If it would let me, I'd rate it a zero, but it won't.
I bought two DermaSuctions, one for my boyfriend who has ance, and one for myself (I have no acne to minimal acne). It came with all for exchangeable suctions heads, a plug-in charger, and a travel case.
We used it for one week, didn't really notice anything, wasn't sucking up anything off our face; none of those suction heads were dirty.
We tried it for another week. I didn't see anything in my section heads, but my boyfriend did, just a little bit of grease from the face, nowhere near what they show on TV.
I gave up on using it, but my boyfriend continued to use it for one more week, then he stopped using it once the suction cup made an imprint on his face. The mark remains there to this day.
What a waste of money! A great way to leave hicky looking circle though!
Bottom Line: No, I would not recommend this to a friend