I can definitely see a change. I was really afraid , I have never touched my face with any fillers or anything else. I went for one syrange first after two weeks for a second to perfect my nasal folds. I am glad I did it. I was not swollen or bruised. By the next day I looked great. I am 44 but lately when I first meet anyone they think I am around 36 yrs. The other day my son (19 going on 20) ran into a coworker, she asked him if I was his sister. I guess my face looks more youthful. My only regret is not doing sooner l.o.l I could have looked 26 . Updated on 2 Mar 2016: Two week process to make sure I needed second syrange. Dr. Ali is very conservative. I am glad because I really dislike looking fake. He is also very honest every time I asked him if I needed anywhere else touch ups . He would say No ,that I did not need it. Dr. Ali gave me honest advice and was not out to make money, like adding treatments or fillers I did not need. He even gave me a discount both times I went. It doesn't get better than that. Awsome dermatologist.