Botox Injections

What Age Should I Start Botox?

You can start treating your skin with Botox injectables at almost any age—from your 20s onward. For example, if you’re treating wrinkles, you’ll likely want to start on Botox in your 40s or 50s. However, you could begin as early as your 20s. At this age, it can be used as a preventive strategy or for medical purposes. Our goal at Dallas Dermatology Partners is to provide exceptional care to all our patients. We’re happy to consult with you on Botox injectables—regardless of your age.

Using Botox in your 20s and 30s as a preventive modality

If you’re in your 20s, you might not have spotted your first wrinkle. And if you’re in your 30s, you might only have started to develop a few minor, barely noticeable lines. Yet, it can still be an excellent time to get started with Botox treatments. When done in your 20s and 30s, receiving Botox in Dallas is a preventive strategy.

Wrinkles form due to repeated muscle contractions in the same spot over a long period. The purpose of early Botox treatments is to prevent specific muscles from contracting in a way that leads to wrinkle formation. In other words, you can delay the point at which you’ll start to see those moderate to severe lines on your face. Preventive Botox is often used on the forehead and glabellar area–between the eyebrows.

Using Botox in your 40s and onward to treat existing wrinkles

After you celebrate your 40th birthday, your goals for Botox treatment will likely be primarily therapeutic or aesthetic–rather than preventive. You’ll already have visible lines and wrinkles. And if you’re in your 50s or older, those lines and wrinkles will likely be moderate to severe. Botox injectables are an effective way to correct these signs of aging temporarily.

Using Botox as an adult of any age for a lip flip

Botox has many more uses than treating or preventing wrinkles–another reason it can be an ideal option for adults of any age. You’ve likely heard of lip injectables and surgical lip implants used to create a full, sensuous, pouty mouth. Yet, there is another way to accomplish this desirable look.

A nonsurgical lip flip involves the strategic use of Botox, which makes the lips look much fuller without increasing their volume. Your dermatologist will inject precise amounts of Botox into the corners of the mouth and along the vermilion border. It causes the upper mouth muscles to relax, resulting in a slight “flip up” of the upper lip, making it appear fuller.

Using Botox for medical purposes

A doctor may sometimes recommend Botox for treating children and adults with specific medical conditions. For example, adolescents with debilitating, chronic migraines may benefit from Botox injections.

In addition to headaches, here are some other medical uses of Botox:

  • Temporomandibular joint (TMJ) disorder
  • Narrowed/closing eyelids
  • Muscle spasms
  • Crossed eyes
  • Foot pain caused by tight muscles
  • Overactive sweating
  • Overactive bladder

Innovative skincare services in Dallas

With more than 65 years of combined experience, our talented and dedicated dermatologists can help you find the treatment that works best for your concerns. Contact us today to schedule your Dallas dermatology appointment and find out if Botox is right for you.

Botox vs. Dermal Fillers: What’s the Difference?

Whether you’re interested in fuller lips or youthful skin, cosmetic treatments can help you turn your goals into a reality. Some of the most popular injectables, Botox and dermal fillers, are usually given in a doctor’s office. These procedures are minimally invasive so you can return to your daily routine with minimal downtime.

That said, Botox and dermal or facial fillers are far from the same—each injectable works differently. At Dallas Dermatology Partners, we’re here to help you navigate the differences between each option so you can make the best choice.

What is Botox?

Botox Cosmetic, also called onabotulinumtoxinA, is an injectable medication used safely to achieve a youthful, natural appearance since 1989. Botox works by blocking nerve signals and temporarily stopping or reducing muscle activity in injected areas while preserving your normal facial expressions–for a subtle result. This process helps to improve the appearance of fine lines and wrinkles for up to six months with minimal discomfort and downtime.

Before you schedule an appointment to get Botox in Dallas, it’s important to search for the right dermatologist, credentials, and experience. Our expert dermatologists take a conservative approach to Botox to provide natural results that align with your unique aesthetic goals.

What are dermal fillers?

Dermal fillers are injections given under the skin. Like Botox, they can help smooth fine lines, reduce wrinkles, and add fullness. The most notable difference between dermal fillers and Botox is the length of the results.

