I had my first treatment with the Accent XL on Wednesday of this week (i signed up for a series of 5) on my front thighs. The experience was pleasant, and so far so good.
I have done a lot of research and I believe the success of the treatment has more to do with your expectations, and the doctor performing the treatment. My doctor started with the Alma company (the company that makes the machine) and now trains other doctors around the country and performs the treatment in two offices in my area.
I will continue to post throughout my treatment.