In Before and After clinical photography, consistent lighting and photo angles are of the utmost importance for fair comparison. For photography evaluating skin texture and laxity, we prefer for patients to be bare faced, without contour or foundation in both the before and after shots. The lighting appears significantly different. The After photos are warm and darker (more flattering) and the before photos are better lit and brighter / more stark (less flattering). Additionally it appears you might be wearing makeup, or at least some contouring? (Most evident on the 3/4 view). It is not uncommon for patients to have After photos when wearing makeup. Especially after rhinoplasty or facelift. And we generally do not insist that patients remove their makeup because they are coming in for a quick photo and check-up before going on with the rest of the day and it is a hassle for them. So I do not insist they take it off. However for skin treatments and cosmetic therapy where the changes are expected to be more subtle, for a fair comparison the face should be cleansed and bare.

@AlliWiltshire

2 жыл бұрын

As a photographer I totally agree that there is no similarity at all in the lighting for before and after. That’s a shame as I’d be really interested to see and to consider whether to embark upon the treatment. As viewers we can only rely upon consistent photography. 😔

@born_confused

2 жыл бұрын

Thank you for this

@jillpotts7472

2 жыл бұрын

i agree. really not able to compare

@aeducator1

Жыл бұрын

So true. We actually have a video out about preventative botox and the only paper purporting to support it totally manipulated the lighting. You can tell by how dilated the eyes are. In our clinical studies, we use 3D imaging where the light source plays no role at all.

@mosoandso

Жыл бұрын

@@cindirella16 The purpose of the video was to show a before and after comparison. The photos of before cannot be compared with the after as the conditions in which the photos were taken are not comparable.

Honestly the pictures are not really comparable due to the very different light exposure.

@8thhousealchemist600

2 жыл бұрын

Right...I just watched 3 different before and after RF/MN videos and they keep manipulating the lighting. One video, had a man draw a line down the center of his face, yet had decided to have a shadow on his non-treated side (he was doing RF on himself).

@danielleradicanin7280

Жыл бұрын

I really did not see much of a difference after treatment To be fair, it does take a few weeks for the collagen to tighten the facial structures so am not sure what the look well eventually be.

Why not the same light for both photos … 😕

I have had three treatments of Morpheus eight and have seen amazing results. I am 55 years old. The nurse that does my treatments not only uses numbing cream, but also injects the skin to numb it even further. I have very little discomfort. She switches to a smaller tip with 10 needles to do the area around my eyes, including my upper lids and lower eyelids and in between my eyebrows. She also does my forehead with this tip and my nose. I love Morpheus 8!!!

You look amazing! I think it would be interesting if you got 2 more treatments to see how it goes. I like the results! Your skin looks glowing!

Incredible results!!! You look amazing as always ♥️

I love it, I've had 2 treatments and so worth it.

Helpful and amazing to watch and learn. Your skin appears healthier and hopefully you will be pleased with the collagen building soon. xo

No thank you, the difference is really minimal for that amount of money! I'll keep using my 1% retinol for optimising skin texture.

I went to Vie Aesthetics in Holborn and was treated by Sophia who was/is amazing. I have a reasonably high pain threshold, which helps, but also trying to not move your face muscels helps with the pain (like any injection). Imagine having your face very quickly stapled - that's how it feels! I had my first treatment in November 23, my 2nd treatment last week and a friend commented "your skin looks flawless" - I'm 65. But don't waste your money doing this, if you're then going to go out in the sun without wearing SPF50 face cream.

Thank you so much for sharing. It has made me more comfortable about having this done

Please do a video rating your top treatments that have made a real anti aging improvement

Very hard to judge as the lighting is so vastly different in before and after photos.

Nadine , you are very beautiful anyway . I really can’t see much difference because it totally different lighting !!! But if it makes you feel good it’s well worth it ! X

I’m doing this procedure this week. Sounds a lot like Vivace I had a year and a half ago. It was very effective.

Thank you. Your skin looks amazing

I have had several Morpheus8 treatments and as a physician I think the process does perform well and the results are good. In my opinion, it seems that women have a higher pain threshold than men. Personally, I need infiltrated local anesthesia to have this procedure done. For me, after the anesthesia, there is slight discomfort. I suggest if you are at all pain sensitive ask to have infiltrated local anesthesia.

I think it's amazing on you and if I could afford it, well I would have done it yesterday! I think it made a "worth it" difference.

