I am 58 years old and have Type 4 skin. I have worn sunscreen everyday since my late 20s. Dr. Emery has a wonderful bedside manner. She is helpful, extremely knowledgeable, friendly, and efficient all at once. Additionally, her staff does a terrific job of representing these qualities as well. I had two visits with Dr. Emery. The first was a consultation, during which time she answered all of my questions, and made me feel at ease. She explained how I would be breathing in a special gas that would ease the pain of the Ultherapy, but that it would quickly wear off after the treatment, so that I could drive myself home. At the appointment for the treatment, I was photographed by an assistant prior to the treatment with Dr. Emery. During the treatment, I was able to control the amount of pain I was in simply by breathing the gas in more forcefully. Ultherapy, in my opinion, would have been extremely painful without the use of this gas. I don't think that I could have done it without some form of pain relief, and I consider myself to have a high tolerance for pain. As evidence of this, I birthed two babies without pain meds. After the treatment, I was allowed to take my time in the room so the effect of the gas could wear off. My face looked slightly plumped up, and my jowl area was a little sore for about a week or so after. It has been almost a month now, and I can honestly say that I can see a change in my jowl area, nasolabial folds, and marionette lines. My jowl are looking much reduced and my folds and lines are much less pronounced. I heartily recommend Dr. Talia Emery and her staff at Remedy Skin Care. I hope to put in pictures at the 3 month post Ultherapy date, so around October 14, 2021.