If you responded yes to the previous question, please select N/A. If you responded no to previous question, are you willing to have a negative pregnancy test prior to each injection and agree to practice a medically acceptable method of birth control (oral, implantable, injectable, or transdermal contraceptive, total abstinence, IUD, or condoms)?

Do you wear glasses or contacts?

Do you have a history of any severe chronic diseases such as diabetes, congestive heart failure, severe kidney disease, or severe liver disease?

Do you have a history of any connective tissue diseases such as rheumatoid arthritis, scleroderma, systemic lupus?

Have you had tissue grafting or tissue augmentation with silicone or other permanent dermal filler on the face?

Have you had tissue augmentation with semi-permanent dermal filler on the face in the last 24 months?

Have you had injections with bioresorbable facial dermal filler made with hyaluronic acid, collagen, or autologous fat in the last 12 months?

Have you had any procedures in the face, neck, or mouth using laser, neuromodulator injections, mesotherapy, radiofrequency, dermabrasion, chemical peels, or use of prescription strength topical retinoids in the last 6 months?

Have you had botulinum toxin injections (Botox, Dysport, Xeomin, Daxxify, Jeuveau) in the lower face area in the last 6 months?

Have you had any oral or maxillofacial surgery (craniofacial surgery, reconstructive therapy, implants, or dentoalveolar surgery) in the last 12 months?

Have you had any type of lower face surgery at any time?

Are you currently receiving, or have you received oral or injectable corticosteroids, immunosuppressants or chemotherapy in the last 3 months?