Not only is this product effective, but it is so easy to use. I also use her firming neck cream. I've seen considerable firming of my neck, especially in the front where my skin was stretched during a cervical fusion surgery and the skin retained a slack, stretched look. I wish Dr. Denese would bring back the combo of the neck serum and neck cream for some savings. Additionally, I would like to see these pads (or even better, the combo I suggested) on autodelivery. (Please, please - I'm not the first to request this.) One time I was on the waitlist for many months to get the pads, and that was something I don't want to have go through again. To summarize, I highly recommend these neck pads.