A permanent tissue filler may have an excellent place in an individual patient's facial rejuvenation strategy but only after non-permanent fillers have been tried and the patient is satisfied with the outcome. There are some very important issues to consider when injecting fillers. By far the most important is to respect the facial anatomy, injecting to restore the patient's own natural youthful contours. Frequently we see cosmetic treatment outcomes in celebrities that demonstrate distortion of their their features. http://freshpics.blogspot.com/2010/09/16-worst-celebrity-plastic-surgery.html
Such outcomes cannot be viewed as "beauty enhancement".
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