I was interested in lifting and tried titanium for the first time, and I've done it twice so far. I have n't tried Ulthera or Thermage yet, but I got titanium as my first time getting lifting . First of all, there's no downtime or pain, which is good, and the effects are immediate, but the dramatic effects disappear after 3-4 days, and it seems to last a little longer from the second time onward. They say you need to get it done up to 3 times to maintain the effects for a year, but I don't think it'll last a year (of course, it depends on the savasa and management). It's definitely a good treatment to get before an important schedule. It was a little painful for me. It felt like an electric shock, hot and surprising?!