I am very happy with Dr. Van Dam, I have been seeing him for all my derm needs for many years now. I just recently used him for my botox and filler, and wow! I am so impressed (not easily done since I've been at this cosmetic stuff since 1999). He does a natural look, I had a small very slight bruise which his nurse will treat with a laser to speed recovery (complimentary), he even got rid of the Tyndall Effect I had under my eyes from a procedure done by a less experienced MediSpa. He is a bit pricey but I do believe you get what you pay for, so if a natural look, with zero to minimal bruising is what you're looking for then do yourself a favor and go see Dr. Van Dam.

My doctor used Perlane in my cheeks and on either side of my nose to give my face some lift. I have had Juvederm done in my nasolabial folds in the past, but he really felt I needed to try the Perlane in these areas for the best overall result. I saw almost immediate results and had only minor swelling and no bruising (something I was VERY concerned about).

Very painful treatment + NO results after 2.5 months + $3500 = a huge waste. My neck still hurts. I'll give it a few more month and if still no photographable results I'll be reporting to the Better Business Bureau, AMA, etc. Also worry about the effects of the inflammation on overall health. A clinical trial (by Ultherapy not an unbiased third party) on efficacy was completed a year ago but no results yet published. Updated on 2 Nov 2013: Had my second follow-up post-Ultherapy. My practitioner could not document any positive results from my Ultherapy treatment nearly 4 months ago. I still have burning pain and red marks on either side of my neck, numbness in my jaw area and occasional, sharp "pin-prick" feelings on both sides of my face. I'm in the process of obtaining my before and after photos from my doctor's office. They're mine, right? Just like x-rays?