Bellafill® Dallas | Facebook Live | Dr. Robert Schwartz
Hi guys, thank you for joining us for our Bellafill event today. We're doing a live demo with some Bellafill injections and I am going to hand it over to Dr. Schwartz. Feel free to ask any questions that come up, and we will try our best to answer those for you. Thanks for watching.
So I'm on then? Okay, good. So, this is our patient. Thank you for coming in today, we appreciate it. I'm just putting some alcohol on her skin right now to sterilize the skin. We're going to get going, and what I'll be doing is explaining to you what the Bellafill is, how it works, what we use it for, and you get to actually see the injections as I do it. You'll see, really, the transformation in Gala's face as this happens, because Bellafill, like most fillers, shows you immediate results.
Now, we're going to start in this area right here, sort of this triangle on the cheek on each side that's gotten flat over time. What we want to do is restore some soft fullness there, because that's really the look that young people have is, you don't have a flat front surface to your cheek, you have a slightly full, slightly curved one. So we want to take this nice sweep that she has on her arch here, on the arch of her cheekbone, and continue it until it comes across the front as well. So that's the first place that I like to start, because we build that up and then what you're going to see is, we're going to slowly work our way downwards and restore volume to the rest of this area of the face.
Okay, so this is what the Bellafill looks like. Basically a white cream and what you're looking at mostly in the syringe is collagen. The purpose of the collagen is just to carry the Bellafill particles. Those are what really do the job, but the advantage or having the collagen in there is that you get to see the results immediately, what they're going to look like. Because the collagen gives immediate fill, and then the Bellafill itself, which is little beads of polymethyl methacrylate, which is essentially a plastic. What that's going to do is it's going to stimulate Gala's own collagen to form over the next few months. So as the collagen that's already in the Bellafill goes away, her own collagen is going to come in and replace it, and maintain the result. And that result is going to last in the neighborhood of about five years.
Now what you're going see me do is, I tend to do a lot of injections, because I view this as a sculpting process. We're slowly building up this area. But the thing we did that you didn't get to see is, I did really a dental block, what a dentist does on you when you get your teeth done. It has made Gala numb, hopefully, we'll find out soon enough, numb from her lower eyelids through most of her chin. There'll be a few gaps in there, but most of this, she won't be feeling as we do it.
And who's a good candidate for Bellafill?
Well, the interesting thing about Bellafill is, it has a lot of different uses. Depending on how you inject it and where you inject it, you can use it to replace lost soft tissue, like we're doing here, sort of some lost fat and other soft tissue in the cheek area. But you can also use it by injecting it deeper, to simulate adding bone. Really, anyone who would benefit from any sort of greater volume in any area of the face can benefit from Bellafill. There's really no particular age, although most of our patients are in at least the early to mid-stages of aging, so mid-30s and up. But I do this all the time on women in their 20s as well, who just want to change the shape of something, give themselves more prominent cheekbones, give themselves a more full chin. There's any number of things you can do with it.
Is there a certain number of syringes that patients take to get optimal correction?
Well it varies on how many areas we're doing and how much volume needs to be restored. There are some people that just need one syringe. There are some people who need, may need ultimately a dozen syringes, though I would never do that at a single sitting. Typically we'll do, at a single sitting, anywhere from one to five syringes.
Are the results pretty immediate?
Well, you can see the changes happening now, or at least I think you can see them on camera. You can see these areas starting to fill in. And I'm going to be walking back and forth like this, because I'm looking at the results we're getting from a little bit more of a distance and assessing the shape and the symmetry. So this area's already started to take shape. So these areas that were completely flat when we started are now already starting to round out, and you can see that.
Gala, how does it feel?
I'm not feeling anything.
Is there any downtime?
Well yeah. When you're injecting the face, there's a lot of blood vessels and so you're going to tend to bruise with this. So that's like any other bruise, a week or two and it goes away. And most patients, within a few days, can cover it with makeup. You do tend to get some swelling with this, but really not very prominent in most cases, and generally gone within a few days. That's really about it. So it's probably not something you want to do and plan on necessarily going straight back to work afterwards, particularly if we're doing several syringes, because you may be bruised, a little swollen. It's the kind of thing you might want to do at the end of the day instead.
