I got it last year and went to a different hospital this year. This year's hospital only had a warm feel and they turned up the output at the end and it didn't seem dramatic (I found out I had to get the output on high). For reference, I also got the in-mode with Shurink Double. I usually get it at a massage shop, I do home care consistently, so I guess Oligio can just be thought of as skin insurance... I'm planning to save up and get Thermage next year.