Legally, clinics can't say 'permanent removal' because the FDA defines 'permanent' as eliminating every single hair forever, which is impossible due to hormonal changes or new follicles activating as you age. 'Permanent reduction' means a long-term, stable reduction in the number of hairs. You will likely see 80-90% reduction. The remaining hairs will be fine, light, and velus-like (peach fuzz). You will likely need 1-2 touch-up sessions per year to maintain that 90% level, because dormant follicles can wake up due to hormones. But compared to shaving daily? It's a miracle.