Well let me start by saying that I have seen Dr. Denese on tv I was a little curious as to her products so I thought I would give this microdermabrassion a try. I ordered two one for me and one for my mom. She lives in Las Vegas and the heat seems to dry out the face. We both received the item almost same day. She loves hers as do I my skin feels so very soft and supple kind of like the skin of a baby. The other products the syrum and sunscreen that come with it are soothing to the skin. It feels like your putting on silk. I am 39 years old and I feel that its never too late. Using the product did not hurt at all which I love so I would recomend this product to friends and family .