For best results, patients need anywhere between three to six Morpheus8 treatments one month apart for optimal results. Three is usually just a taste of the all the awesome results this machine can deliver, while a series of six is reserved for patients with excessive skin laxity/ jowling/ submental fullness we are trying to address. I find that a package of four treatments delivers great results to most individuals. One treatment of Morpheus8 will likely improve the clarity of the skin, however, you will not see much skin tightening or fat melting from one treatment alone. Most patients notice the most improvement in their skin between the second and third threatment. The goal is about 10% improvement with each treatment. Additionally, Morpheus8 is a subdermal fat remodeling device that uses radiofrequency to tighten and remodel the skin by stimulating your body's' own collagen productions over time. So a series of treatment is recommended for this reason. And NO- the procedure is absolutely not as bad as the rumors. Many "med spas" are cutting corners and not using the recommended numbing cream because it is expensive to make. Without the recommended numbing cream in a plasticized base, you do not get adequate pentation of the medication to provide analgesic properties. With the appropriate numbing cream applied for at least 45 minutes, the procedure is very well tolerated by patients. At PUR-FORM, we also offer laughing gas should a patient need it for additional analgesic properties. However, most patients are good with just the numbing cream alone. Furthermore, occasionally I use lidocaine injected into areas that are more sensitive, such as around the lips and mouth, to make the procedure even more tolerable.