Pain Free Beauty Injections?

Beverly Hills, CA — One of the downsides of dermal filler injections is the pain associated with the injection itself. For some, this discomfort or the fear of this discomfort may be enough to prevent them from receiving any treatment at all. In an effort to improve the patient experience the manufacturers of the most popular dermal fillers, Juvéderm, Radiesse and Restylane, have produced new formulations that include Lidocaine as part of their pre-filled syringe dosage units.

Originally, the only fillers that contained Lidocaine were collagen based. The bovine collagen fillers were sold under the names Zyderm I, Zyderm II, and Zyplast. The human collagen fillers were known as CosmDerm I, CosmoDerm II, and CosmoPlast. Doctors quickly realized that adding Lidocaine to the injections not only helped relieve pain, but also lessened swelling and bruising in their patients.
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The Best Dermal Fillers, an Investigation

Dr. Simon Ourian, a newly minted member of the American Academy of Cosmetic Surgery (AACS), is the Medical Director of Epione Medical Corporation and a substantial part of his daily practice is treating fine lines and wrinkles. Dr. Ourian is a Black Diamond provider of Botox (given only to the top 1% of Allergan, Inc. Botox accounts) and one of the busiest Radiesse and Juvéderm injectors in the country. This experience gives him a unique insight to the pros and cons of the dermal fillers available on the market today.

For the uninitiated, Radiesse, Juvéderm and Restylane, known collectively as dermal fillers, are used to reduce signs of aging on the face. “Another basic explanation is necessary, ” says Dr. Ourian. “There are two types of wrinkles: static wrinkles and dynamic wrinkles. You can see a static wrinkle when your face is at rest. They are often visible in the nasolabial folds. Dermal fillers injections can be used to correct static wrinkles. Dynamic wrinkles occur when you use your facial muscles to smile or frown. Crow’s feet are a good example of dynamic wrinkles. For dynamic wrinkles Botox injections are the treatment of choice.”

As we grow older wrinkles, sags and lines begin to emerge. Many men and women want a more youthful appearance and look for ways to reduce the signs of aging that they see on their faces. Surgery is one way to address these issues. Surgery cost is generally higher than minimally invasive options, may have a long recovery time and includes the risks of general anesthesia. Dermal filler injections offer are a minimally invasive method to reduce the signs of aging.

“What is the best dermal filler?” asks Dr. Ourian. “The one that’s most suitable to meeting your aesthetic goals. Every patient needs to be examined and their needs, goals and budget discussed before I can make a recommendation. What I offer is my ten plus years of experience, it’s really a collaborative process.”

Dr. Ourian offers a variety of dermal fillers for his patients. Some of those include:

  • Restylane: Manufactured by Medicis Pharmaceutical Corporation; Medicis claims that Restylane is the best selling dermal filler in the world. Is made from one of the structural components of skin, hyaluronic acid. It is considered a semi-permanent filler and will last six to twelve months. Typical Restylane side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Restylane before and after photos are available on Restylane cost is a function of the number of areas treated and the extent of treatment required.
  • Radiesse: Formerly known as Radiance and Manufactured by Bioform Medical Inc., Radiesse is composed of calcium based microspheres suspended in a water based gel. Bioform has published clinical data to support their claim that Radiesse may last two years or more. Radiesse is also reported to stimulate the body to produce new collagen, a process called collagenesis. Typical Radiesse side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Radiesse before and after photos are available on Radiesse cost is a function of the number of areas treated and the extent of treatment required.
  • Juvéderm: Manufactured by Allergan, Inc. (the makers of Botox), Juvéderm is an FDA approved hyaluronic acid filler that lasts up to a year. According to Allergan, Juvéderm is the first hyaluronic acid dermal filler that the Food and Drug Administration (FDA) has approved as being effective and safe for persons of color. Typical Juvéderm side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Juvéderm before and after photos are available on Juvéderm cost is a function of the number of areas treated and the extent of treatment required.

In the words of L.B., an Epione patient that received Radiesse injections, “The Radiesse treatment was quick and painless. It appears that the results are immediate.” Adds patient G.G.: “Thank you!!! Great staff—(I) am really happy that Dr. Ourian is so experienced and reasonably conservative that he does not over-do the treatments—i.e. he adds a little Radiesse the next time he sees you to achieve the results he wants-Great work!!”

