This item is required if used with a NuFace device. Without them, the device cannot conduct a microcurrent and cannot perform its task. So you need it. Considering that you have to use the device 5 times a week initially and apply enough gel to cover the area, that's a lot of it. I would recommend getting a big bottle as you use up a lot of it very quickly. When using, only apply to the area to be treated, as it dries very quickly. They say you can leave the gel afterwards for a nourishing effect. I do this on the days I don't wear makeup because I find it's too thick to go well with makeup.
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