Answer the questions below to continue
1)
Which signs of aging do you struggle with? (Check all that apply)
Deep wrinkles or creases
Expression lines / frown lines
Fine lines
Crow’s feet
Wrinkles around eyes
Wrinkles around mouth
2)
How difficult has it been to find a solution?
extremely challenging
somewhat challenging
not challenging at all
3)
What cosmetic procedures have you had or are you considering?
Dermal Injections (Restylane, Botox, Juvederm, etc)
Facelift
Chemical Peel
Other Procedure
None
4)
How many skin care products (such as serums, moisturizers, and cleansers) do you use on a typical day?
none at all
1 - 2
3 - 5
6 or more
5)
Where will you use Beverly Hills MD Deep Wrinkle Filler? (Check all that apply)
Around my eyes
Around my mouth
On my forehead
Between my eyebrows
On my cheeks
On my neck or chest
Other
6)
Select Your Age:
75 +
65 - 74
55 - 64
35 - 54
under 35
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