Alternatives to Breast Implants for Augmentation: Fat Transfer vs. Hyaluronic Acid Gel Injections (Macrolane)

Plastic surgery in Los Angeles is always popular and breast augmentation is one of the most popular physical enhancement surgeries available.

February 22, 2010, Beverly Hills, CA — Plastic surgery in Los Angeles is always popular and breast augmentation is one of the most popular physical enhancement surgeries available. The debate still rages over which is the best breast implant; silicone implants or saline implants? Into the fray steps two new contestants: Macrolane injections and fat transfer. Doctor Simon Ourian, Medical Director of Epione, located in Beverly Hills, the exclusive shopping, restaurant and hotel enclave in Los Angeles, California is currently examining these two new methods of breast augmentation in Beverly Hills.
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Radiesse Injections

Radiesse injections are used to fill in wrinkles and scars that appear on the face. Skin folds can also be treated with this substance. The most common injection sites are around the mouth and nose areas for soft tissue augmentation.
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Los Angeles Skin Injections

Skin injections in the Los Angeles area, and across the United States, are often used to improve the looks of our skin. There are all sorts of things that can cause our skin to look old, tired, and wrinkled over time: age, the effects of gravity, spending too much time in the sun, and even something as simple as smiling. So, skin injections are one way to help reduce the symptoms of this type of aging.
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Los Angeles Radiesse Injections

Los Angeles Radiesse injections are used to fill in skin creases and wrinkles around the face and lips. As injectable filler it can also be used to make acne scars or other scars less noticeable. Radiesse is made of calcium hydroxylapatite which closely resembles human bone tissue.
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Fat Transfer to the Face in Los Angeles

Fat transfer to the face is a popular procedure for people in Los Angeles to rejuvenate the face. Aging is a normal and natural process. As we age, we lose collagen and some of the other facial structures, such as elastin fibers. They become less elastic. This loss of structure allows wrinkles and creases to form in the face. The formation of wrinkles and creases can be hastened by certain activities such as smiling, smoking, and squinting. Any repetitive activity can cause wrinkles to form.
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Fat Transfer to the Face in California

Are you considering a fat transfer to the face in California? Here is a little information about the procedure. First of all, this procedure is not a face lift, although it can be done in conjunction with a full face lift. It is called a facial rejuvenation. A fat transfer to the face is an outpatient procedure that will be done in your physician’s office.
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Non-Surgical Secrets for Nipple Correction

American Society for Aesthetic Plastic Surgery (ASAPS) statistics indicate that breast augmentation was the number one cosmetic surgical procedure performed on women in 2007 and breast reduction was number five on that list. Nearly 400, 000 breast augmentation procedures were performed in 2007 and more than 150, 000 breast reduction procedures. These numbers clearly indicate that many women have issues with the size and shape of their breasts and are willing to go under the knife to address them.

Though not often discussed, it stands to reason that women opting for these surgeries are also concerned with the shape, size and location of the areola. The areola is the pigmented area of skin that surrounds the nipple. There are surgical procedures available to enlarge or reduce the areola and these are often performed in conjunction with the breast augmentation or reduction surgeries.

There are now creative, new non-surgical options available to women that are unhappy with the shape or size of their nipples. It is important to many women that their areolae and nipples appear symmetrical, that they not be disproportionate or unmatched in size.

Radiesse is a wrinkle filler that can be injected to create a larger nipple, enhancing its size and shape. Radiesse (formerly known as Radiance) is a dermal filler FDA-approved for the correction of facial lines and wrinkles such as nasolabial folds. Radiesse is calcium-based microspheres suspended in a water-based gel and is injected into the skin through a simple, minimally invasive procedure offering immediate, visible improvement and providing long-lasting results.

Radiesse can be injected to create a larger nipple and to smooth the texture of the nipple, addressing any asymmetries and improving the overall look of the breast. Radiesse can also be used to reduce the appearance of scars that were the result of previous surgical procedures.