Just assessing where we are right now, and I'm seeing this area still a little flat compared to the other side, so I'm going to add a little bit right there. That's kind of how I approach these injections, is sort of like, almost like sculpting in reverse, where I'm looking to see what's not there and continually add little bits as we slowly sculpt up the cheeks. We'll do the same thing as we move onto the other areas.
And how would you say that this differs from other fillers that you use?
Well, the biggest difference... Okay, so we've gone through one syringe now, we're going to move onto the second one. The biggest difference is that it lasts a lot longer. Most of the fillers that we would use in this area, I would typically use something like Voluma or RADIESSE before we started using Bellafill. Those in most people are going last somewhere around a year, maybe 18 months. The Bellafill is going to last, typically, about five years or so. So that's a huge difference and obviously that's an advantage in and of itself, in that this stuff is, for all intents and purposes, permanent. It's really semi-permanent, but when you're talking about five years that's in the nature of cosmetic procedures, essentially close to permanent.
So it changes the way you can use this. We can do this in a way that we build it up over time and get to where we need to be. So you can do a few syringes now. We can assess in a few months or even a year from now and decide, "Oh, let's add a little bit more over here," or, "Let's sculpt this up a little bit." You can slowly sculpt the facial features to where we want them to be. You can't really do that with other fillers, because you don't have... If I were to inject her with, say, Voluma right now, and she came back in a year and we wanted to add something to it, yeah, we'd be adding to it, but the problem is, we've lost some of the old Voluma.
So in a sense, you end up chasing your tail on this. You don't do that with Bellafill. We can add some now, we can add some a year from now, two years from now, and we're just building on what we've already done. It gives really nice results, and it allows me to work in a much more planned out, sculptural way, than you can with other fillers, where in a sense, the clock is always ticking on those.
So there's no certain amount of time you have to space them out?
Well, I generally would want to wait at least a month or so in between them, just to see where we are and assess. We want to make sure all the swelling's gone so that we can do this as precisely as possible, because that's the other thing about doing this, is in the sense that it's permanent, the stakes are a little bit higher and you got to make sure that you get good results every single time. The other thing that I always want to avoid is doing too much, because the beauty of Bellafill is, Gala could come back any time and we can add more to it. Taking out is another story. So we're always going to err on the side of being a little conservative with this.
We have a question, can it be used in your elevens?
Yes. I've done that, actually. What we're talking about is, these little lines right here. The mainstay for that is always going to be Botox, because the big part of what happens there is, it's sort of when you knit your brows together, it creates that fold. You always want to Botox that area to weaken the muscle so it doesn't do that. But in a lot of people over time, they get a little bit of volume loss there, and that makes the elevens more prominent.
If someone who isn't getting the full effect from Botox that they want to get, that's someone where I would add a little bit of filler in there, just to plump it up a tiny little bit and it makes the Botox more effective. You can pretty much use Bellafill for various purposes, essentially everywhere on the face except the lips. It is not a good filler for lips, unfortunately, because it would be nice to be able to have some sort of reliable, permanent lip filler. But I wouldn't use it there.
Do you find it works well on the nose to help augment or change the shape?
Yeah, it depends what you need to do on your nose. If we're trying to cover little defects or cartilage that shows too much, or subtly change the shape, yeah, it works well for that. I've actually moved on, and I'm doing the nasal labial folds. I may come back to this area that we just did to see, after I've done this a little bit. But I want to make the best use of the syringes that we're going to do today.
Is there a certain technique for that area that you're doing, or-
The area that I'm doing right now?
Well, I use a whole variety of techniques with this and they're somewhat... they're mostly similar to the techniques that I do with all filler. I do my filler a little bit differently from the way it's typically taught in that I tend to work, it's almost like a reverse liposuction. If you notice, my needle is pretty much moving the whole time I'm doing this. I'm basically laying down tiny little bits of it everywhere I want it to be. By doing that, you don't tend to get lumps or clumps and I can just slowly build up the area.
Right now, I'm just fanning through this area, but I'm also going to do, and you'll see it here, come in vertically as well and put in almost like some struts or pylons underneath the skin of the filler to pop it out. Sometimes I'll come in from multiple angles. It really depends on what the anatomy is, what we're trying to achieve, and with Bellafill or any other filler, what I'm seeing as the filler goes in. We're constantly, I'm using the royal we. Me, I'm constantly assessing and adjusting as I'm doing this.
We all think of you as royalty.