Some fillers are temporary, meaning the injected substances are gradually broken down and absorbed by your body and can last anywhere from 6 to 12 months. Other synthetic dermal fillers can last as long as 2 to 5 years. FDA-approved fillers are typically made of hyaluronic acid, calcium hydroxylapatite, or poly-L-lactic acid (PLLA).

What’s the difference between Botox and filler?

Now that you know what Botox and dermal filler are, what are their main differences? And which is the best choice for you? While dermal fillers and Botox injections can help treat fine lines and wrinkles, they work differently to achieve the desired result.

Here are some of the main differences between Botox and dermal fillers:

  • Uses: Dermal fillers are implants injected under the skin, while Botox is injected into the muscle. Dermal fillers are primarily used for cosmetic purposes, while some versions of Botox can be injected to treat medical conditions, such as muscle stiffness or migraines.
  • Results: Unlike Botox, dermal fillers provide more immediate, long-lasting results. Most people see results from Botox within three to four months after treatment, and patients often get repeated injections to maintain their results.
  • Side effects: The side effects of dermal fillers can arise a few days after injections, with most disappearing within one to two weeks. Dermal fillers can cause bruising and swelling around the injection site, and Botox may cause swelling and redness.

To find out which treatment is right for you, schedule a Dallas dermatology appointment with one of our compassionate doctors. We’ll help you explore your options and deliver personalized care so you can enjoy beautiful, natural-looking results.

Innovative cosmetic treatment in Dallas

At Dallas Dermatology Partners, we’re committed to providing personalized dermatology care to our patients in a thoughtful, warm, and comfortable atmosphere. Contact us today to schedule an appointment and discover the best option for your aesthetic goals.

Can You Get Rid of Frown Lines with Botox?

Yes, Botox can get rid of frown lines. Permanent frown lines can make you look tired, angry, or stressed out, even when feeling your best. And no matter how awesome your skincare routine, it will take more to eliminate those pesky 11’s than a topical serum. Cosmetic injectables like Botox are a great solution for this common skin concern. We are proud to offer Dallas Botox treatments to combat frown lines for a more youthful and rested appearance.

Repeated facial expressions such as squinting, smiling, scowling, or raising an eyebrow can etch deep lines in your skin. The skin loses elasticity with each passing year, making these wrinkles visible even when your face is at rest. Frown lines–those two vertical wrinkles between your brows–can show up in your 20’s. Other factors like UV exposure or tobacco use can also contribute to these bothersome lines, known as the “11’s.”

fillers for glabellar lines or frown lines
Glabellar Lines by Dr. Dickson

How does Botox for frown lines work?

You can get rid of frown lines for up to three to six months with Botox injections. This FDA-approved neuromodulator has a 30-year track record and can be safely used to smooth out deep 11’s. Botox on frown lines works by temporarily blocking the nerve signals that cause muscle contractions. This relaxing effect on the injected muscles means you can no longer furrow your brow when squinting or frowning. As the muscles relax, the frown lines diminish, taking years off your face without surgery or downtime.

How long does it take?

In general, a Botox treatment for frown lines lasts around ten minutes. Our dermatologists will clean the skin, apply a topical numbing cream, and administer several injections with a tiny needle into targeted muscles.

Will Botox 11 lines hurt?

Botox injections are relatively painless. Most patients experience a slight pricking sensation that lasts just a few seconds.

What side effects can I expect?

The skill and experience of your Botox injector will play a large part in any Botox side effects. Our board-certified dermatologists are highly trained in all facets of cosmetic injectables, meaning less chance of adverse outcomes. The most common side effects are pin-point bleeding at injection sites and mild bruising. Our patients can resume their normal activities immediately.

When can I expect to see results?

After getting Botox on 11 lines, you will see mild improvements in frown lines in 3-4 days, with maximum results after a full week. Our dermatologists take a conservative approach to Botox for frown lines, ensuring a natural-looking result that preserves some muscle movement.

How long will Botox last on my frown lines?

The proteins in Botox will naturally wear off in 3-6 months. The beauty of this injectable is that with routine treatments, you can slow the development of wrinkles and frown lines that form with age.

Botox for 11’s in Dallas

Botox is the number one non-invasive treatment for frown lines for good reason. In qualified hands, this wrinkle-smoothing injectable promises beautiful, natural results. For more information, book your Dallas Dermatology appointment today.

What Are the Long-Term Effects of Botox?

