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.

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

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

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.

The demand for facial plastic surgical procedures has increased steadily over the past decade. But at the same time, consumers are seeking more minimally invasive treatments such as these facial stimulator devices. Facial plastic surgeons have a responsibility to determine the efficacy of such unregulated products to provide unbiased, evidence-based advice to our patients.

The pricing of a pharmaceutical product is opaque and frustrating, especially for patients.