We offer a free 4th treatment if we don't get full relief after the 3rd. It might be necessary to wait another 3 or 4 months prior to a 5th treatment. I have also noted a large vatiation in effectiveness based on individual practitioner's skill level. Also, the laser intensity settings may not have been as high as your particular tissue requires.
MonLisa Touch maintenance treatment should be done as soon as the symptoms are noted again. I am not recommending any sooner than 9 months after the last treatment generally. Even if you are not experiencing a return of symptoms, you should have a 12 month maintenance treatment done in order to continue to experience the benefits of the treatment. A maintenance treatment is a single treatment. We usually offer this maintenance at a discounted price.