I am 54 and just completed my 2nd of 3 sessions. I’ve scheduled them about 5 weeks apart. My sessions are a bit different in that they are solely focused on lower jaw line and neck area. Both areas don’t have very much “padding” as the cheek area would. That being said, it’s not a pleasant experience in those areas (even with numbing 45 min- hour) but it’s also a very short experience. I’d say …15 min max for my total treatment area and that includes a couple of short breaks. It was recommended to me for making my “jowel line” into a jaw line again. And no more Turkey neck! I could see the most difference in my neck after just the 1st treatment. No topical treatment can really change that at this point in my life. Believe me, I’ve tried it all! On that note, if you do use retinol products, it is recommended that you stop using them a week before treatment begins. My provider also gives me a follow up treatment kit to use after the procedure.

@jodyvohwinkel9633

2 жыл бұрын

Almost 53 and going tomorrow for my first session. I have a high tolerance for pain, but these comments are giving me a little anxiety. They have numbing cream and nox for me. Getting jaw and neck done.

@MsKriscrack

2 жыл бұрын

@@jodyvohwinkel9633 honestly it’s over so fast and everything you’ve said makes me think you’ll do just fine! I had the same areas treated as the ones you’ve mentioned. I love my results after 2 sessions and still have one left. You got this!

@jodyvohwinkel9633

2 жыл бұрын

All I can say is holy smokes! I did only the numbing cream and passed on the laughing gas. Above the lip was probably the most painful. And I feel some of the numbing dissipated when she did the last section of my neck. Feel fine now and using the gel mask and cream they sent me home with. Until next month for 2nd go around. Lol

@cindirella16

2 жыл бұрын

Right? It is amazing and I for one do not want to get any cosmetic surgery. There are so many new treatments now that can keep you from having to get cut, this is one of the best. Didn't even bother me that much, a facelift is a nightmare, I'm a nurse and I've seen it. Horrible.

@cindirella16

2 жыл бұрын

@@jodyvohwinkel9633 you'll be fine, don't worry about the short period that you'll feel uncomfortable- the amazing results completely outweigh a little pain.

I have to smile each time I see these type of treatments. You will end up getting a surgical face lift but in the meantime, let us make a few thousand out of you with treatments which are going to have very limited results. Truthfully, I saw virtually no difference. No, I would say save your money for surgery. You wear a lot of make-up - the comment from your Pilates instructor may have just been a nice way of saying that you don't need that much (would agree with her).

I think your skin looks amazing!

You look fantastic!- before AND after!

A Significant result on your kneck and all over, im considering this for the future. Thank you.

As someone who has had RF Micro needling I am very happy with just my first one! Such improvement in the texture and I can feel my face is tighter. I also have minimal laxity to correct and I have taken care of my skin and eaten right for years, this is very important as well. The pain was bearable. The cost for face and neck in Edmonds Wa was 1450.00 for each treatment. I would rather pay this than have someone cut my face and peel back the skin from my muscle. I am also interested in aging gracefully not trying to look like I have had my skin pulled taught. It's a thumbs up from me.

@hamelindabell1222

2 жыл бұрын

Me too. Had one session, and it really did the job. My upper eye lids really tightened and the rest of the face gently tightened too. Looking rested and refreshed - but in a natural way. Would do it again in a heartbeat when time comes. My procedure was done on the highest setting and needle depth. I paid £600 for my procedure done by Dr Maryam Osmani on Harley Street. She's a true pro!

@stuartist

Жыл бұрын

How much of the under eye area do they do? Up to where the bone is?

It was worth it for you. Amazing.

Looks great! Seems totally worth it to me. Right now I’m comfortable with the idea of procedures short of surgery. I wonder if you could take a Tylenol ahead of the appointment as well? I guess the MD would have to okay that.

I agree with others, you are a lovely woman anyway. I appreciate that you did this video as I was considering doing it myself but as I didn’t see much difference I am going to pass on it, especially as it’s very costly in Los Angeles CA.

Looking great , def worth it nadine xxx

Nadine I think your skin looks fantastic🤩💞 xx

Great video and review.

See a huge improvement!!

Amazing results.x

This looks interesting enough to try. I would suggest, besides the numbing cream, one might want to take a therapeutic dose of Tylenol and Advil cocktail prior to arrival.

