September 21, 2010

Microdroplet™ BOTOX® – The Preferred Treatment Is Now Patented

The United States Patent Office has announced that they are granting the patent for  Microdroplet botulinum toxin, a significant improvement in how BOTOX treatment is performed.  This advanced method elevates the eyebrows and creates a forehead lift without freezing facial expression or creating unwanted expression lines.  Dr. Steinsapir invented this method after observing side effects like the “forehead freeze” and lowered eyebrows associated with other BOTOX forehead treatments.

Microdroplet BOTOX Before and After

Microdroplet BOTOX Before and After

Microdroplet BOTOX is an exceptionally precise technique that utilizes tiny injection volumes to deliver balanced treatment only where it is needed.  The agent is placed at a very specific depth below the skin so that it affects only the target muscles.  Since this approach avoids side effects and results in controlled benefits, you can imagine how popular this treatment is with working actors and actresses.

How is Microdroplet BOTOX different?

Standard BOTOX treatments are not as precise as Microdroplet BOTOX and frequently come with side effects.  Usually BOTOX is injected in fewer places, with larger amounts, and without a controlled depth.  But Microdroplet BOTOX specifically targets the muscles that pull the eyebrow down by modifying the relationship between the muscles that lift the forehead and the muscles that pull the eyebrow down.  Microdroplet BOTOX does not simply paralyze the muscles in your forehead, and in fact it is not applied to the forehead at all.  Instead the eyebrow and crows feet area is treated.  Since this weakens the eyebrow depressors, the forehead muscles don’t have to work as hard, and the forehead lines and brow placement improve without causing the upper eyelid to fall.  In essence, Microdroplet BOTOX gives you many benefits of a forehead lift without surgery.

How was the Microdroplet BOTOX patent invented?

Dr. Steinsapir, a cosmetic surgeon in Los Angeles, trained alongside the inventor of BOTOX and has been offering BOTOX services since 1988.  From the beginning he observed that BOTOX had many benefits, like relaxed features and improvement of facial lines, but he also observed that these treatments can cause a fall in the eyebrow position and “freeze” the forehead, hindering the ability to naturally express human emotion.  This unfortunate limitation was often unspoken because providers weren’t sure what a better solution was, and BOTOX clearly improved many people’s looks.

Because he is dedicated to advancing medical technology and finding the best treatment options, Dr. Steinsapir researched and invented the Microdroplet BOTOX technique.  His studies showed that Microdroplet BOTOX leads to better results that preserve the ability to make facial expressions and create youthful, natural results.

The Safe, Patented Answer

Achieving patent recognition is an involved process, and the patent approval of Microdroplet botulinum toxin speaks for the method’s innovative utility and uniqueness.  As a safe and patented answer, Microdroplet BOTOX makes it possible to treat the eyebrow depressors extensively without unwanted side effects.  This is achieved through the microdroplet injection technique placed carefully in the most important eyebrow depressor.

Dr. Steinsapir, the patent holder of Microdroplet BOTOX, practices minimally invasive facial cosmetic solutions like natural eyelid surgery, undereye Restylane, the midface lift, and Microdroplet BOTOX.  He can help you achieve a balanced look that takes into consideration how the entire face works together.  If you have been disappointed with your BOTOX treatment in the past, or if you are simply searching for the best BOTOX in Los Angeles, consider how Dr. Steinsapir’s patented solution can help.  Contact us today to learn more about how Microdroplet™ BOTOX® can help you achieve the natural improvements you’ve been looking for.  Learn why people travel from all over the world for his unique treatment.

Are the Current Fillers Better Than Collagen?

Collagen was the original facial filler and, for much time, it was the only viable filler available.  It was offered as Zyderm I, Zyderm II, and Zyplast.  The Zyderm benefits did not last very long, and the Zyplast effects only lasted a couple months.  While these proved to be great products for treating problems in facial deficiencies like the edge of the lips, their relatively short life span made them a solution essentially only viable for the wealthy who could afford frequent treatment.  Today collagen products have largely been replaced by the hyaluronic acid fillers called Restylane, Perlane, and Juvederm.  Since both of these types of facial fillers can successfully improve the facial contours, let’s examine the hyaluronic fillers further before drawing any conclusions.

What Is the Difference between Collagen and Hyaluronic Acid Fillers?

