The Benefits of Botox | What Botox Can Do For You!

Tired of frown lines and wrinkles making you look older and angry? You’re not alone. Crow’s feet and frown lines are the cause of discontent among many of our patients.

And the bad news is that as we age, we will all develop wrinkles. As we get older, our skin becomes less elastic. That means that if you pinch your cheek or the skin on your hand, it will take longer for that skin to return to place than during your younger years.

Aging also makes your skin drier and thinner. In turn, this makes it harder for your skin to protect itself against damage. This is when wrinkles start to appear. While wrinkles are a natural part of the aging process, they can also be caused by smoking, dehydration, a variety of medications and of course, sun damage.

The good news is that there is a fast and easy solution to combating wrinkles; “Botox Injections”.

What is Botox?

The word ‘Botox’ is short for botulinum toxin, which is derived from bacteria called Clostridium botulinum.

One of the most common questions we get asked here at Jacksonville Cosmetic Surgery Center is, “Is Botox safe”? While we strongly suggest that Botox should be dispensed by a trained, reputable professional, we can say that when administered correctly, that yes, Botox Injections are quite safe. In fact Botox Injections are approved by the U.S. Food and Drug Administration and have been classified as safe for use in treating wrinkles on adults under the age of 65.

Botox Injections are administered in a variety of locations; from cosmetic surgery centers, doctor’s office, spas and hair salons, and even at “Botox parties”. At Jacksonville Cosmetic Surgery Center, Botox injection are administered by Dr. Nezami himself and our trained nurse practitioner.  Be sure to visit our Botox Injections Before and After Photo Gallery.

So, what can Botox do for me?

Botox Before and After PhotosWhen injected into the muscle, Botox (or botulinum toxin) temporarily freezes and paralyzes the facial muscles, which aids in wrinkle elimination. In a nutshell, Botox Injections can help you achieve the smooth and rejuvenated complexion you’ve always dreamed of.

At Jacksonville Cosmetic Surgery we typically use 33 units of Botox to treat the forehead area, frown lines and around the eyes. Botox can also be used to contour eyebrows into a more pleasing shape.

Interestingly, excessive sweating can be treated with Botox. Botox is simply injected into the sweat glands by a trained physician. This temporarily paralyzes the glands and reduces perspiration. Botox injections are also used to treat certain type of an headaches.

While some patients experience slight discomfort during Botox Injections (which can be alleviated with local anesthetic cream), it is one of the most comfortable procedures for rejuvenating the face and looking younger. You can return to your regular life almost immediately. Common side effects include headaches, nausea, bruising, flu-like symptoms, redness and temporary tenderness.

How long does Botox last?

It takes around a week for the full effect of Botox Injections to appear. After this, the result will last for around three to four months, at which point the wrinkles will begin reappearing.

To find out more about Botox injections, visit the Botox section of our web site. Dr. Nezami is a licensed and Board Certified Plastic Surgeon who provides a variety of plastic Surgery and Cosmetic Treatments at his practice; Jacksonville Cosmetic Surgery Center. Be sure to explore all of our treatments and procedures.

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Best Plastic Surgeon, How to use search engine to find expert plastic surgeon?

Best Plastic Surgeon, How to use search engine to find expert plastic surgeon?  A Jacksonville Cosmetic Surgery Blog

These days, most people are using the Internet find the services they need the most. When it comes time to find a board certified plastic surgeon, Google serves as the top source for finding what your need. Google makes it simple to find a board certified plastic surgeon to provide you with tummy tuck,  facelift, breast lift and more. Finding the best board certified plastic surgeon using Google does require effort, however, since you need to learn how to use the search engine in an intelligent manner.

What is a Search Engine?

A search engine is a search tool that produces the best results for your inquiry. Since there are billions of websites out there, many of which are unknown, having the Google search engine is a very valuable tool in finding the best website. Most people will not go past the first two pages of a search engine; however, results that are shown in the first  page of the search engine  have used  Search Engine Optimization (SEO) techniques in the best possible manner. SEO requires carefully constructed content and keywords to be put together with a friendly website. It also requires regular attention and detail to SEO in order to stay on one of the top pages of the search engine.  The better the optimization is on a website, the higher it will rank within the Google search engine.SEO, or

The search engine results are based solely on optimization, since Google isn’t familiar with any surgeon or the skills that he has. It is up to the consumer to use the information that Google has provided to find the best board certified surgeon based upon the information that Google has already offered.  Take a look at these four tips that will help you a great deal when trying to find the best board certified surgeon.

Tip One: Look at the photos.

As they say, pictures speak a thousand words. When you see a website that is within the top results, looking at the photos will help you determine whether or not the surgeon is reputable and worth your while.  You should look at both the before and after photos offered at the surgeon’s gallery, not only at the procedure that you are considering but at all the photos. It is a good idea that you look at several different websites results to determine which offers the best results. If you do not like what you see, continue on with your search. To be able to adequately compare before and after photos, they should be taken the same distance from the camera and under the same lighting. As an example, a liposuction after photo taken further away from the camera than the before photo cannot be compared, since the photo taken with the subject further away from the camera will be smaller even without liposuction.