I loved the results of my three treatments . I found it even with numbing cream so so painful . The results get better and better with time

@aeducator1

Жыл бұрын

Hi Daniel, how are the results now? Do you see any areas of depletion or gauntness?

@84848AR

Жыл бұрын

What areas did you get done?

@dannyleeds1132

Жыл бұрын

@@84848AR I had from my crows feet area down to the bottom of my neck . My forehead area was fine so don’t need that area going . He went right under my lower eye lashes down my neck . I only had one bit of lax skin a blob under my chin so he adjusted the needle depth to target a deeper layer to melt a bit of fat and to extra tighten the area . The needle depth can make a big difference to the results . Longer needles deeper layers targeted and a more intense fat melting tightening result

@dannyleeds1132

Жыл бұрын

@@aeducator1 the results are great . My skin looks so smooth and my facial structure is very defined . No fat loss where I didn’t need fat loss and my skin has a beautiful glow .

@aeducator1

Жыл бұрын

@@dannyleeds1132 Glad you are happy with the results.

I agree. The pics are taken under different lighting, so can't really compare the before and after.

You look fantastic !

I agree with some of you - Moprphus 8 was the worst pain that I have ever experienced from a treatment. It really was almost untolerable, even with the numbing cream. The results are very good around my jaw line and neck. If it wasn't so very painful, I would definitely go back for another session.

@tugzsurf

Жыл бұрын

I hope you got the nerve blocks! I did and it still hurt

@UinAZ

9 ай бұрын

I thought the same! Had first one today and she had to dial down the depth twice it was sooo unbearable. The 1.6 setting I was able to make it through. Just neck and jowels.

I like the results, worth it.

Amazing you can really see the difference in your neck. You always look amazing just better now 😇

I had this procedure done on Wednesday; today is Friday and I have canceled my weekend plans. While I do believe the results will be great because I trust my physician, no amount of coverup could camouflage the redness and weeping I am experiencing (not crying; skin seepage). In addition, I have been told many times over the years that I have a high tolerance for pain, having been through multiple orthopedic surgeries, and after my Morpheus8 treatment, my doctor said I “did great!” But I told him the treatment needs to come with a bullet and a bottle of whiskey because it hurts like hell.

@aeducator1

Жыл бұрын

Hi Lt., what are you hoping to achieve with the RF procedure?

@mrobinson9669

Жыл бұрын

Wife of m here , its not you , it is very painful , i think if they told ppl this , they may not get as mnay to agree to do tx. I had to use the gas after the forehead pass and didnt hesitate to use the gas for my next 2 tx. my face oozed and had horrific, monster sized white heads ( at 55) !!! pimples for the next 2 weeks and my neck itched like crazy , had to use anti itch cream . It took about 3 weeks after each tx to feel normal again

Looks great to me Nadine! Looks like it's definitely had an effect but the best thing is that you still look like you which is surely a good thing. The recovery also sounds a lot less daunting than from big-guns lasers or proper medical peels (I can speak to the latter from personal experience - not nice!).

@lilywalker9130

8 ай бұрын

I find it very tolerable with the numbing cream and the laughing gas makes it more tolerable.

Well I feel like the biggest baby watching you. I did three treatments. I’m not sure if she was just very aggressive on the last one but it was almost unbearable pain. I was numbed for a hour prior and I still thought it was a 9 out of 10 in pain. I cringed and cursed through the entire thing 😖

You look amazing 💕

You look amazing. I am thinking about doing it.. Ironically I do Pilaties too! Im 51.

I love Morpheus8. I'm 27 and I do it as a preventative measure.

@mirasingh7428

Жыл бұрын

Hey did u get the procedure done? I am 29 and planning to get this done

Im 50 and have fat loss and laxity. Morpheus 8 is not a good fit for me, it can and does affect the fat in your face so even though the Dr wont tell you just be aware or ask them. I think you look beautiful, Im so glad the results for you were so great.😊

Anything with RF breaks done your natural fat not just fillers because of tne heat . If its skin texture and glow i think peels afe a better solution .

@PsycheandButterfly

2 жыл бұрын

The best treatments are ones that cause minimal inflammation. The more inflammation, the more likely the skin will degrade and sensitise. Some of these treatments are especially inflammatory, and the surface-level results are at the cost of inflammation rather than restorative and gentle skincare practices. For example, the long-term controlled use of specific actives and an anti-inflammatory lifestyle, etc., may be more effective at truly benefiting skin health.