Collagen is a naturally occurring protein that works as the primary building block to hold together our tissues.  As the original injectable facial filler, it’s typically derived from bovine, porcine, or human materials.  In the example of bovine-derived collagen, the collagen is extracted from cows raised in a controlled environment free of disease and closely monitored.  Allergan, Inc. creates Zyderm and Zyplast from a highly purified collagen taken from a closed bovine herd, ensuring that their product is safe and high quality.  You do need to obtain an allergy test before receiving bovine collagen filler because there is a three to eight percent chance that of an allergic reaction.  The other collagen fillers like Cosmoplast and Cosmoderm come from cultured human cells, and you do not need an allergy test before treatment.   These later products have replaced the original bovine Zyderm and Zyplast products.  Finally, Evolence is the newer collagen product that is derived from porcine and has a longer life than other forms of collagen.

While the amount of time that collagen lasts depends on the individual, it generally does not last nearly as long as the hyaluronic acids.  Both collagen and hyaluronic acid injections are effective in treating concerns like fine lines, deep wrinkles, crow’s feet, brow wrinkles, and frown lines.  Hyaluronic acid is found naturally in the human body as well, and it is an important part of the processes that regulate cell renewal and growth.  When we put hyaluronic acid into the body, it is non-immunogenic, meaning that it is not seen as a foreign substance by the body.  Therefore, while it is possible you could be allergic to a hyaluronic acid filler, the chances are minimal and unlike collagen products usually no allergy tests are recommended before treatment.  Furthermore, hyaluronic acid fillers last longer, and they are easily and comfortably adjusted with the enzyme hyaluronidase.

Is Collagen or Hyaluronic Acid Better?

The filler that’s right for you will depend on many individual circumstances.  Your doctor will consider your goals, the site(s) of treatment, your health and medical background, and many other factors when helping you to choose the best treatment plan for you.  For example, if you are getting a lip filler, both collagen and hyaluronic acid fillers can work well, with the results of hyaluronic fillers like Restylane lasting longer and being more easily adjustable.  If you are seeking a filler for under eye hollows, then under eye Restylane is usually the best choice.  If you have nasolabial folds, Juvederm may be a suitable filler.  The top choice will really depend on your consultation with a qualified cosmetic surgeon who specializes in cosmetic facial fillers, although in most cases the modern hyaluronic acids will be recommended.

Seek Advice from a Doctor Who Cares

Dr. Steinsapir specializes in minimally invasive facial cosmetic procedures and is a physician consultant to Medicis, Inc., who distributes Restylane and Perlane.  He has developed a highly effective undereye treatment method called DeepFill Restylane, which is widely used by other cosmetic surgeons and world-acclaimed.  As a board certified ophthalmologist, fellowship trained in both cosmetic and eye plastic surgery, Dr. Steinsapir strives for natural results that achieve complete facial balance and fast healing times.  To speak with a doctor who listens, and to learn more about how a facial filler might help you, contact us today to set up your risk-free consultation with Dr. Steinsapir.

September 16, 2010

What is the surgical look and how do I avoid it?

Many people who feel they could benefit from facial cosmetic surgery and other cosmetic procedures are hesitant to learn more about what will help them because they have heard negative stories about others who needed treatment and ended up looking worse.  This is a common concern, and while it is natural to be apprehensive about new situations, it’s important to understand that you can achieve improvements that look natural and not overly surgical.

What causes the surgical look?

The “surgical look” is what comes to mind when you think of somebody – perhaps a well-known face on the cover of a gossip magazine – who is rumored to have had “too much” plastic surgery because their appearance looks unnatural.   While one may have unattractive features that look perfectly natural in other situations, the surgical look is when the features look anatomically unusual.  Some people are so accustomed to seeing these publicized examples that they even believe this is the goal of cosmetic surgery.  This is an example of misunderstanding the purpose of cosmetic surgery.  For the right people, cosmetic procedures like the facelift, BOTOX, and other treatments have the ability to transform your appearance from aged, stressed, and damaged to soft, youthful, and beautiful.

