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hi everyone Im Dr Amir Karem board certified facial plastic surgeon and founder and creator of care MDs skin I specialize in facial Rejuvenation which basically means I help people look as young as they feel and today were going to talk about a very interesting and important topic and that is how to best use fillers to manage your aging process and along that what to avoid that could get you into a lot of trouble they could actually potentially make you look older and actually deformed so stay with me I think after all this youll see where fillers exist in the toolbox and where they do not and before we get into that lets break down facial aging so that you can understand where volume AKA fillers fit into that spectrum and what type of tool it can be used for all right folks so heres heres how it goes think about aging in a very simple way as having three basic components on one hand you have skin aging so whats happening there youre basically getting fine lines and wrinkles