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Dr. Joseph Shvidler: I think there's utility for both, and I've developed an algorithm in determining which areas I use fillers. I break down the volume loss in the mid face in three different stages. minimal loss, medium loss, and large volume loss, and I treat those differently. So with somebody in their 20's and 30's may have minimal loss or early signs of aging in the mid-facial area, I may us hyaluronic acid or hydroxyapatite filler. For somebody in their 40's and 50's I may recommend a filler such as hydroxyapatite or hyaluronic acid. Sometimes I'll use polylactic acid filler in somebody who's very active like a marathon runner, a female who is very active and just has global facial volume loss. Somebody in their 60's who has significant volumetric change due to aging, I think that's where the fillers no longer achieve the desired result and I usually go to fat at that point. And again, I break that down into a smaller volume fat augmentation and a large volume fat augmentation. And you have to be very judicious with fat. In this meeting we hear a lot of lectures about not so nice outcomes in the younger patients with fat so I'm very judicious with fat. So I tend to use it in older patients who have had very stable weight throughout their life and just has significant volumetric loss in their mid-face and I could just inject the nasolabial folds or do a rejuvenation around the eyes.