As for pain level, it was definitely tolerable, with a few intense zaps here and there. I had no numbing cream or meds at all and had absolutely no issue with pain.
It's now been nearly five months, and I'm really not seeing much of an improvement. I was hoping to at least have a bit of facial tightening to smooth the beginning stages of crinkly cheek skin and smoothing of the neck/under chin area, but I've compared photos (that I took myself) and don't see much. I know that some folks have had excellent results, but I wasn't one of them, unfortunately.
At this point, I feel like this was a waste of money, and wish I'd just saved all that cash for another necklift/facelift.