I can't see a big improvement but if you're pleased that's most important. I am going to try Endolift for my lover face so maybe both of this treatments will make noticeable improvement.

Hahah you look gorgeous but I think it’s The Girl with the Pearl Earring cloth cap and earnest pout that is making me chuckle haha x

Definitely see an improvement, despite the fuss about lighting. The question is value, and goals. Is it worth the investment?

I wish these before and afters were in the SAME light to show a true contrast. It’s tough because I can make my own pictures look very different using lighting. Also you mentioned can do the eyes, I was told you can by two treatment places?

Hi Nadine, I found it very uncomfortable, the worst pain I’ve ever experienced from a treatment! The neck/jaw is definitely the most painful. I required gas and air to get through my treatment. My physiological response to the pain was uncontrollable shaking, at which point I was sat up and dosed with lucozade! I’ve had one and my 2nd is next week and I’m dreading it tbh. But the gas and air will make it bearable. I was extremely swollen for several days (I’m talking hamster cheeks) and it took 3 weeks for all the redness to go. I was also quite itchy so took antihistamines. The pain POST procedure however was minimal. Much less discomfort than when I’ve just had simple micro needling alone. I personally do see a difference in your photos. No it isn’t facelift dramatic but it IS an improvement. X

@born_confused

2 жыл бұрын

Thank you for this

@sonkoster9585

2 жыл бұрын

The things that people do for beauty pffff

@dfarnsworth243

2 жыл бұрын

I’m so glad I’m not the only one. I watched this video thinking I’m just a big baby because even after a hour of numbing it was almost unbearable pain. I didn’t swell but I did bruise in a few places.

@JGibson512

2 жыл бұрын

I won’t do one, even if it would help. I will do Halo instead but yeah, I swelled up like a pumpkin for several days and then my face was falling off so even though I went to work, I won’t next time. My medspa uses Ativan and has a CRNA but yeah, I would rather have a facelift than a M8.

@aeducator1

Жыл бұрын

Hi Victoria, how are the long term results? Did you experience any depletion?

You look great 👍🏼

Looking beautiful 👌💃🏻

I am unsure if it’s worth for me. My practitioner talked to me about this at Mallucci, but it was over 3000£ and I’m not sure if I don’t get better results at a serious laser clinic like the one Theresa Tarmey has. Edit: I do see the difference between the before and after pictures, however, they are subtile - a big similar to when I had a HIFU treatment that is a bit cheaper.

I’ve had 3 sessions of this treatment, still to see the full effects as it’s only been 3 months, but contrary to what the lady says it’s very painful even with numbing cream and I can tolerate pain! My beauty therapist seems to press harder!

@mrobinson9669

Жыл бұрын

Wife of M here, i agree, still waiting to see these " amazing results" just completed my 3rd tx. very painful process!

@tugzsurf

Жыл бұрын

Get someone who does nerve blocks too.

I have had 4 Morpheus treatments and it did mark my jaw line but it did not lift thr skin. It made my skin look better. It does hurt even with a numbimg cream.

I would have liked to see comparative before and after photos, it looks like you're wearing makeup in the after photos. If you're happy that's the main thing.

I did in-clinic SkinPen and was very disappointed with the results so I’m reluctant to shell out for this one. I have a RF home device but finding it quite uncomfortable.

Oh my, I sometimes watch those videos where they reconstruct famous faces from the past to see what they might look like in modern times - I thought your thumbnail was one of those! I wonder which Queen is that? She looks quite familiar!!

@carolmoyes2449

2 жыл бұрын

😂😂😂

So, it is roughly $700.00 a treatment. That's really not a bad price for face and neck. I see enough improvement in your skin and a bit of lifting, Nadine, that I think it is worth it for you. I have extremely sensitive skin and I know that this procedure is not an option for me. I had IPL on my cheeks and chin and felt nauseous from the pain. I was also left with scaring. I'm glad this is working for you. Do what makes you happy!

