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This is 43 year old lady from Pittsburgh was unhappy with her cheek folds as well as the early appearance of frown lines between her eyebrows. She was treated with Radiesse® to her cheek folds and Botox® to her frown lines during her first appointment. On her follow up appointment, Dr. Leong layered some Restylane® above the Radiesse® to further improve her cheek folds. When a patient stays on a regular schedule with botox (initially getting Botox® about every four months), the time period between Botox® injections begins to stretch out and they get a longer-lasting improvement. This patient has begun to benefit from this process.