How to Get Natural Results

If you want significant yet natural improvements to your facial features, please know that you can avoid the surgical look.  The key is choosing the right cosmetic surgeon and clearly communicating your goals.  Who is the right doctor?  Well, that depends on your goals, the kind of procedure or procedures you need, and even your personality.  You’ll want a doctor who is highly experienced and specialized in the kind of treatment you seek.  Your doctor must also have a solid understanding of the goals of cosmetic surgery, and how to customize each treatment to the unique features of the patient – this is crucial to having the results appear natural for the individual.  Finally, your doctor must have the skill and artistic abilities needed to achieve the natural look you desire.

Natural-looking cosmetic surgery can be obtained by considering how the many intricate components of the face work together.  All of the muscles, tissues, tendons, fat, skin, and other anatomical aspects affect each other, which means your doctor will need comprehensive knowledge of how a treatment like a forehead lift will affect the cheek structure, and so on.  He or she must also know how the facial muscles communicate with the brain to achieve a balanced look.

A specialist in facial cosmetic treatments who works on different areas of the face will usually have the most training and experience in the subtleties of effective treatment and be able to ensure that your results compliment your unique features to give you natural improvements.  Carefully study potential doctors’ before and after photos to see whether they look natural or surgical.

Expert Treatment for Natural Results

Dr. Steinsapir is a Los Angeles cosmetic surgeon who emphasizes natural results through minimally invasive, scientifically proven treatment methods.  Because he strives for the least invasive treatments, you will have the most comfortable recovery possible.  Dr. Steinsapir individually designs each treatment based on your particular needs and features to enhance your positive attributes, rather than following a standard one-size-fits-all pattern.

Dr. Steinsapir also provides facial and eyelid reconstructive surgery for people who have had negative treatment experiences in the past, usually because they went to a nonspecialist who did not strive for natural results.  If you feel you have a surgical look from past treatment, Dr. Steinsapir can help you understand your condition and how to improve it.

With multifelloship training in cosmetic surgery and oculoplastic surgery, and methods for nonsurgical improvements like patent-pending Microdroplet BOTOX and Deepfill Restylane, Dr. Steinsapir is one of the top cosmetic surgeons in California.  We invite you to a no-risk consultation with Dr. Steinsapir to learn more about his helpful methods and natural results.  Please contact us today for more information.

September 14, 2010

What Is the Best Forehead Lift?

The forehead lift is a great option for many people who have sagging eyebrows, forehead creases, or frown lines.  Since the results last for about five to ten years or more, a well-crafted forehead lift is an excellent long-term solution for improving your appearance.  In nearly every situation, the best forehead lift is an endoscopic forehead lift that is customized to your individual features.

Endoscopic Forehead Lift Before and After
Endoscopic Forehead Lift Before and After

From 1990 and forward, the small incision forehead lift (also called the endoscopic forehead lift and closed forehead lift) replaced the open forehead lift (also called the coronal forehead lift) as the clear choice for safe forehead lifts with the best natural results.  The endoscopic forehead lift is a minimally invasive solution that is at least as effective, and possibly more effective than its predecessor, the open forehead lift, which is now considered an outdated method that is rarely indicated.  With faster healing time and minimally scarring that is nearly undetectable, an endoscopic forehead lift can safely improve your appearance

What Are the Advantages of the Endoscopic Forehead Lift?

The endoscopic forehead lift offers many advantages to the open alternative.  While the open forehead lift could be called undoubtedly oversurgical, the endoscopic forehead lift offers faster healing time and fewer negative effects like scalp numbness, hair loss, or a long scar.  Although a few who insist on continuing to perform the open forehead lift may say that the resulting scar from the open forehead lift can be “hidden” underneath your hair, the reality is that this breaks up the natural hair growth pattern, and those you meet will pick up on this.  The untrained eye will just think that something looks slightly “funny” or “off” about your hair line, and this is even true of beveled incisions that allow some hair to grow through the scar.  In hair grafting circles, this is referred to as “compression.”  Natural hairlines do not have compression.

Both the open and closed forehead lifts are long-lasting, with the open forehead lift showing no clear advantage in any area.  Healing time for the endoscopic forehead lift is about five times faster, so you’ll see improvements sooner, and your risk of forehead lift complications is greatly reduced.

With the endoscopic forehead lift being very safe and providing more natural results, you may wonder why the open forehead lift is still available at all.  The simple truth is that the endoscopic forehead lift is more difficult for a surgeon to learn.  Before mastering this technique, the surgery takes longer to perform, and with this increased learning curve a few surgeons have not bothered to update their practice.  Fortunately, when you seek an endoscopic forehead lift from an experienced provider, your doctor has the high skill level required of this technique and understands how important it is to learn minimally invasive methods for best results.

