This is my first micro-needling device and I would prefer it over the suction devices (said to provide similar results for fine lines) and manual tools. Yes, these are literally fine needles like pins but it's not as horrible as you'd expect. You have CONTROL over the density (IE: how deep this is inserted into your skin) and you can adjust the needle length with a simple turn of the knob. The needle heights range from 0.00 - 2.5+.

You can also adjust the speed which will help you get used to the device's intensity. It goes from level 1 up to level 6. However, my LED screen had some of the numbers upside down although the device works just fine. For example, the level 3 = E, 4 = h, 6 = 9, but 1/2/5 are reading correctly. The screen lights up, so it's easy to read and the options are simple to adjust (turn the knob or push button).

The other manual micro-needling pens don't offer as many customizations as this device which is a must for beginners. For more experienced users, you can switch out the needles for advanced ones (up to 50 Nano) since Dr. Pen offers other options (this device doesn't come with it). The power button is NOT marked so you need to reference the instruction manual to locate that. This device also comes with a 6-month product warranty, AC/DC adapter with the removable USB cord, and the carrying bag. This device is easy and thrilling to use as you become more familiar with it.