By and large, (bad results) are not happening with dermatologists and plastic surgeons. But we now have podiatrists doing this.

If you look long term, 10 years out, we won't have enough plastic surgeons to treat all of these patients.

It should be noted that these patients were all quite motivated to try this product. Facial plastic surgeons have a responsibility to determine the efficacy of such products to provide unbiased, evidence-based advice to our patients.

I do think there are going to be some large hurdles to overcome.

I don't like to get into that, because I don't really know what has happening there, but it was not a good situation.

For years, surgeons have been struggling to find the best way to avoid the greatest harm in patients with incidentally identified hernias. Avoiding harm in this case is easy — it can best be accomplished by counseling and educating patients and only repairing hernias that cause symptoms.