I did a Sylfirm treatment with Jen (NP) at The Aesthetics Lounge and Spa and I am so glad I did! I am trying to avoid looking "done" or getting a bunch of fillers, so I am concentrating on my skin and doing non invasive things that will help with collagen and tone. Well, this was the thing! Many years ago I did 3 vampire facials at another spa. They really left me looking beat up for 10 days and I did not see any improvement in the elasticity, etc. I have also done IPLs, which are good for the pigmentation but not tightening. Jen used to work for my dermatologist but left to open her own place. I already trusted her with my skin, so when she suggested this treatment, I was intrigued. I went in on 5/2. They used numbing cream and the procedure was tolerable. It's like a derma stamp and there is no heat or cold sensation. Afterward, I felt flushed but nothing bad. The next night, I wore makeup and went out. As I healed, I started to have "tread marks" which were little tiny scabs in rows across parts of my face. With makeup on, no one noticed unless I pointed it out. My skin breaks out easily, so I did get an acne breakout from applying heavy moisturizer. I won't do that next time. But otherwise, major happiness. My skin is definitely tighter. My jawline and eye area is noticeably improved. I started seeing results after just a week and they progressively got better. I am so happy, I am telling ALL my friends to go. Now, one thing I think is really important to mention is that this facility is new with the latest equipment and the practitioner is a licensed pro. I think this is really important. Be careful who you trust your skin to! PS I am 51.