When used to treat facial folds and wrinkles, Radiesse is indicated to last for a year or more. Nipple augmentation or correction is a procedure that can be performed on an outpatient basis that takes only a few moments. And, as it is non-surgical there are none of the risks attendant with all surgical procedures.

Amazing breakthroughs in cosmetic surgery – Waking up the sleeping beauty

Today, cosmetic surgery has advanced to a great level. Cosmetic surgeons have many solutions to offer to their clientele when it comes to the corrective and cosmetic surgery procedures and cosmetic treatments. Cosmetic surgery solutions have a purpose to transform your appearance, maintain your beauty and youth, and give you one more reason to be fully satisfied with yourself. Before making a decision on any permanent change that can be done on your face, skin or body, you should learn more about the procedures offered and consult with experts in this field.
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Successful Method of Developing Full Lips

Los Angeles LipsLips have always been a part of beauty in some form. The women of ancient Mesopotamia were the first to create a form of lipstick, using semiprecious jewels to decorate their mouths and eyes. In the much more recent past, full lips became popular in the 1990s, while thin ones were glamorized in the 1980s. Today, we have a more natural look: not too full, but not too thin. Since fashion changes regularly, a decision about lip enhancement should be made carefully, and it should be temporary in nature. No one wants to be caught wearing last year’s style, whether it be jeans, hair or lip size.

There are usually two types of patients who ask for lip enhancement. The younger patient wants to play up what they already have in the way of a slightly full bottom lip. This can be done by filling out the border of the lip, also know as a vermilion border augmentation. People with attractive lips naturally lack a defined lip border; the treatment is designed to mimic this trait. However, if someone’s lip border is overly defined, it can be a sign of badly done lip augmentation.
Dr Simon Ourian, Medical Director of Epione Beverly Hills, is a leading provider of Radiesse and Botox in the area. “To create a more natural and attractive looking lip augmentation, it is important to inject the filler (Restylane, Radiesse, Juvederm) into the red part of the lip—the part that is naturally larger in people with attractive lips.” he notes. His innovative technique using micro droplet injections ensures natural results. This technique allows Dr. Ourian to control exactly how much filler is injected into the area at all times. Everyone wants sexy, sensual lips, but no one wants them to look “store bought”. With Dr. Ourian’s technique, the patient gets natural looking lips every time.

In the second group of lip augmentation patients, we have older men and women who want their lips looking like they did in their younger days. As people age, the collagen in the lips starts to deteriorate, leading to a thinner mouth. The Cupid’s bow begins to flatten out for the same reason. The corners of the mouth begin to point downward, causing a sad look, and vertical lines start to appear. There can be multiple reasons that the client is suffering from the appearance of aging; the treating doctor must determine exactly what is causing the client to look older and treat each symptom individually. This information should be passed on to the patient during the initial consultation, and all questions should be answered as well. If the doctor is doing neither of these, then more research should be done and another physician should be chosen immediately.

And The Best Dermal Filler Is…

As people age, they develop wrinkles. Fortunately, we now have dermal fillers to help combat the signs of aging. These are popular because they can get rid of wrinkles in various places, such as around the outside of the eyes and between the eyebrows. They can also fill out lips and make the patient look younger without investing a great deal of time or needing extensive healing. There are potential side effects to this treatment, as with all cosmetic treatments. Swelling can take place, as can allergic reactions to the filler itself. The recipient may also need booster treatments over time, as the fillers tend to be absorbed into the skin. The choices include:

Restylane: Restylane is a dermal filler that is made from hyaluronic acid. This acid occurs naturally in the skin. Once scientists were able to synthesize it, it became the first non-animal hyaluronic acid on the market. It can be used for laugh lines (wrinkles around the nose and mouth), shadows under the eyes, and to fill out lips. Before Restylane, dermal fillers were made from collagen obtained from cows or created from silicone or human fat. Since hyaluronic acid occurs naturally in the body, the chances of the patient having an allergic reaction to the substance is very low. Restylane can last for up to 18 months. Currently, it is the most popular dermal filler on the market.

Perlane: Perlane is very similar to Restylane in that it is made from the same ingredient and produced by the same company. The difference is in how long it lasts. Perlane will last for up to 6 months, as opposed to Restylane’s 18. Perlane was approved in 2007, so it is one of the newest products available.

