This is a new in box HIFU (at home Ultherapy) device for skin tightening. This is a revolutionary skincare DIY device from Japan (well made)! I also bought a mini HIFU device and already have a plasma pen and LED wands so I simply do not need this. It is a rad technology so I got excited and bought one- can’t return cause I’d have to ship back overseas and it isn’t worth it. My loss= your gain.