We have used Accent XL in my practice for the past year without any complications. When performed properly, the Accent XL cellulite treatment is very safe, and patient satisfaction rates have been very high. If too extensive of a treatment is performed at one time, some patients may complain of short lasting nausea due to the break down of too many fat cells. Our nurse who performs the treatment has been treating patients for over two years without any problems. As with all aesthetic treatments, the results and complication rates are dependent on the physician or nurse performing the treatment,as well as the technologythe technology. Therefore choose your practice most carefully, particularly in today's market place where everyone from podiatrists to attorneys are running med-spas with a "supervising physician".