Juvederm: Juvederm is also made of hyaluronic acid. It is brought to you from the people who created Botox. This product is used for filling out lines around the eyes and laugh lines as well.

Radiesse: This product is made up of microspheres which are made up of calcium. The manufacturer states that it promotes collagen growth, which helps fill out wrinkles and other signs of aging. When the body is confronted with a foreign substance, it automatically begins to produce collagen.

Evolence: Evolence was approved in 2008. It is made from collagen obtained from pigs; pig systems are remarkably similar to human systems, which would account for the collagen use here.

How does the patient determine which filler is best? The truth is, there is no one best filler; there is only the best filler for the patient’s needs. By communicating with their doctor and outlining their expectations, it is possible to find the right filler for their situation.

No More Tears: Hydrelle’s Dermal Filling and Painkilling Properties

Anika Therapeutics, well known for its research in hyaluronic acid products, has created a dermal filler, Hydrelle as its latest entry to the market. This filler is a hyaluronic acid; it can be used to fill in facial wrinkles. In particular, Hydrelle works best on nasolabial folds, or laugh lines. According to the company, a Hydrelle injection is roughly half the size of a normal filler injection.

Side effects are still the same—swelling, redness, tenderness and bruising. However, this is the first dermal filler that contains lidocaine, an anesthetic. As a result, a patient who chooses Hydrelle will have fewer injections and less pain during the process. This will allow the process itself to be completed sooner, and the patient’s recovery time will be improved. Physicians will also enjoy the benefit of having a painkiller automatically included in the medication, which saves them the step of having to numb the patient first. Patients interested in this treatment should make an appointment to talk to their doctors as soon as possible.

JUVÉDERM – The Liquid Facelift

My mother is a lucky woman. At the age of seventy two, she has managed to keep her skin looking young and supple. In fact, aside from her salt and pepper hair, she looks almost exactly the same as she does in her junior high school picture. Now, not all of us can be this fortunate. Over time, many of us will suffer the visible effects of aging, including wrinkles, laugh lines, and frown creases. Others of us are simply not satisfied with our overall appearance; we may feel our lips are too thin or our cheeks not full enough. Fortunately, whatever your condition, there’s a way to remedy the situation. Juvéderm can help get rid of the appearance of these age related issues and keep us looking wonderful.

Juvéderm is made up of hyaluronic acid, which is naturally found in the skin and absorbs water. This is what gives collagen its fullness and elasticity, and is present in healthy, plump skin. However, over time, there is less hyaluronic acid found in the skin, and the collagen starts to lose its features. In turn, our skin becomes thinner and saggier—not a desirable development.

Doctor Simon Ourian, Medical Director of Epione Beverly Hills explains further, “Hyaluronic acid plays an important role in the way your facial skin looks, feels, and functions. It’s a major component of the connective tissue matrix in the dermis—the dense, inner layer of skin beneath the epidermis. This matrix is made up of hyaluronic acid as well as two connective fibers—collagen and elastin. As we age and our skin is exposed to the sun’s ultraviolet rays environmental pollutants and, our cells gradually lose the ability to produce hyaluronic acid. Our skin tissue becomes dehydrated and the collagen and elastin fibers lose their structure, resulting in a loss of skin volume and the formation of the facial wrinkles and folds.”

“However, ” concludes Doctor Ourian, “injections of Juvéderm help restore the skin to its fullness and hydrate it back to health. In fact, you don’t have to wait for the effects; they’re visible right away.”

The week before your appointment, you should avoid taking Aspirin, NSAIDs (non-steroidal and inflammatory drugs), St John’s Wort, or high doses of Vitamin E. Also, avoid any alcohol. All of these can increase bruising and bleeding on the skin. If your treatment is around your mouth, be sure to eat before your treatment, since you will be asked to avoid moving your mouth for up to four hours afterward.

First, you and your doctor will discuss your treatment. For example, what areas do you want improved and why? The doctor will evaluate you and your suitability for the treatment at this time. After that, you can schedule your treatment with Juvéderm. On your appointment day, after following the preparation instructions you were given, you arrive and the doctor begins. At your request, the doctor can numb your skin. The injections are done at specific points throughout the area, and only a tiny amount is injected at a time. The entire procedure will take 15 minutes per session. After the treatment is complete, you’ll be on your way!