Yeah, you don't need to make my head swell any more. Okay.
How are you doing, Gala?
So far, so good.
Coming along nicely, here. Looking at the fold here still, I'll just take another step while we're there, we're not trying to completely eliminate these folds. That tends to make a very fake looking appearance. I'm just trying to make them less sharp and make this transition more subtle. It's still, the transition's still a little more prominent than I'd ideally like it to be. Let's see if we can't soften it just a little more.
What do you find that some of your patients who have done Bellafill treatments already, what do they say about their skin in terms of texture and building results over time, after having a treatment?
That's an odd side benefit of Bellafill, is that a lot of patients say that the skin over the area they treated looks better and healthier. That's been noted by numerous practitioners, and no one's really quite sure why that is. But the presumption is, is bringing more blood flow into the area, that makes the skin look healthier. But no one's really sure. I wouldn't sell this necessarily as a skin treatment, but it's a nice little added benefit that you get from doing it.
Is this something that you can treat acne scars with, and will that help to improve the appearance of the depressions, or-
Yeah, it's actually, that's the first thing it got FDA approval for, was for acne scars, for the little pits, the little cratering that you get, so it does work well for that. It's nice, because that's a tough one to do with fillers that don't last a long time, because you're constantly chasing your tail on, if they have multiple scars. What I'm seeing right now is, this looks to me a little fuller right there than I'm getting right here. I want to get this side caught up. We discussed this with Gala in advance, is that we're not necessarily going to fully correct everything today, because it may take more than five or six syringes, which is generally the most I want to do at a single setting and also we don't have to. We're going to get a very substantial improvement today. She's going to look significantly better from doing this, and if there's areas that don't quite get everything that we want out of them, then she'll come back another day a month from now, six months from now, a year from now, whenever she wants and we'll add to it.
It's coming along really well. Looking really good.
Is she going to have any soreness or anything like that after her treatment, once her block wears off, or what do patients typically say?
Sore, but take a couple of Advil sore.
Is there anything they need to do to prepare for the treatment, anything they should avoid?
Well, you want to avoid anything that's going to thin your blood at all, because it's not... I mean, it's not the end of the world, but it is going to make you bruise more and you're going to bruise from this already, so we generally have them stop aspirin, Advil, Motrin, all those sort of things, if they're taking fish oil, it's best to stop that. There's some other medications that, if they can stop, we have them stop. In some cases, they can't stop, and it's generally not that big a deal.
Can she have a glass of wine tonight?
She's going to have to do something to celebrate how good this looks. Okay, let me take a look where we are. Am I even? This is still not quite as prominent, like right here, as we are there. So I'm going to make one of those pylons.
Are there other areas of the body where you can treat with Bellafill?
Yeah, you can actually use it for these lines on the neck. You can use it in the area of the upper chest and the cleavage, if there's sun damaged skin there. I've seen people use it to even augment breasts, but you're going to spend an insane amount of money to do a large area like that and really, frankly, it's probably better value to do breast implants on that one.
What about treating cellulite?
Yeah, we've gotten a lot of calls lately about people wanting to do Bellafill on their buttocks and thighs for cellulite reduction.
Yeah, and it does work for that. We're seeing Bellafill and Sculptra used for that. Those are the two main competitors in the permanent or semi permanent filler market, but personally, I prefer Bellafill, because you can see what you're getting, or some indication of what you're... the results are going to be, as you inject it, which you can't see with Sculptra. I've seen some pretty dramatic results on cellulite with this.
Looking really good.
That's looking pretty nice and pretty balanced. Okay. Now I'm seeing a little bit of shadowing right here, on the edge of this, so I'm going to see if we can get some of that gone, too.
What syringe are we on?
We're on three. Three? Am I right?
This is number three.
Okay. Okay. So it's a really nice filler for correcting this area, just under the cheekbone arch right over here. Because sometimes, as we get older, that area gets a little bit hollowed out and almost makes your cheekbones look a little too harsh. What I'm doing is putting a little bit of fill in there and it softens that. There. We're going to move onto number four now. And we'll get this one ready while I'd doing this.
We're going to start exacting a little bit lower down into this area because we all, as we get older start to lose soft tissue in the chin area and along the corners of the mouth and also even the bones start to shrink. So we're going to build that up a little bit. It's not going... it's not going to get rid of these sort of early jowls that are here but it's going to hide them a little bit, so almost as good. If you want to get rid of the jowls you really got to do a facelift so that's a whole different level of commitment and downtime compared to what we're doing today. Are we good?