Who Can Perform my Closed Forehead Lift?

Ask your potential facial cosmetic surgeon if he or she provides the closed/endoscopic forehead lift or the open/coronal forehead lift.  Also ask whether your doctor custom-tailors each surgery, or if he or she feels they are all basically the same.  The best cosmetic surgeon understands that no two treatments are the identical when you are aiming for natural results suited to the individual’s features, circumstances, and goals.  Ask to see some before and after forehead lift photos.  Finally, assess how comfortable you are with the doctor, if what he or she says makes sense to you, and if you are confident in his or her ability.  Sometimes there may be personality obstacles between you and a doctor, which does not speak ill of the doctor, but simply means that you should find a better match so that you are completely comfortable with your treatment plan.

Consider how a consultation with Dr. Steinsapir can help you learn more about the best forehead lift in Los Angeles and Beverly Hills.  Dr. Steinsapir can discuss your goals in a no-risk environment and help you determine the most suitable treatment path.  He has been leading the trend toward small-incision, minimally invasive, endoscopic forehead lifts since 1990, contributing to his status as a world-renowned expert in facial cosmetic surgery.  As one of 500 elected Fellows to the American Society for Ophthalmic Plastic and Reconstructive Surgery, Dr. Steinsapir considers how all of your facial features work together to give you a balanced look.  Furthermore, he is an associate clinical professor at UCLA where he contributes to forward-thinking, science-based medicine.  Please contact us today to find out how an endoscopic forehead lift can help you improve your looks and confidence.

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September 10, 2010

Can I have eyelid surgery if I smoke?

The short answer is, yes, you can have eyelid surgery if you smoke.  Should you smoke?  For your health, you absolutely should not smoke, but you probably already know that.  However, the reality is that quitting is difficult, while many smokers can benefit from eyelid surgery.  With no direct conflict between smoking and eyelid surgery, in most cases we can safely perform cosmetic surgery a smoker’s eyelids.  Decisions about eyelid surgery of course should be considered on a case-by-case basis, but if you are a good candidate for beneficial eyelid surgery and no other medical concerns that complicate your circumstances, then smoking alone should not prevent you from seeking help.

This may be a little confusing given that we recently discussed why a facelift and smoking should not go together.  This is not a contradiction, but a function of the way different tissue areas respond to surgery.  The eyelids have much better circulation than the healing sites of a facelift, and thus they are better able to tolerate the surgery than the facial skin.

This news will come as a relief to smokers who must have surgery for health problems like basal cell carcinoma of the eyelid or severe eyelid ptosis that compromises vision.  Smokers who can benefit from the confidence of an improved aesthetic can also be glad at this news.

As a smoker, why can I have some surgeries but not others?

Why shouldn’t smokers have optional facelift surgery when they can have eyelid surgery?  You should already know that smoking is horrible for your health, and one of the problems is that smoking compromises the healing capacity of the skin. The skin undermining necessary for the facelift can challenge the healing capacity of skin that is compromised by smoking.  In contrast, many eyelid surgery procedures can be performed without challenging this healing capacity.

A Word on Quitting at the Right Time

While it’s okay for most smokers to receive eyelid surgeries like blepharoplasty, canthoplasty, and double eyelid surgery, and while we also support your desire to quit, it’s important to know that you should not quit too close to your treatment.  This is not meant as an endorsement of smoking; we of course want you to quit smoking for your own good.  However, it takes time for the lungs to recover, so when you decide to quit, you should not do so right before the eyelid surgery.

When you quit smoking, your lungs go through a healing process and it will take some time for them to recover.  Your lungs need to be in good shape during your surgery, but your vascular recovery will take some time, as will lung recovery.  Your lungs will require a full eight to twelve weeks to begin their recovery; before then, you’ll have a lot of mucus in your lungs as your body repairs them, and this is not a good time for you to have a surgery.  If you want to both quit and seek eyelid surgery, talk to your oculoplastic surgeon about the timing of these two helpful steps.  He or she can help you determine how long before or after your surgery it is appropriate to quit smoking.  As most eyelid surgery is elective, meaning you can choose when to have eyelid surgery, the answer to this situation is simply schedule your eyelid surgery so you give your lungs the appropriate time to recover in advance of the elective surgery.