After your treatment, you may experience some swelling. This will disappear in approximately twenty four hours. Tenderness and some redness are common. Also, discuss with your doctor the best time to start wearing makeup or other face products. Juvéderm is the only hyaluronic acid filler with FDA approval to last up to one year.

Youthful Hands with Coolaser and Radiesse

You can tell a person’s age by looking at their hands. Radiesse and Coolaser can reduce wrinkles, age spots and more for smoother and younger looking hands.

Beverly Hills, California, July 2, 2009 — Crinkly and discolored hands can look young again with Radiesse and Coolaser treatments.

One area of the body that gives away a person’s age more than any other area is the hands. A young person has youthful, young looking hands. The skin is smooth and full and there are few if any wrinkles or prominent veins and certainly no age spots. As we grow older, however, so do our hands. Evidence of the veins becomes pronounced, wrinkles and discoloration appear.

Fortunately, Doctor Simon Ourian, Medical Director of Epione Beverly Hills, offers Coolaser and Radiesse treatments that can make older looking hands look young again.
“Maybe the eyes are the windows to the soul but your hands are like the rings of a tree, they give away your age every time, ” says Doctor Ourian. “However, with some relatively simple procedures I can make your hands appear more youthful. I use the Coolaser to treat any age spots and discoloration. Then I inject dermal fillers to reduce the appearance of veins on the hands and plump up the skin.

Radiesse is a dermal filler that incorporates calcium hydroxylapatite suspended in a gel. Sometimes after a treatment there is slight redness, tenderness, swelling or an itching sensation. However, these mild side effects typically disappear after one or two days.

Then there is Coolaser which is an advanced laser treatment that is effective for all skin tones. Treatments usually take only 10 to 15 minutes. How does it work? The areas of the hand that need to be treated are cooled with a numbing cream and cool air. Then a rapid pulse laser is flashed over the areas. After the laser, the areas get a moisturizing cream that is applied for healing.

As noted Doctor Ourian highly recommends both procedures for younger looking hands. “I like to think my work speaks for itself, ” concludes Doctor Ourian.

Look at what just some of his clients have said about their Coolaser and Radiesse treatments:

“The Coolaser was more effective than any other laser.”
— FK

“Epione is the best; the Coolaser has improved my skin tremendously. Thank you Epione! You’re the best!”
— TG

“Doctor Ourian was very attentive with me. My skin had aged dramatically as I hit my forties and he knew the right treatment to prevent the aging and turn the clock back on my skin. The staff at Epione was brilliant!”
— R.V.

Coolaser + Dermal Fillers Replace the Traditional Facelift?

For individuals who do not wish to endure invasive surgery in the form of a facelift, dermal fillers and Coolaser can take years off your face.

Medical help to look better physically can be either invasive or non-invasive. Invasive surgery involves incisions into a patient’s body and therefore, carries more risk than non-invasive methods. Continue reading

Youthful Skin Returns with Dermal Fillers

Wrinkles and other signs of aging are greatly reduced with dermal fillers recommended by Doctor Simon Ourian of Epione Beverly Hills.

Minimally invasive procedures with Radiesse, Juvéderm, and Restylane, known collectively as dermal fillers, recommended to reduce signs of aging on the face, are available at Epione Beverly Hills.

As the human body gets older, it begins to show signs of aging. One place where aging is apparent is on the face. Wrinkles, sags and lines begin to emerge. Many women and men would prefer a more youthful appearance and look for ways to reduce the signs of aging that have developed on their faces.

There are various ways to accomplish this task. Surgery is one of them. However, surgery is expensive and with any invasive procedure, includes risks to the patient. One method to reduce the signs of aging that is minimally invasive and that offers minimal risks is dermal fillers.

There are various types of dermal fillers. Says Dr. Simon Ourian, Medical Director of Epione Beverly Hills, “What is the best dermal filler? The one that, in my medical opinion, is most suitable to meeting my patient’s aesthetic goals. I don’t use a cookie cutter approach; I examine each patient, discuss their needs and goals and make a recommendation based on my ten plus years of experience, it’s a collaborative process.” Dr. Simon Ourian is one of the leading injectors of dermal fillers in the United States.

