If you are looking to deal with fine lines and wrinkles.....maybe some new lips....dr. alissa just may be your man. If you have a serious medical issue. If you are looking for any amount of bedside manner. If you want someone to listen to you, hear your concerns, give you the slightest amount of concern or compassion, or any respect whatsoever...you will NOT get it here. Dr. is extremely immature. Good at handing out OTC lotions full of toxic ingredients. Beware. There has to be something better out there.