How Eyelid Surgery and Quitting Smoking Can Expand Your Options

Eyelid surgery can improve your confidence, aesthetic message, and the way people interact with you.  This newfound confidence and other benefits will broaden your ability to engage in life.

Quitting smoking empowers you by improving your health, helping you to look better and live longer, and boosting your self-esteem by overcoming an destructive addiction.  Even if you are a light smoker or new smoker, the damaging impacts of smoking lead us to encourage you to quit.  By quitting smoking you will be taking one of the most positive steps you can take for your health and the health of your loved ones.  Quitting smoking is one of the best things you can do for yourself.  Yes, it is more important than any cosmetic surgery we can perform for you.  We urge you to find a way to quit that works for you.

If you’ve decided to quit smoking, congratulations!  We wholeheartedly support you.  Quitting is not easy (otherwise nobody would smoke), but there are resources available to help you quit.  Your internist, family doctor, or gynecologist can often assist you with medical resources for smoking cessation. The State of California has a website of resources to assist and encourage you: www.tobaccofreeca.com

Consult with an Expert in Cosmetic Treatment

We advise you to consult with a cosmetic surgeon who specializes in eyelid surgery and complimentary treatments with natural, balanced results that are tailored to your individual needs.  Dr. Steinsapir is such a cosmetic surgeon in Los Angeles who is esteemed as one of the top cosmetic surgeons in California and beyond.  He specializes in minimally invasive eyelid surgery and other cosmetic procedures that offer fast healing time and can be customized to your unique situation.  If you are a smoker with eyelid concerns, we invite you to a no-risk consultation with Dr. Steinsapir today.  He can discuss both your short-term and long-term treatment options, and help you find an aesthetic solution to meet your goals.  Please contact us to learn more about Dr. Steinsapir’s quality treatment plans.

September 9, 2010

What Is the Best Facelift?

Are you ready for your facelift?  Consider how a facelift in Los Angeles with one of the top cosmetic surgeons in California can help you improve your appearance.  As the single most powerful facial cosmetic surgery today, a facelift is a beneficial treatment for those with neck cords, deep facial lines, fatty deposits, and sagging features.  With so many providers and procedures today, it can be a challenge to decide what facelift and what surgeon is right for you.  As you research your options, you will probably find yourself asking, “What is the best facelift?”

Facelift Before and After Photo

Facelift Before and After Photo

We’d like to modify this question slightly.  What you should be asking is, “What is the best facelift for me?”  What many people do not realize when they see pictures of someone else’s fantastic facelift results is that the name of the specific surgery type is less important than the skill and customization that was put into it.  The best facelift is always one that has been planned specifically for your features.  This means that for ideal results your doctor cannot simply pull out a blueprint in order to give you natural facelift results.  Rather, your facial cosmetic surgeon will need to individualize the most suitable options to your unique features and goals.

Finding the Right Facelift for You

You may be surprised to hear that a top surgeon with specialization in facelifts and the needed education and skill set can create impressive results with just about any facelift method.   Types of facelifts include the deep plane lift, the endoscopic facelift, the MACS lift, the superficial musculoaponeurotic system (SMAS) facelift, the S-lift, the short scar facelift, and more.  If your surgeon is reputable and specializes in facial cosmetic procedures that emphasize balanced features and natural results, he or she can customize most any of these surgeries on a case-by-case basis.

Your cosmetic surgeon will consider which options best meet your needs and then tailor the facelift for your features and goals.  He or she will discuss with you the possibilities and also consider which methods are safest.  For example, the deep plane facelift can create excellent results, but the risk of facelift complications are slightly elevated with this procedure.  Although overall it is still safe, in most cases there is a safe facelift approach that can improve your facial appearance just as well.  Something you should avoid are the so-called facelift creams and home remedies.  The naming of these products is misleading because they do not employ facelift techniques at all, and chances are you are being quacked.  Feel free to test however many expensive creams you like, but don’t be too disappointed if you find their claims are exaggerated.

