>> MANY PEOPLE STRIVE TO LOOK BETTER. AND ONE OF THE MOST FREQUENTLY USED BRUTE BEAUTIFYING PRODUCTS IS FILLERS. THEY CAN HELP REJUVENATE THE SKIN, BUT THEY CAN ALSO PRODUCE SIDE EFFECTS ON OCCASION. SO THIS MORNING WE HAVE PLASTIC SURGEON DOCTOR MICHAEL KIM BACK IN THE STUDIO WITH US. GETTING US MORE ON WHAT SOME OF THESE COMPLICATIONS COULD BE IN SOME OF THE THINGS TO LOOK OUT FOR. GOOD TO SEE THAT PICK MORNING. BEFORE WE START, I WANT TO SHOW MY FAVORITE CHRISTMAS PRESENT. THESE ARE GETTING JENNIFER WOMEN GROWING AND IS YOUR SENSE OF HUMOR. AND JENNIFER'S, I LOVE I CAN'T SEE IT. IT'S DR. KIM'S FACE ALL OVER HIS SOCKS, IRAQ ALL OVER YOURSELF WITH CONAN. TELL US PEOPLE DON'T KNOW WHAT FILLERS ARE. WELL FILLERS ARE BASICALLY INJECTABLE ITEMS OR MATERIAL AND PUT IN OUR FACE. >> BODY TO IMPROVE. I AM. MAY CAUSE YOU MORE USEFUL LOOKS MORE FULLER FACING TODAY THEY'VE BEEN STARTED PULLING IN THE 70'S AND 80'S. WE USED TO USE COLLEGE AT A LOCAL GYM OWNER AND INTO EARLY 2, THOUSANDS, THE HARD CASTLE, WHICH IS A SUGAR JUVEDERM RESTYLANE VERSE. THERE'S A HAD BEEN VIOLENT. A MARKET IN EARLY 2002 1003, 2006 AT THE RESTON WAS THE FIRST ONE. SO THINK ABOUT 20 YEARS, HAS BEEN TO BECOME MORE AND MORE PUBLIC POPULAR. AND WORRIES ABOUT THE TOPIC UP IS BECAUSE MY WIFE SAID THAT THERE'S BEEN A AS GILLIAN TIKTOK INSTAGRAM. THE NEWS ABOUT FILLER PROBLEMS FOR THE MIGRATION. I THINK IT WAS 67 MILLION VIEWS ON MIGRATION OF FILLING OUT A LOAN. REALLY? SO WHAT DOES THAT MEAN? IS IT WHEN IT MOVES? SO AFTER INGESTION OF FILLER AND FACE, THERE'S A VERY SMALL CHANCE OF IT MOVING SO DYLAN MIGRATION, IT'S CALLED AND I'VE SEEN A COUPLE OF TIMES THAT NUMBER COMING. BASICALLY USUALLY THE MOST COMMON AREAS IN THE LIPS. OR UNDER THE EYES WHERE OVER TIME WE SUMMONS IT ACTUALLY MODES. AND USUALLY IT REDEVELOPS ALUM ABOVE THE LEFT. UNDER THE EYE WHERE YOU HAD DIDN'T HAVE BEFORE AND THE PATIENT COME IN AND SAY, YOU KNOW THIS TO THE MOVE COULD FEEL IT. SO PHILIP MIGRATION IS IS TRUE, BUT IT'S NUMBER CALM AS MUCH AS WE THINK WITH ALL THE INSTAGRAM TIKTOK VIDEOS. AND I THINK THAT IT'S A LITTLE BIT SKEWED. SO IF PEOPLE ARE WORRIED ABOUT IMMIGRATION, IT'S REALLY NOT VERY COMMON. AS LONG AS IT'S DONE BY A GOOD FILLER INJECTOR SO AS SAY, IT'S IMPORTANT TO GO TO. SO IT IS GOOD REPUTABLE AND IS AVAILABLE. SO IF YOU HAVE A FULL ON FRIDAY AND SOMETHING HAPPENS ON SATURDAY WHEN THE CALL SURE I SEE SOME TIME PATIENTS HAVE MAJOR PROBLEMS BECAUSE YOU HAVE AN AND THERE'S NO ONE TO CALL. WELL, YEAH, THERE'S PARTY LOUNGE. WHATEVER. SO I THINK IT'S REALLY AVAILABILITY OF THE PERSON THAT THERE'S A PALM IS VERY IMPORTANT. >> IF IT MIGRATES, YOU CAN FIX IT. I'M ASSUMING OR YOU YOU KNOW, GET MOSTLY FILLERS THAT WE USE OUR HOLLER CAST. THERE ARE OTHERS. >> THEY'RE A SEMI PERMANENT. THEY CAN BE DISSOLVED. BUT THE MOST COMMON REST IN JUPITER, THE ONES THEY COULD BE REVERSED. SO WE HAVE A ENZYME CALLED HOW DAYS THAT CAN DISSOLVE IT. OKAY, IN A MATTER OF DAYS. SO IT JUST FLATTEN OUT OKAY AND FIND ONE AND MORE COMMON REASONS. WE OVERDO IT. A SAY SO IN WINTERFELL IS IN THE EYES AND IT'S JUST TOO MUCH. YEAH. ARE YOU SEE THOSE GOT CLIPS RIGHT SOMETHING RIGHT THERE. SO PEOPLE DO. BUT SO THE GOOD THING ABOUT WHAT WHY I LIKE HA FILLERS ARE HIGH, LIKE I SUPPOSE THE BEST VERY