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I never saw a doctor. His office staff were nice girls but maybe they we licensed medical assistants but I doubt it. I had micro needling which I had 3 previous times at another facility. $400 and I looked no better or worse. Since I had it before, I knew what to expect. The person doing the procedure gave me the removable head that is used on your skin. She said to keep it just in case I wanted another procedure. They are disposable for a reason. Maybe the health dept should pay a visit.