I have been looking for a hand held device to give my tired face a lift, this device delivered. There are three settings for different types of therapy, however, you must use the gel otherwise there will be no conduction of the electrical impulses and you won't feel anything. I have had this device for over 2 months and I use it 2-3 times a week, 20-30 minutes per session, it's soothing and I feel it has improved the appearance of my skin.