I don't want to make you sit in one position for too long.
You can already see a dramatic improvement.
I'm going to start off fanning in that area like that and building up that little hollowed out area. Though I won't use it in the lips, I will come up into this little corner fold here. I don't like to get too aggressive here because again you're getting into really thin skin in that area, but I will build it up and it looks nice.
Would a better filler or different filler be better suited for that area?
Well, I won't use it in the lips, you can't use Bellafill in the lips. I just like to err on the side of caution, so if I'm getting really close to the lips, I'm pretty comfortable using something like Voluma in that area, which is not permanent, but we're going to get a year or so out of it, maybe 18 months. This area doesn't quite get numb from the block. I notice you're squirming just a little bit more. Sorry about that.
Thank you guys for tuning in, if you have any questions feel free to post them and we'll get Dr. Schwartz to answer them.
You're not quite numb there, huh?
It felt like you were hitting some bone.
Well, I am injecting this right along the bone. What I'm trying to do here is build up this bone to the size it was 10 or 15 years ago. But yeah, you feel that little scrapey feel as I hit it. Sorry. You can see how fast this area has come up.
That looks really good.
Instead of it going jowl fullness, then a sharp cut off into the chin, we've already managed to soften that transition and hide it. Can I have an extra needle for this syringe? Nice. That's the other thing is when you touch bone the needle goes dull on you really fast, it makes it hurt a little bit more.
But it's worth it.
Well I can change the needle though. I really don't have to make Gala suffer. The other thing about Bellafill that I like is it just handles really well. It injects, just internal plastic surgery stuff, but it just injects nicely. It injects very smoothly. It has the right thickness to it so it injects at the right rate. It's really nice to work with.
Are you able to get fine lines with it or is it more deeper?
It depends, you can do it and you can inject it pretty darn superficially too which is... It's amazing that you have this stuff that you can inject everywhere from just under the skin to all the way down to the bone. For some fine lines it works pretty well, others I've seen it just not quite as effective. Yeah, it certainly works as well or better on fine lines than most other stuff out there.
Open your mouth for a second. I just want to massage this right here.
What does the massaging do?
I'm just molding it a little bit in that area if I can get it to come up into that little fold right there. Okay, good. All right, that looks pretty good.
Is this something men can use as well?
I've done this on men and in some ways this is a really optimal treatment for men for signs of aging and in some ways, for a lot of guys preferable to the surgeries we do like facelift, brow lift, et cetera, because it... The beauty of this is it makes a meaningful, noticeable difference, but not in a way that people can figure out what you had done. Mostly likely people who see Gala over the next few weeks will notice something looks better, something looks good, but they're not going to be able to figure out what it is. Which to me is the ideal of cosmetic surgery.
Is that something that calls attention to you, but doesn't call attention to itself. Now we've gotten most of our results at this point. I'm going to use, I've got a tiny bit left in this syringe. We're going to move onto the fifth one and I'm going to use that mainly for fine sculpting over the areas we've already treated, basically the finishing touches. We're going to call it for today except for one thing. We're going to do a little bit of Restylane into these little troughs right here. You can use Bellafill on that, but it's a much more finicky area and given that I've never treated Gala there before. For that area I would prefer to do a non-permanent filler the first time, make sure that it's to her liking and that we got the results that we want. Then when that wears off duplicate with the Bellafill in a future setting.
What are you looking for when you're doing the fine tuning?
Well, kind of looking for what's not there is the best way I can describe it. I'm looking for areas that don't have smooth sweeping curves, that seem at all irregular. That there's anything that would look better if it was just a little fuller right here or if we had to touch right here. I wish I could give you a better answer on that. But it's one of those, "I know it, when I can see it."
Gala, you're getting some love. They said, "Your smile lines are almost completely gone and you're a trouper."
I know a lot of patients are scared to try filler because they see people on TV, celebrities that look like they've had too much done, what would be the cause of that?
Them being celebrities and not liking to hear the word no.
So they're just getting too much?
You're going to get a little bruise right here.
Poor little finger.
Not from my finger doing it, it just wants to bleed right there, so I'm just putting a little brush. It'll go away quickly though. The thing that always... Some of those people that get those funky results, it's because it's what they wanted. Why they wanted it, I have no clue.
