Sofwave procedure is rated as mild to moderate discomfort and topical numbing is offered to help make this more comfortable. There are no needles involved and the skin remains intact. Compared to other devices, such as Ultherapy- Ultherapy is rated as typically more painful than Sofwave. Sofwave uses proprietary parallel beams to the skin which, the procedure does not result in the same kind of swelling or pain as other skin tightening devices.