I have had Secret RF, it looks good initially because the slight swelling plumps out the skin and I have noticed a difference in pore size and skin texture but now three months after with residual sweeping fully subsided, I would say fillers and Botox give more bang for your buck.

wife of M here ,i just had my 3 rd treatment. i can pigback off your comments. I was offered the nitric oxid ( laughing gas) with the numbing cream. guess im not as tough lol, I tried without and it was too painful. if Laughing gas is offered take it. I was extremely red for next 24 hrs . my 1st treatment, I broke out in huge white heads a around my lips and chin. My neck itched so bad by the 3rd day. 2 nd treatment had similar reactions. By the 3 rd week after the treatments I was back to normal. ( really only time im thankful i have to wear a mask at work, it hid all the pimple outbreaks). After my 2 nd treatment my beautician said my skin was glowing!! The pictures showed very min change after the 2nd treatment. i know this takes time , keeping my fingers crossed , here in US its about 1k per treatment , = 3k for the course of 3 treatments.

Hello..I do see a difference between the before and after photo.. I was wondering if you tried Ultherapy or Thermage treatments? I am in my 50's and I am not sure which treatment would be best for my skin.

Have you had all three treatments? As micro needling takes time I’m a believer in that so this I’d like a go if someone in France does it Thanks nadine

Beautiful thank you for sharing xoxo roseingeorgia

Ahhh just sat down to watch this on the big screen and you're a little squished box in the middle of my tv 😕 Is there any way of re-purposing without this happening? I will watch on my phone obvs, but just frustrating when this happens. Was all ready on the sofa with my cuppa 😅

Wow you look great 👍 I would say it’s worth it if you can afford it and have good pain tolerance. Nadine, I have a question for you ! I suffer from bilateral trigeminal neuralgia, which I am on life long medication for. This was caused by an oral antra surgery with buccal flap advancement which means basically I had 🦷 taken out which left a hole from face to nasal passage which had to be fixed using my left cheek muscle thus causing the nerve damage on my face, head and neck ! What treatment would you advise, as I’m starting to notice on the side which I had surgery I’m starting to get a lot of fine lines around my left eye, more so under with puffiness. I’m trying all sorts of creams and serums plus I’m noticing first signs of jowl’s. I am 46 what would you suggest would be a treatment which would work without going this far ? Also on a budget of about £500 atm xx Thankyou xx

@elainebines6803

2 жыл бұрын

That's a question for a Cosultant qualified in that area who can professionally address your concerns. No disrespect to Nadine and I'm sure she would agree

Looking good. Worth the pain.

The lighting in the before and after pics are so different and appears you have makeup on in the after. Too hard to tell because the photos are too different.

I am 43 years old, just getting all the info from good resources in case in the future want to do it or if I need it really bad. Noticed a little bit of the different in the images. When do you start counting the six months from the first or last treatment? When is due the 6 months for you? TIA.

From what I’ve seen Endolift gets a better result and less pain

I did not see much of a difference in the before and after. Your skin is already so nice

Very impressed 👏 👌

My problem area is around my eyes, so Morpheus not for me xx Have you had all 3 treatments in the after pictures? I don’t see a dramatic difference if you’ve completed the course, but you don’t really need this treatment in my opinion because you have good skin and always look lovely and lets face it most of us look better with a little makeup. Thank you for sharing your experience xxx

@aeducator1

Жыл бұрын

Hi DM, you are so right. Any thermal treatment will make the eyes look worse.

I find it interesting that nadine said it cannot be used around the eye area. I’ve just had a consultation and paid for 3 treatments around the eye area. The doctor I saw in the clinic said it can be used to help with tightening the area!

@NormaSime-je3rd

Жыл бұрын

I agree with this. They just switch out to a smaller tip and do the lids.

@sadiaakhtar-kq2oj

Жыл бұрын

Can I just amazing results from the eye area- I’ve just had one session so far and it was sooo sore for about a week but now wow just totally rejuvenated- looking forward to finishing the course. It hurt like hell and I cried like a baby through the third pass of the tip on the area but it was totally worth it !!!

@Sambone09

Жыл бұрын

I looked that up before this video and you absolutely can have the eyes done. Some pretty great results. I almost don’t believe the results, though. 🤷‍♀️

You’re a before picture you look gorgeous I don’t even think you need to have the treatment!

So Nadine tell us .. did the results improve 4 months on , did you go onto have 2 more treatments, and would you say its worth the cost? Its great you shared, now we need some closure! hahaha...

A year after your series of treatments, do you feel like your results have maintained or do you feel like the results regressed? Did you have any volume loss/fat loss in the area of treatment?

