Dr. Spikes, always listens to my desired result. He never just tells me what I need in order to make more money. I have been to many plastic surgeons that tell you that you really need to get something else done other than what you went to them for. This approach can have you feeling worse when you leave than when you got there. I also nominate Dr. Spikes because he never bruises and always does what it best for the patient.This review was created as part of a nomination to the RealSelf I Love My Injector Campaign.