I have had botox (once), microdermabrasion, mild laser peel and photofacial. This was the least effective, most expensive and most painful of them. The photofacial was a piece of cake compared to this.
The nurse actually gave me a rag to squeeze for pain, I had taken a pain pill too, but I could barely tolerate this procedure. Tears were running down my face the whole time.
To add insult to injury I saw absolutely no tightening of the skin. I really wanted this to work but I can't fool myself.