Can you educate us a little bit of how this works and what we’re looking at sure so the difference between a something like Botox and dermal fillers is Botox is considered a neuromodulator which works on the muscle activity alone so when we inject that type of product it’s only going to control your muscle action when we talk about dermal fillers as you can see here the image on the Left we have a prefilled syringe and we inject that into the skin and it’s going to fill up a space within the tissue that we’re trying to treat so that dermal filler is used to actually increase volume so they work a little bit differently but they work very well together so you can come in and have your Botox and your dermal filler in the same treatments now back to aging 101 Tania we can discuss this because we’re losing elasticity and though we’re losing that density and that that dermal fillers sort of replenishing that is that correct yes yeah so with dermal fillers you’re trying to replace lost volume that can be from fat or sagging tissue and its really interesting to understand how these dermal fillers have evolved so we have many options that are available now whereas before we just maybe had two or three so they there’s different thicknesses there’s different amounts different sizes so we can kind of customize for each patient the amount of filler that they’re gonna need to give them the best outcome let’s talk a little bit about that because I think sometimes a patient comes in like you said there’s so many products on the market how do you know what switch works best for you might be a little overwhelmed I don’t know what to use your Juvederm you hear Kylie Bella what what how do you how many are there and how do they work there’s very many I think we have a total of 14 or 15 on the market now with new ones coming out this year actually I was just at a meeting and we were discussing those new fillers that are about to come onto the market now Europe is way ahead of us in that so we kind of follow in line with whatever works over there but when I’m discussing things with patients I try not to overwhelm them with which product to choose it’s more about what are we looking to correct what issue are you trying to address and then based on that I’ll make my recommendations as to which fillers would be the best ones to give them that result you