It was done by a factory-type hospital chain. I was originally going to use in-mode, but the coordinator said that the tuneliner doesn't cause any bruising, is less painful, and doesn't cost much, so I got the tuneliner. I did it on the deep cheeks, and right away my deep cheeks got smaller, my face didn't get as red, and there was almost no pain. Even though I only used it once, I saw great results so I don't think I need to go any further.