You don't want to wear makeup or use any moisturizers on your day of treatment. Just come in with clean skin. We suggest taking an antihistamine one hour before your appointment and continue to take antihistamines for two to three days after your appointment. This will reduce swelling in the treatment area.
A numbing agent is place on the treatment area and left to take effect for 30 to 45 minutes. When the area is sufficiently numb the treatment will begin. During the treatment you will feel some heat and minor irritation. Treatment time will last from 45 minutes and up to several hours depending on the size of the treatment area.
During your first appointment you will be given aftercare instructions. Following these instructions is critical for best results. No exfoliators or harsh cleansers can be used in the week following treatment. Recommendations would be Cetaphil, Dove, Unscented Glycerin, Zinc Oxide for SPF, Vitamin E capsule, Aloe Vera Gel, Colloidal Silver Spray. You should also avoid rubbing or scratching the treated area.
Around the 8th Week you can begin to reintroduce skin cleansers containing AHA.
What you think "looks bad" and/or is "uncomfortable" can be very different from someone else's perception. If you are comparing it to cosmetic surgery, then no, the downtime is minimal. If you are comparing it to a light chemical peel where no one can tell you did anything and you are just a bit flaky everywhere, then no.