Wisdom by Schwartz.
It's mystifying to me when I see these results of these obvious fake overdone filler things, because the easiest thing in the world with filler is not to overdo it. Just don't put in as much. Some of it is just some people wanting that look. Some of it is just questionable choices by the injectors as to why they put in that much filler, because it's easy with any filler, this or any other one. It's always easy to add more. You can always err on the side of being conservative.
What do you think about patients who go to nurses or to med spas or different places, do you feel it's like best to go-
Well I think I'm partial on this. I think it's best to go to a Board Certified plastic surgeon, particularly if you're going to do something like this that's permanent. This is not something you want just anyone doing on you. But the thing you've got to realize with filler, really with any cosmetic surgery, is really what you're paying for is the skill and the vision of the person injecting it more than anything else. No two people would necessarily approach Gala right now with five syringes of Bellafill and generate exactly the same result. They're going to do different things, they're going to see different things. They're going to have a different aesthetic sense, they're going to have a different injection technique. The idea that when you're buying Bellafill, you're actually buying Bellafill, you're really not. What you're buying is the time of the person injecting it. You've just got to be careful.
I'm just looking for... Really what I'm looking at, at this point is I'm seeing shadows. We did manage with the syringes that we had to get this a little softer in this area, that area underneath the cheekbone. You see now what I'm seeing right here is it's just a little bit flat right there compared to everything around it. I'm just going to build that up a tiny little bit and now it's not.
Let's see where we are right now. I know you can't feel your lips really well, but you're smiling right now. I need you to try and relax and be completely expressionless. Erika, tell her something sad. We're going to build this up just a tiny little bit. Are you okay?
For anyone out there who was wondering what procedures we offer, what all we have here at the office, feel free to go to our website, which is www.RSPlastic.com.
Plastic singular, not plastics because the guy who owns plastics, who doesn't have a website, it just sits there won't sell it to me. If any of you know that guy, encourage him to sell me that one.
Dr. Schwartz has also gone online and answered some Bellafill questions and we have a blog up, so that's a great way to get some more information on the product too. Dr. Schwartz has consults on Monday, Wednesdays and Fridays, and we would love to see you in for a consult for Bellafill. We can provide you with an accurate assessment of how many syringes you would need. She looks amazing now-
Okay, so what I'm seeing right here is this is still a little bit flat right there. I'm going to come in from the side and build that up a little bit. Sorry, you felt that one didn't you?
I'll save that apology for when it hurts on the next one or . All right.
We're all about honesty here.
The process slows down at this point because the amounts that I'm putting in are smaller and smaller as the tweaks I need to do get less and less. We get towards the end, it's more about assessing and a tiny little drop put in and assessing some more.
Are you doing okay?
Let's change out the needle.
Remind me had Gala done any other HA fillers or anything prior to this?
No, I don't think we have. No.
Do you recommend icing after this.
Some people like it. I don't know that it changes the swelling all that much, but if it makes you feel more comfortable I'm fine with it. The only thing is you've got to do it really, really gently. What I don't want is anyone putting a lot of pressure in any of these areas. This stuff does not move around very easily. It would take a fair amount of force, but nonetheless, I just don't like risking it. If you're going to do it, you do it really gently. Same thing for applying makeup or anything after this, you can do it, it's not a problem, just do it gently. Same thing with washing your face and for the first couple of nights obviously if you're a stomach sleeper try to avoid, try not to sleep with your face down on a pillow.
With Sculptra, I think you have to massage five times a day for five minutes. There's no massage involved with this for the patient?
It's not necessary.
We have a question. Is this a recommended treatment for crows feet or would you suggest another procedure or filler?
That's a good question. Crows feet I view like the elevens that we talked about earlier in that the mainstay for it is really Botox first, because you've got to stop that... It's your orbicularis oris muscle, oculi muscle that goes around your eyes and makes you squint. You've got to stop the action of that muscle or anything you put in there is going to have limited effectiveness. The first thing you've got to do is Botox it, but for some people and very often with Botox that's all you're going to need to do, that's going to take care of the issue. For some people it helps to put in essentially a thin flat sheet of the Bellafill underneath those muscles. It essentially acts to thicken the skin and make it more resistant to that wrinkling.