Botox has been the anti-aging treatment of choice for over 20 years. Targeted injections of the neuromodulator treat both static and dynamic wrinkles for a fresher, more youthful appearance. Its safety profile and impressive wrinkle-smoothing results have made Botox a legitimate mainstay in many skincare routines.

Because the injectable has only been used for cosmetic purposes since 2002, we are just learning about the long-term side effects of Botox. And while many of the reports are positive, one fact remains constant. It’s imperative to have the treatment done by an experienced injector and board-certified dermatologist who will monitor your results well into the future. A highly trained doctor has a solid knowledge of facial anatomy and injection techniques and will not recommend Botox treatment if there are any contraindications.

Botox long term side effects

Weakened muscles – Botox injections usually last around 4 months, so repeat injections over many years will cause the injected muscles to atrophy and get weaker. As these muscles weaken, you may start recruiting adjacent muscles to make certain facial expressions. The key to avoiding excessive muscle atrophy is by choosing a conservative Botox injector who tailors the dosage according to individual needs.

Prevents the development of new wrinkles – the flip side of weakened muscles is that you have essentially trained them to relax, even when you are stressed out, worried, or angry. Studies have shown that long-term Botox use prevents the development of static wrinkles, which are imprinted on the face at rest.

Skin may appear wavy – Some long-haul Botox users report that their skin has taken on a wavy appearance with dents and valleys over the treated muscles. If the dermatologist isn’t credentialed or trained properly, it’s easy for them to over-inject muscles, leaving contour irregularities. Wavy skin and irregular texture can be avoided by administering smaller amounts of the neuromodulator and changing the areas of injection from time to time.

Wrinkles don’t immediately return if you stop Botox – The long-term effects of Botox injections are still being evaluated, but one benefit is well documented. The rejuvenating effects will last long after you stop getting treatments. Why? Because the muscles being injected are relaxed and out of use. That helps slow the formation of dynamic and static wrinkles that naturally occur over time. As a result, Botox users will appear many years younger than their relative age, even if they take a break.

Experience, Education and Training Matter

Long-term Botox use– when properly administered– can prevent the development of deep facial lines. We can address any concerns you may have about the long-term side effects of Botox during your Dallas Botox appointment. We can also recommend a personalized treatment plan according to your skin type and goals.

Is Botox Good for Lip Lines?

Botox is an effective solution for relaxing wrinkles and fine lines, including those that develop on the upper and lower lips. These tiny vertical lines can be difficult to conceal and become more prominent with age.

If you want to soften those vertical wrinkles, consider the benefits of Botox for lip lines offered at Dallas Dermatology Partners. It is a powerful neuromodulator that reduces the movement of the muscle around the mouth, known as the orbicularis oris.

Injecting Botox around lips

Repetitive facial expressions, UV exposure, consistently drinking out of a straw, long-term smoking, and age-related collagen loss are the primary causes of lip lines. It is a well-known fact that smoking constricts blood vessels in the skin and accelerates free radical damage that leads to wrinkles. Fortunately, Botox for upper lip lines is a safe and trusted option for people of all ages.

Precise amounts of Botox are injected close to the orbicularis oris muscle, which blocks the nerve stimuli. The entire treatment takes around 10 minutes and entails minimal pain and zero downtime. When the neuromodulator first kicks in, the lips may feel strange or heavy for a couple of days, but this is a temporary side effect.

Botox for lip wrinkles – when will you see results?

Most people will notice their lip wrinkles softening within a week after Botox injections, though it may take up to 14 days to see full results. Our dermatologists will schedule a follow-up appointment two to three weeks later to make any additional adjustments if needed.

Since the mouth is an active muscle, Botox generally wears off faster than other areas of the face. Expect results to last anywhere from 2 to 4 months. The more often you have the injections, the longer the results last, as the muscles learn to relax.

Combining Lip Botox with other treatments

While Botox for upper lip wrinkles is great for shallow lines, dermal filler may work best for deeper wrinkles. Filler for lip lines will plump up the area, restoring volume in a natural and subtle way.

Your dermatologist will carefully inject a pliable hyaluronic acid filler superficially into the dermis so that lines are instantly smoothed without surface bumps or irregularities. We often use products from the Juvederm or Restylane family of dermal fillers.