SAFE REVERSIBLE. THE OTHER FILLERS OR GOODS. I'M NOT A BIG FAN BUT OF A WELL USED BY OTHER SURGEONS AND GOING COLLEGE, EXPAND KILLER INJECTORS, BUT A MORE WARY BECAUSE IF YOU HAVE A PROBLEM WITH A SEMI PERMANENT ONES LIKE SCULPTURE OR BUT VILLA FEEL RADIUS, THOSE CAN LAST A BIT LONGER. BUT IF YOU HAVE AN ISSUE HEART TO IT'S KIND OF ONE SHOT THERE. PART OF THE PUN. >> WHERE EXACTLY DO PEOPLE NORMALLY GET FILLERS AND WE HEAR ABOUT AROUND THE YOU KNOW, THE LINES HERE. I THINK THE MOST COMING YEARS, A LEFT-FOOT FILLER VYING FOR CHEEKS. THERE'S A LIVER FALLS HERE FOR THE WRINKLES. ONE OF THE STARTING TO GET A LITTLE BIT AGE. SURE. FIND THE MOST COMMON AREAS. THERE ARE A LOT OF OFF-LABEL AREAS THAT WE USE IT FOR PEOPLE USING FOR OR IN DIVOTS WITH THE NUMBER 11 IS IN THE FOREHEAD CHURCH OFFICE WHERE YOU LOOK TIRED ALL THE TIME. BUT THOSE OFF-LABEL AND A LITTLE BIT MORE HIGHER COMPLICATION PROBLEM. SO HAS SO IT IS VERY VERSED IN THE ABILITY TO INJECT. THESE ARE HOW LONG DO THE NORMAL FILLERS LAST USE? YOU SPOKE OF RADIUS AT LAST A LITTLE LONGER, BUT WHAT'S THE ARE SIMPLY BITTER. SO THE AVERAGE IS PART OF THE YEAR REALLY DEPENDS WHERE YOU PUT IT ON THE LIPS. I WAS JOKING, PATIENCE. YOU KNOW, WE TALK AND WE EACH OWE THE MOST A LOT 100 PIE LAST LONG, YOU KNOW, 6 MONTHS TO A YEAR FOR MOST HA FILLERS FOR AREAS THAT DON'T MOVE AS MUCH FOR THE CHEEKS, THE FOREHEAD LAST ONE TO 2 YEARS AND MAYBE LONGER. SO A LOT OF IT DEPENDS WHERE YOU PUT IT. HOW LONG LAST IS THAT BETTER THAN BOTOX OR THE USE OR CHANGELLY? SO BOTOX IS A IT'S A TOXIN PARALYZES THE MUSCLE TEMPORARILY WEAKENS IT. SO IF YOU HAVE A WRINKLE THAT COMES AND GOES LIKE TO CLOSE TO THE RIVER HERE IN THE FOREHEAD. WHERE IT MOVES AND MAKE SOME RADICAL. IT CAN BE IMPROVED BY RELAXING THE BUT IT DOESN'T FEEL AND HUMAN GOES RIGHT. SO WHEN A PATIENT COMES WITH A BIG WRINKLE BOTOX. WHEN WORK IS THE MUSCLES RELAX WHEN USUALLY THE CROWS FEET THE BOAT AREA FROM ALSO, WE HAVE THE REQUESTS FOR IT. VERY HELPFUL FOR THOSE 2. >> DO YOU HAVE ESPECIALLY GIVEN YOUR POSITION IN LEE COUNTY AND OVERSEEING PLASTIC SURGEON, THAT SORT OF THING DEAL CONCERNS ABOUT THE FACT THAT SO MANY PEOPLE ARE INJECTING VILLA. BULLS ARE FILLERS AND BOTOX AND THAT KIND OF THING. IT FEELS LIKE EVERY CORNER YOU CAN FIND SOMEBODY THAT'S DOING IT. >> I THINK A AND FORTUNE, YOU KNOW, DO WE DO HAVE A LITTLE BIT TIGHTER SCRUTINY ON WHO CAN INJECT IN OTHER STATES LIKE, FOR EXAMPLE, COLORADO, MY SISTER-IN-LAW USED TO WORK AND A NURSE CAN INJECT OKAY IN THE STATE OF FLORIDA BELIEVE THIS MOST EFFICIENT PA'S NURSE PRACTITIONERS ARE PHYSICIANS CAN INJECT SO IT'S A LITTLE BIT MORE SAFER, BUT STILL, WE DO SEE A LOT OF PEOPLE INJECTING NOTICE. MURRAY. I THINK IT'S REALLY A ARE MOVED ON BY MONTHS. YEAH, DRIVEN BY MONEY IS NOT OR I MEAN, SOME PEOPLE LOVE DOING FILLERS, BUT IT'S A MONEY BUSINESS. SO JUST BE CAREFUL WHO YOU GO TO MAKE SURE THEIR EXPERIENCE. YOU HAVE SOME BACKUP AVAILABLE. I SEE SO MANY PATIENTS OVER THE YEARS TO COME IN TO HAVE PROBLEMS THEY HAVE NOWHERE TO GO WHICH IS UNFORTUNATE. MY GOSH IS A MEDICAL PROCEDURE. SO MANY PEOPLE FORGET THAT IT'S NOT JUST FOR DUTY. >> DOCTOR KIM, THANK YOU SO MUCH. AS ALWAYS. AND WILL PUT INFORMATION ABOUT HOW YOU CAN GET IN TOUCH WITH DOCTOR KIM AS WELL AS HIS TEAM O