Dr. Simon Ourian provides a variety of dermal fillers for his patients. Some of those include:

  • Restylane: a semi-permanent dermal filler that will last six to twelve months.
  • Juvéderm: an FDA approved hyaluronic acid filler that lasts up to a year and that is safe and effective for people of color.
  • Radiesse: what used to be known as Radiance utilizes a process called collagensis, and may last for more than two years.

Dr. Ourian also offers Botox. Explains Dr. Ourian, “There are two types of wrinkles, dynamic wrinkles and static wrinkles. Dynamic wrinkles happen when we use our facial muscles to frown or to smile. Crow’s feet are an excellent example of dynamic wrinkles. Botox is the treatment of choice for dynamic wrinkles.” Dr. Ourian often combines Botox injections with dermal fillers to achieve the best and the most youthful look.

In the words of Y.B. an Epione patient that received Botox, Radiesse and Juvéderm injections, “I would suggest to everyone that you not waste your money elsewhere. Go to Epione and get the topnotch professional results you’re looking for. This is your body and your face and you are investing in it for the future. At Epione you can relax and know that you will be getting the highest quality of service and aesthetics available — anywhere in the world today.”

Best Non-Surgical Nose Job

Beverly Hills cosmetic Dermatologist, Doctor Simon Ourian M.D. discusses non-surgical alternatives to the traditional rhinoplasty or nose job.

April 6, 2009 — The number one cosmetic surgery for years now has been breast augmentation followed at number two by liposuction. But if you are old enough you might remember a time when a nose job was almost a rite of passage for some teens. For some it was a sweet sixteen present or a gift upon turning eighteen. Perhaps the number of surgical nose jobs is declining because previously unavailable non-surgical options have appeared on the scene.

Doctor Simon Ourian, Medical Director of Epione Beverly Hills, located in the exclusive shopping, restaurant and hotel enclave in Los Angeles, California. “I would never knock surgical nose jobs, ” says Doctor Ourian, “in fact, I credit the surgical nose job I had when I was eighteen with igniting my interest in medicine and my decision to eventually devote my practice to aesthetics.”

“I was always very self-conscious of my nose and, believe it or not, this caused me to shy away from people. But I was determined to change that so I saved all the money from my after school job and as soon as I turned eighteen I had the procedure done. I have no doubt it changed my life for the better.”

“That was more than twenty years ago, ” continues Doctor Ourian, “and I’ve been able to pass on the gift that was given to me. I’m not a plastic surgeon, I’m a cosmetic Dermatologist and in just the past few years we’ve developed non-surgical options to the traditional rhinoplasty using dermal fillers such as Radiesse. Using Radiesse injections I can hide a bump on the bridge of the nose or balance a nose that appears thicker on one side than the other and overall create the appearance of a straighter more aesthetically plaeasing nose.”

Radiesse is typically the filler of choice for non-surgical nose jobs because of its relative longevity. Radiesse is a composed of tiny, smooth calcium hydroxylapatite (CaHA) microspheres suspended in a water-based gel carrier. The consistency of Radiesse makes it an ideal dermal filler for the spongy areas that make up the nose.

“The two main advantages of a non-surgical none job”, explains Doctor Ourian, “are safety and recovery time. There is a risk any time you go under general anesthesia. The non-surgical nose job I perform is done with a local anesthesia. Patients walk in and out under their own power; typically in fifteen minutes or less. And anyone who has had a rhinoplasty knows that the swelling doesn’t completely go down for a year or more. With the non-surgical option you can be back to work the next day and the swelling is gone in a matter of days or week.”

“What is the best non-surgical nose job and where can you get it done?” asks Dr. Ourian. “In my opinion the Radiesse is your best option for a non-surgical nose job. It isn’t for me to say who can best perform this procedure. I suggest that any prospective patient do the research, speak with the doctor and work with someone with whom they believe can best achieve their aesthetic goals. My medical practice has been devoted exclusively to aesthetics for more than ten years. I will let my record speak for itself.”