I hear you about your concerns with artefill. I have had 6 artefill so far. I'm 44 and look good for my age. However I must tell you that it's so important that you go to someone who is an "expert injector" of artefill. My doc is a national trainer on the filler. You really can't get full results with one artefill. It's usually one artefill per side of face and depending on the person to reach full correction you may require several injections. But this is done slowly over time because it's permanent and you can always add more but can't take it away. Riveria laser studios in Dana point ca is where you should go.