Finding the Right Surgeon for You

Your cosmetic surgeon can help you determine whether you are a candidate for the facelift or a different cosmetic procedure like BOTOX, and he or she can help you achieve your desired look by designing a facelift that is unique for you.  This will yield the most natural results.  Make sure that you seek a reputable facial cosmetic surgeon who specializes in facelifts.  Rather than opting for the “blue plate special” and seeking many cosmetic surgeries at once, choose a doctor who emphasizes facial balance and who can understand the best way your facial features can compliment each other.

Please consider a no-risk consultation with Dr. Kenneth D. Steinsapir, M.D., a facelift surgeon based in the Beverly Hills and Los Angeles area.  Dr. Steinsapir’s practice focuses on cosmetic facial procedures that help you achieve a natural, balanced appearance for your personal features.  In fact, he has been a leader in minimally invasive and small-incision facelifts for more than 20 years.  When you need experience and results you can count on, consider how Dr. Steinsapir’s prestigious educational background, forward-thinking and science-based practice, and trustworthy character can help.  Contact us today to learn more about the best facelift for you.

September 8, 2010

How do fillers improve my dark circles?

Dark circles under they eye are a common problem that can affect people of all ages.  Effective treatment must address the root cause of the problem, which is why putting on makeup or a face cream does not resolve the issue.  If you are dissatisfied with your appearance because of under eye hollows that give you a tired, haggard, or sunken appearance, consider how an under eye filler like Restylane can improve your image.

Under Eye Restylane Before and After Photo

Under Eye Restylane Before and After Photo

What is the root problem of my dark circles?

While a number of factors contribute to the dark circles under the eyes, lack of soft tissue volume is one of the most important factors.  What we observe here is a deficiency of subcutaneous fat including the fat just underneath our skin.  Just as too much fat is not attractive or good for our health, neither is too little fat.  As we age, many people find that they have problems with fat distribution over the body, having too much in some areas and too little in others, such as the area around the eyes.

With under eye circles, the concern is deflation of the malar fat pad, which composes much of the cheek soft tissue.  This can happen because of gravity, stress, age, or even our genetic tendency.  Skin optics also contributes to the darkness we associate with the dark circle.  The lower eyelid skin is very thin and immediately lined by a flat muscle just under the skin called the orbicularis oculi muscle.  This muscle helps close the eye and also contributes to the smile lines.  The muscle is dark red.  Light that passes through the skin strikes this dark muscle where the light is absorbed.  With little light bouncing back into the skin, this skin appears dark.  In comparison the skin of the cheek just adjacent to the thin eyelid skin has a layer of yellow fat immediately under the skin.  Light passing into the skin a this point strikes the yellow fat and instead of being adsorbed, it reflects off of the fat helping the overlying skin look lighter.  Dark concealers generally contain reflective material such as mica to increase skin reflectivity or are opaque to block the absorption of light at the skin surface.  Unfortunately these products do not eliminate the shadowing that occurs here because of the lack of volume.

Dark circle treatment that works is available through the midface lift, a surgery that corrects the shift in fat distribution, and also through under eye Restylane, a facial filler that restores the tissue deficiency under the eye.

How do fillers resolve the key issue?

Fillers can resolve the deficiency by taking the place of the fat volume that is supposed to be there.   This corrects the hollowed area by addressing the lack of volume and improving the way that light interacts with the tissue in this area.  We have found that Restylane filler is the most suitable filler here because it is safe and does not tend to clump or migrate.  Since there is so little fat here and the skin is thin, there isn’t tissue for the filler to “hide” behind, which is why it’s so important to choose the right filler.   It is also why it is so important to choose the right cosmetic surgeon to perform your service.

Restylane for under eye bags can be modified with the injection of hyaluronidase, an enzyme that breaks down hyaluronic acids including Restylane.  This means that if you have a lump or a bump that needs to be adjusted after initial treatment there is a mechanism to permit this adjustment.

How can I find out if filler will help me?

You need a consultation with physician considered one of the top practitioners in correcting dark circles and other cosmetic facial and eye concerns.  Dr. Steinsapir is one of the best cosmetic surgeons in Los Angeles, and he specializes in minimally invasive techniques to enhance your features through natural results.  His practice is one of the few in the world that makes eye hollow treatment a major focus of practice.  To learn more about Dr. Steinsapir’s prestigious educational and experienced background, as well as how safe treatment with under eye Restylane can help you achieve your desired look, contact us today for a no-risk consultation.