Dr. Couch was recommended to me by a friend, who was extremely happy with the botox treatments he had done for her. I discussed with him what I wanted, and he took the time to listen to that and give me his expert opinion on what he thought would be best for me. He was very honest about what he thought I needed, rather than letting me spend money on things I didn't need. In doing a little research I found he has an impressive resume, has trained with, and now trains some of the best plastic surgeons there are, and is they type of surgeon who goes the extra mile for his patients. I was extremely happy with the outcome of my botox and would recommend him without hesitation. I will happily drive over two hours to see him for all botox and procedures in the future!