Lasers can also treat fine lines and wrinkles around the upper and lower lips. They use light beams or pulsed energy to reveal softer, smoother skin underneath. Laser resurfacing for lip lines is slightly more invasive than Botox and will require a few days of downtime depending on the type of treatment used.

Achieve your desired results

Whether you’re seeking injectables like Botox or a laser skin procedure to minimize lip lines, it’s important to get treatment with a board-certified dermatologist who has the training and knowledge to prevent injury and undesirable outcomes. Give your skin the very best care and book your Dallas Botox appointment today.

 

Botox for Teeth Grinding

Teeth grinding is common among all ages and typically occurs at night during sleep. Known as bruxism, it is often related to stress, but most people are unaware they are doing it. Over time, it can cause headaches, jaw tenderness, and thickening of the masseters, or chewing muscles. Enlarged masseter muscles can lend a masculine or square appearance to the face.

Treatments for bruxism were traditionally limited to mouth guards or cognitive behavioral therapy to reduce stress. However, Botox injections have been a game-changer in recent years, offering patients a quick and effective way to stop teeth grinding. Dallas Dermatology Partners is proud to offer TMJ Botox treatment, which relaxes muscles and alleviates pain, jaw tenderness, and headaches.

botox dysport for tmj masseter muscle

How Botox stops teeth grinding

Botox for teeth grinding has two essential functions. First, it stops the muscles from involuntarily contracting. This relieves the pain from tooth grinding and temporomandibular joint disorder. The second function is aesthetic. Botox injections relax the masseter muscle, helping to soften and improve the contours of the lower face. The dosage is precisely calibrated to weaken the chewing muscles so that it does not impair speaking, chewing, facial expressions, or other vital functions.

What is the procedure like?

Botox for grinding teeth is a simple 15-minute procedure. The treatment is minimally invasive and well-tolerated without the need for numbing cream. Injections are placed on both sides of the face, directly into the masseter muscle. Some patients may also benefit from Botox injections in the temporalis muscle near the temple. This approach should expect pain relief from teeth grinding within 7 to 10 days.

The cosmetic effect takes a bit longer to appear, but most people notice a softer jawline within 6 weeks of their Botox treatment in Dallas.

How long do results last?

While Botox is very effective, the results are not permanent. Our dermatologists recommend that patients return every 4 to 6 months for repeat injections. The frequency of Botox injections for bruxism is determined on an individual basis. Some patients metabolize the neuromodulator faster than others. In some cases, patients can wait 9 months before needing a touch-up.

Are you a good candidate?

Our board-certified dermatologists carefully evaluate your symptoms to determine if Botox for teeth grinding is appropriate for you. We examine common signs of bruxism and TMJ dysfunction such as jaw pain, chronic tension headaches, ear pain, unusual tooth wear, and hypertrophy of the masseter muscle. Our goal is to provide compassionate, personalized care and help our patients find relief from painful conditions.

Botox for jaw clenching in Dallas

Botox is a safe and clinically proven treatment for those who suffer from teeth grinding and TMJ disorder. To find out if Botox can help stop your teeth grinding and jaw clenching, schedule a Dallas dermatology appointment.

Is Microneedling Better than Botox?

When it comes to anti-aging treatments that are minimally invasive yet effective, you may be wondering which is better: microneedling or Botox? Because both treatments work differently and address separate concerns that occasionally overlap, the answer is wholly dependent on the health of your skin and aesthetic goals. We typically recommend combination treatments with both neuromodulator, such as Botox or Dysport, and microneedling to achieve the best results.

Whether you want to banish wrinkles, tighten skin, or correct years of cumulative sun damage, you’ll find personalized treatment plans at Dallas Dermatology Partners. In the meantime, let’s explore how microneedling and Botox treatments work– —with their advantages and drawbacks.

Microneedling vs. Botox

To appreciate the benefits of Botox vs. microneedling, it’s important to understand the basics of each treatment.

Microneedling rejuvenates by creating tiny punctures in the superficial layers of the skin that activate the body to produce collagen and elastin. Blood flow is enhanced as the skin renews itself, producing a smoother, tighter, and more radiant complexion. On the other hand, Botox relaxes the muscles that cause the undesired lines and thus provides a more youthful appearance and prevents the lines from worsening over time.

Our experienced, board-certified dermatologists can help you get the best results with microneedling treatment in Dallas since the procedure is tailored to accommodate a wide range of concerns.

