The process is not painful, but certainly more comfortable with topical numbing cream.
There is virtually no downtime, and you will see immediate results. You can appreciate more changes the next day. Full results will take about 1 week. Results last about 2 months, but maybe longer or shorter depending on how fast the skin turns-over.
This treatment can be upgraded with the addition of growth factors. Though wonderful on its own, it is a fantastic "finishing touch" in conjunction with subdermal facial fillers as well as intramuscular Botox®.