This area here needs a little bit more fullness. It's a little bit collapsed compared to what's around it. We're really getting into the fine stuff now.
I can't wait to see the filler under the eyes too, that's really going to set it off.
We took pictures of Gala before we started, before we were live and we'll take some afterwards. We're not going to be looking at final results because this stuff continues to improve over the next few weeks. But we'll post both the before and afters later on today or tomorrow so you can see. Because sometimes if you're doing it like this and you're seeing the gradual transition, it's not quite as dramatic.
Okay, the Bellafill is done. Now we're just going to layer in a little bit of Restylane into those troughs underneath the eyes. Now the goal here, we're not going to completely eliminate this, and at some point we might look into something like a more traditional approach just to remove a little bit of the puffy area down there surgically. But for right now, we can certainly camouflage it a little bit. We'll make what we did with the Bellafill even better. I'm using Restylane, which is a thinner, shorter acting filler in that area.
Is that what you always use or does it just depend on the patient? How do you decide that?
It depends on the patient, what our goals are and what we're trying to achieve. Like I said, I've used Bellafill for this, and it does work. I've also used ReLuma. I've used RADIESSE on occasion, you just have to be careful with RADIESSE, RADIESSE is a bright white color. If you inject it either too superficial or on the wrong person, it tends to show.
I use the same technique here. I tend to keep the needle moving. Are you doing okay?
I tend to keep the needle moving for a couple reasons, one it allows me to sculpt it a little more delicately, but also you want to be very careful around the eye. You want to make sure that you're not injecting into a vessel, a vein in this area. So with it moving, you essentially can't put... If you do get into a vein, which is potential, not much is going to go in there because it's not going to be in that vein very long.
Question from one of our watchers. Will fillers work for dark circles if you don't have any puffiness?
The answer is yeah, sometimes. That's the instance where I sometimes use RADIESSE actually, where people have that dark skin under their eyes. You layer in some of the really bright white RADIESSE below it and it increases the reflectivity of the skin to light and it tends to make it a little lighter.
I know, I used the word reflectivity. In fact interestingly you can see that the Restylane that I'm putting in here is clear. That sometimes helps with it too. It's not a direct treatment for dark circles. That's a highly individualized thing that I got... Let me change out the needle on this.
You doing all right?
But it does work well for people who have a hollow under their eyes, right?
Yeah, which is kind of what we're doing here. I do want to get a little bit here. We've got to be careful because there's a good sized vein right there. We'll just put a little bit in and massage that there. You can see these lines softening. Some of this area tends to bruise up pretty quick and get dark from the injection, so it will hide this a little bit, how much result we're ultimately going to get here. The other thing with hyaluronic acid fillers like Restylane is they will draw moisture into the area over the next couple of weeks and the result continues to improve with them.
Do you think she'll experience more swelling with the eyes or?
Kind of unpredictable. Most people don't swell too much with any of these fillers, but it's certainly possible and some people swell more prominently and some people barely swell at all. I always try to prepare my patients for the worst possible amount of swelling or the hardest recovery and then let them view it as a bonus if we don't get that.
You're almost done Gala.
Yeah, we're coming down to the end now. Good.
Gala what would you say it's been like so far in terms of the experience of actually having the block and the injections done? Is it better or worse than you thought or?
The where it numbed it was the worst.
Yeah. No one-
And it wasn't bad.
No one raves about the block.
But everybody wants it.
Well it makes this whole process... As people were watching this happen, you saw very few places did she even flinch when I did this because you just can't feel it. Yeah, the block isn't the most fun thing in the world, but it takes about five minutes-
And it wasn't that bad.
It takes about five minutes and that's it. Through most of the areas that I inject on the face you're not going to feel anything. It's a much more experience for her and honestly it's a much more pleasant experience for me because I don't have to worry about how I'm hurting my patient while I'm injecting. It allows me to focus on what I'm doing better.
I'm feeling for any irregularities, any small lumps. This all feels good. Open your mouth for a sec. Thanks. That's good. Right on the other side.
And we are done. We'll get you cleaned up and we'll get some after pictures, and we'll post those later.
Okay. Well you guys stay tuned, we'll be posting our specials for Bellafill. If you have any questions feel free to send us a message or give our office a call, 972-498-4385.
Let's repeat that.
You do it.
972-498-4385. Are you testing me there?
thanks for tuning in