Collage PIN microneedling can improve the appearance of large pores, acne scars, hyperpigmentation, sun damage, and rough texture. It can also help minimize fine lines and wrinkles that come with UV exposure and the aging process. Consider the benefits of microneedling over Botox injections:

  • Addresses more than wrinkles and lines
  • Less invasive
  • Fewer side effects
  • Minimal downtime
  • Quick yet natural-looking results

Microneedling treatments are generally spaced one month apart, which allows time for cell renewal. However, if sagging cheeks and jowls are your main issue, ask our staff about RF microneedling treatment in Dallas, which has the added skin-tightening benefit of radiofrequency energy.

How does Botox Compare to Microneedling?

Botox is an excellent solution for treating a specific kind of wrinkle that can make you appear older than your years. It temporarily stops muscle activity to treat dynamic wrinkles– those lines that develop from repeated facial expressions. Think crow’s feet, forehead furrows, and those worry lines or “11’s” between your eyebrows.

For a more youthful, refreshed appearance, a Botox treatment in Dallas can work wonders, but it does have some limitations. For example, Botox does not help improve texture, skin laxity, or pore size, as it only works on relaxing muscles that cause dynamic wrinkles. In addition, we recommend repeat injections every 3-6 months to maintain the results from your Botox procedure.

Microneedling and Botox Can Complement Each Other

Some patients may benefit from Botox and microneedling to target multiple skin concerns. While these non-surgical procedures can produce outstanding results in terms of skin rejuvenation, your dermatologist can determine a treatment plan and timeline that is appropriate for your needs. Call today to book your Dallas dermatology appointment.

 

Can Botox Help a Downturned Mouth?

Age and gravity can cause the mouth to turn downwards. In addition, the muscles responsible for tooth grinding can also cause premature drooping at the corners of the mouth. Fortunately, there is a safe and non-surgical solution to this common aesthetic concern– Botox. When injected into the Depressor Anguli Oris muscle, Botox lifts the corners of the mouth for a more neutral and pleasing “resting expression.”

Here at Dallas Dermatology Partners, we personalize Botox treatments to help patients achieve subtle, natural results. Restore your confidence along with the youthfulness of a cheerful lower face with high-quality dermatological care.

Botox for downturned mouth treatment

Botox injections may be appropriate for people whose mouth corners naturally drawdown at rest. This can also happen in younger patients with overactive Depressor Anguli Oris (DAO) muscles. If you want to address this, Botox can work wonders. The neuromodulator works by temporarily relaxing the downward pulling action of the DAO muscle.

This simple outpatient procedure has no downtime and lasts less than 15 minutes. The injections are not particularly painful, but patients can request a topical numbing cream if they are anxious.

Your dermatologist will inject the DAO muscles on either side of the mouth using a very fine needle and then apply firm pressure with a gauze pad to stop bleeding.

What to expect after the procedure

Botox around the mouth is a lunch-hour treatment with little risk of adverse side effects or complications. Most of our patients return to work or normal activities with nothing more than some mild redness. Bruising may develop but is easily concealed with mineral powder. We ask that patients avoid lying down for 4 hours after the treatment.

A mouth corner lift with Botox is a surprisingly quick procedure, but the results aren’t immediate. Instead, expect to see subtle improvements over the following seven days, with maximum effect after two weeks. During your follow-up appointment, our Botox Dallas dermatologists will determine if additional injections are needed.

How long do results last?

Botox for a downturned mouth can last up to five months, but this is dependent on your age, metabolism, and the dosage given. The majority of patients find that Botox results tend to wear off after three or four months.
Depending on your concerns, Botox may be combined with complementary treatments like dermal fillers for optimal results—for example, Juvederm and Restylane. These may be used along with Botox to elevate the corners of your mouth.

Botox treatment in Dallas

To find out if Botox is right for you, schedule a Dallas dermatology appointment.

How To Treat Marionette Lines

Cosmetic injectables are improving every year with more treatments that safely minimize wrinkles, restore volume, and turn back the hands of time. When treating marionette lines, your dermatologist may suggest dermal filler, Botox injections, or a combination of the two.

Treating Marionette Lines: Botox or Filler?

