honest, skilled and experienced to save you money in the long run and make you look your best as quickly as possible with the least down time. As the old saying goes, 'Wish I knew now why I shoulda known then"....