It does treat eyes

I am only going to add that this treatment is very PAINFUL. My significant other is an anesthesiologist so I received the VIP treatment of being under anesthesia. However, he still complained that I was moving all over the place in my half asleep state because my pain tolerance is so low. So, it's free for me and with anesthesia ( he is a board certified anesthesiologist). I am not sure I can stomach any more additional treatment. That being said, I had it done on my face and belly. This really tighten and melt the fat for those of us who had children. Not sure how others can stand the pain or cost ...

I think you look great 🎉

Do or did you have any other facial treatments (EVER) on a regular basis micro needling, co2 , IPL, fillers ect Your skin looked very good before first treatment, if you get any regular treatments yearly, I think this makes a difference on results

@aeducator1

Жыл бұрын

Great question.

@rosedeleon9390

Жыл бұрын

I definately think she at least has lip filler. obvious

@Virtual-Media

8 ай бұрын

The lady has had considerable work and enhancements. Her bone structure, eyes and skin around chest area indicate she's in her 60's. Her facial skin is amazing for a 20 year old.. I'd like to know her real age however I'm not sure she'd be honest about that either..

I’ve had two treatments, really can’t see any difference, not going to bother with the 3rd, think it’s been a waste of money!

Nadeen what's the difference between the profound RX and the morphious8. Which is better?

My procedure was very painful. I had numbing cream on and the pain was unbearable.

Hi I am 46 years old and we t for the 1st face & neck treatment yesterday. Had read about excruciating pain etc but it wasn't bad. She mostly did one pass all over face and neck and then a second pass in just some areas of neck and one or two places on face. Is that normal process? I had read about 2-3 passes overall.

The feeling of thighting its getting swollen..we get that when using procedures with needles..I also got that and didnt saw no change just the swelling at first..+ they take us pictures their way to trick us like the before they make us get a double chin then the after they make us raise their head to a position where you don't see the double chin..and I told them no put me the same position then the new M.A told me is because they want us to tk pictures like that so we could trick them I told her I know because I used to work on a SPA

You are such a beautiful vibrant woman!

Do you think it is worth doing this treatment? I had a doctor said to me do not waste your money. I know your very honest

Do you have to keep getting it done through life, or is a permanent thing?

I am curious how she might compare the results from Morpheus8 vs FORMA

Hello Nadine et al, does anyone know how Morpheus 8 compares to Endymed intensif?

I’m 33 years old but I’ve had about 5 sessions in the last year. I have to say, that I don’t have wrinkles nor jowl, but that’s why I’m doing it: to prevent. But man, this is the most painful procedure I’ve ever had and I would say that I have a pretty decent tolerance to pain. I always take a sedative plus a pain killer before going to my appointment, and there, they apply 3 layers of numbing cream, and still it hurts, I clasp my theeth and start shaking everytime. I’d say 9/10 pain. But for me is worth it.

@aeducator1

Жыл бұрын

Hi Reina, this is really not going to prevent wrinkles or jowling. Here's the reason why: the skin structure is incredibly complex and integrated. This natural structure can't be reproduced by a wound healing response, which is what you are generating with RF or any thermal device.

@MrsFuckyamama

Жыл бұрын

@@aeducator1 Thank you! I mean, it is a relatively new procedure and many things are said. My husband is a PS and he says it helps because it stimulates collagen and elastin production. I guess I’ll just have to wait a couple more years to see if it worked or not 😜

@aeducator1

Жыл бұрын

@@MrsFuckyamama It does stimulate collagen but it's more like scar tissue and less like the basketweave structure of natural collagen. Thank you for responding.

I think money is better spent on IPL and microlaser peels (especially if texture is what you believe improved).

@aeducator1

Жыл бұрын

Or upgrading the gym membership! LOL. Exercise is going to be far more effective in the long term.

I have olive skin and would like to know if my dark spots will get darker is I use this?

Did you have to prep your skin with products first ? As I had dermastamp without being told to prep my skin and it has marked the area 😡

Can't see any difference. Wouldn't the light face mask do the same to the skin ?

what is the after care products you use?

I would say I can handle tons of pain. This treatment was soooo painful and I have bad scaring. I have two left. After one I don’t notice much of a difference. And it’s super expensive. If you get it definitely have an RN who does nerve blocks. There are 4 levels of depth. She obviously isn’t doing level 4… it is not like what she is showing. She is prob doing depth 1 and 2. I would say so far for as much pain as it was and how expensive don’t waste your time if you are doing it for bad acne scaring