Marionette lines are the creases that run from the outer corners of the mouth downward to the chin. Caused by a variety of factors, including aging, genetic disposition, lifestyle habits, and sun exposure, these lines may develop in your 30s or 40s.
When evaluating your concerns and determining the best treatment option, our doctors will consider your aesthetic goals, skin type and elasticity, and whether you have superficial or deep marionette lines.

Choosing the Right Injectable for Marionette Lines

Botox for marionette lines — Botox temporarily paralyzes injected muscles, reducing contractions that cause unwanted creases and lines. When administered by an experienced Botox Dallas injector, this neuromodulator reduces the movement of the muscle that causes marionette lines to form and creates drooping corners of the mouth. In most cases, Botox as a stand-alone treatment is only suitable for extremely shallow marionette lines or proactive wrinkle prevention.

Dermal fillers for marionette lines — Hyaluronic acid (HA) dermal fillers are one of the most effective non-surgical treatments for marionette lines. Composed of a synthesized version of the natural substance our bodies produce to keep our skin supple and hydrated, HA-based fillers provide lasting volume and definition– visibly plumping out deep creases and folds. They come in a variety of densities and durations, allowing your dermatologist to select the right product for your specific needs.

Depending on the type of filler used and the amount injected, the results can last from 6 months to 2 years. During a dermal fillers Dallas consultation, we can outline the best treatment approach for your goals. Some of our preferred injectables for non-surgical volume restoration include Restylane, Juvederm Ultra Plus, and Radiesse.

Every patient’s needs and objectives are unique. A personal consultation with Dallas Dermatology is the best way to determine the best solution for your concerns– Juvederm or a Botox-dermal filler combination.

Why Choose Dallas Dermatology Partners?

Our team of board-certified dermatologists has extensive experience in cosmetic treatments using FDA-approved injectables. Utilizing our in-depth knowledge of facial anatomy and skillful injection techniques, we can provide subtle, natural-looking results when treating marionette lines.

We can help you achieve a more youthful, rested look without appearing “overdone.” Take the next step toward restoring your confidence, and call today for your Dallas dermatology appointment!

Can Botox Help Bunny Lines?

Botox is very effective at eliminating bunny lines that are more prominent when smiling. For many people, these diagonal wrinkles on the bridge of the nose are a bothersome reminder of age and collagen loss.
In the hands of a board-certified dermatologist and skilled injector, bunny lines can be treated before they become deeply etched in the skin.

Botox for Bunny Lines

With sun exposure and the passing years, the skin becomes less elastic as elastin and collagen are gradually depleted. In addition, repetitive facial movements while laughing, smiling, or squinting cause dynamic wrinkles like bunny lines to develop.
These tiny wrinkles that appear when scrunching up the nose are subtle at first but can become etched into the skin over time. When this happens, bunny lines become static wrinkles, noticeable when the face is at rest.
Regardless if you’re looking to soften bunny lines or prevent them from forming, Botox is a safe and effective solution.

What is the Treatment Like?

The injectable works by temporarily blocking signals that tell muscles to contract. When the Nasalis muscle is relaxed, the scrunch lines, or bunny lines, begin to disappear.

Botox treatment for this is non-invasive and well-tolerated by all patients. Here’s what to expect:

  • The skin is cleaned with alcohol
  • The patient is asked to scrunch up their nose and then relax to identify injection sites
  • Small, superficial injections are administered at three points
  • Light pressure is applied to prevent bleeding and bruising

The procedure is over in 15 minutes, and patients can return to work and their everyday routines.

Botox Aftercare Tips

For cosmetic purposes, Botox has a robust safety profile. The most common side effects are redness at the injection site and mild bruising. The beauty of this injectable is that you can go about your normal life after the treatment. However, patients are asked to avoid massaging the injected area for 3-4 hours post-procedure.

How Long Do Results Last?

The skin-smoothing effects of Botox should kick in 4-7 days after the injections, and results generally last three to four months, depending on patient physiology and the dosage.
After several bunny line treatments with Botox, the results should last longer– anywhere from 6 -7 months.

Bunny Line Botox Treatment in Dallas

Seeking an experienced provider for Botox Dallas residents have come to trust? Our practice specializes in non-surgical skin rejuvenating treatments that deliver natural-looking results. Our goal is to help patients look and feel their best at every age without looking frozen or like they had “work” done.

Learn more about anti-wrinkle injections for bunny lines; book your Dallas dermatology appointment today or call our office.

 

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