I had Titan about two months ago only to recently notice a quarter size dent in the left cheek which looks significantly more sunken, incidentally, than the right one. I bought a package of 3 for $1100 which was their special, at this particular clinic. Now I'm afraid I will have permanent damage and maybe need fat grafts. Don't waste your money and risk your face on this. It hasn't been out long enough for there to be subsantially documented results that it's safe. It may turn out to be another face denting disaster like Thermage.