Non-surgical treatments work differently than surgery in that they rely on stimulating your body's natural collagen production which is an ongoing process. The results do last but they require maintenance treatments to preserve the effects long-term. Most people find that their results peak around three to four months after their initial treatment series and then gradually begin to fade over the following year. That's why maintenance treatments every six to twelve months are recommended to keep the improvement. Some people do maintenance more frequently and some less depending on how happy they are with their results and how quickly their skin responds. The good news is that maintenance sessions are fewer and further apart than the initial series so it's not a huge ongoing time commitment. I've been maintaining my results for two years now with periodic touch-up treatments and I'm extremely happy with the decision to go the non-surgical route. My skin continues to look tighter and more youthful than it did before I started treatment. The maintenance sessions are easy to schedule and the results fade gradually so you never look worse than you did before treatment started. I think of it like skincare maintenance except more advanced and effective. The collagen that gets stimulated during treatments does stick around and build up over time with regular maintenance so you're investing in your skin's health not just temporary improvement.