Had a day (7hours) at the spa and never again. The thermage on my neck was excruciating. She said they don’t use lidocaine because they need to know your pain tolerance. The neck and jawline was so painful I was either screaming or crying. The clinician told me it would be painful. I am tough. This was the worst. Once she started on my face I was tolerating it better. I have had several babies… this was more painful!