I am extremely pleased w my arms. For the past years , I have gotten rid of all my sleeveless clothing. I live in Florida so it was a lot of clothes. I have had 3 treatments 6-12 mos apart. I am wearing sleeveless clothing again!!! It is not cheap but it is a great alternative to going under the knife! Dr Williams is trained in anesthesia so there was basically no pain. I am 73 years old in good health! Dr. Williams is upfront about the results, the cost and will never recommend something you shouldn't do. She has the whole idea that we are all different. We all have different needs. She has this plan to make you feel better and look better!