Tip Two:  Research the Testimonials

The testimonials page is also useful in helping you find the best plastic surgeon for your needs. Once you have narrowed down the selection based upon the photo gallery you’ve viewed,  a visit to the testimonials page can help you find out what other people have to say about the surgeon. If a patient has enjoyed the results that the surgeon has provided, as well as the overall experience, you will be able to make this determination from reading the information that is posted here on this page. The testimonials page will share with you a great deal of information about the surgeon, including how they were treated by the staff, the cleanliness of the facility, the procedure itself and much more.

Tip Three:  Read the Biography

Another important piece of information found on the plastic surgeon’s website is the biography. The biography page gives you in-depth information about the plastic surgeon, including where he went to school, his specializations (if there are any,) his years’ of experience and other vital information, such as where the surgeon is certified from. You want to find a plastic surgeon who holds board certification from the American Board of Plastic Surgery, the only major specialty cosmetic surgery board recognized by the American Board of Medical Specialties and is a member of  the American Society of Plastic Surgeons (ASPS) and the  American Society for Aesthetic Plastic Surgery (ASAPS).

Tip Four: Use Google for Research

Once you have reviewed all of the information above and narrowed down your selection, it is now time to put Google to work. Type the name of the surgeon into the search engine, along with the city and state that the surgeon is practicing in. You will be able to find even more information on that surgeon when this is done. You can find patient reviews, comments, and a number of other important details.

This information will make it far simpler to choose the best board certified plastic surgeon for you.

For more information,  links to more than 30 different sites, details of surgeries and hundreds before and after photos visit www.ahnezami.com.

To schedule your complimentary consultation call us at (904) 399 5061 or email us at ahnezami@ol.com

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Learn about Botox injection and Botox pricing.

Over time, most of us develop furrows and wrinkles on our forehead and between our eyebrows that gives us an angry look. The good news is that there is a simple and very effective treatment for it. Botox injections have been administrated safely for more than ten years. Botox injections weaken the muscles causing the wrinkles to soften or disappear.

In our Jacksonville Cosmetic Surgery Center, Dr. Nezami carefully evaluates the facial muscles that need to be treated and he develops a specific program for the patient. Each patient has his or her own chart and a Botox injection sheet where the exact point of injections and number of units is carefully recorded. The results obtained and adjustments needed are carefully written down on patient’s chart. The exact charting is essential to refer to in obtaining the same excellent result each time. In our Jacksonville Cosmetic Surgery Center, we are interested in maintaining a long term relationship with our patients by providing excellent result.

Dr. Nezami performs the Botox injection himself. The procedure takes 15 minutes. The Botox injection does not need anesthesia or sedation. The discomfort is minimal. The effect of the Botox injection is visible 4-7 days after injection and it will last 3 to 4 months.  In order to prevent bruising, we ask our patients to avoid taking aspirin, ibuprofen or any anti-inflammatory medication 10 days before their Botox injection.

To read more about Botox injection visit : www.ahnezami.com/Jacksonville-Face-Lift/Jacksonville-Botox and our Botox blogs.

To see additional before and after photo, visit our Botox gallery.

Cost of Botox Injection: In  Jacksonville market the price of Botox is quoted between $8.00 to $16.00 per unit. In order to make an informed decision and adequate comparison patients need to ask the following questions:

• Who performs the injection: a Board certified Plastic Surgeon, a nurse practitioner, physician assistant, or other specialty physician.

• How many units are injected?

• Dilution of botulinum toxin A with normal saline is an important factor in the pricing of Botox injections. Too much dilution will reduce the concentration of the product and the effects will be more spread out and could affect other muscles.

For more questions call (904) 399 5061.

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Increasing Botox Effect And Duration With Zinc

Written by A.H. Nezami, MD.,  director and founder of Jacksonville Cosmetic Surgery Center.

Botox Cosmetic injection has become more popular, with more patients taking advantage of this easy way to reduce wrinkles on the forehead, crow’s feet and between the eyebrows or to reduce sweating under the armpit. Botox has thousands of other non-cosmetic uses as well.   We previously wrote on our blog: Curious about Botox? Jacksonville’s Dr. A.H. Nezami Explains All You Need to Know. and Botox Injections: How to benefit the most and have the best result. We encourage readers to refer to those blogs for additional information.
The effect of Botox cosmetic injection appears quickly within 3 to 7 days. Repeated treatment is needed to maintain the benefits of Botox cosmetic, typically within 3 to 4 months.
Botox needs zinc to work properly. Knowing this fact, Oculoplastic surgeon, Dr. Charles Soparkar and his team in a pilot clinical study compared the effectiveness of Botulinum Toxin injections (Botox, Myobloc, or Dysport) with either zinc citrate 50 mg plus phytase 3,000 PU, zinc gluconate 10 mg, or placebo supplementation in individuals being treated for blepharospasm, hemifacial spasm, and cosmetic wrinkles. “Surprisingly, the results showed that in over ninety percent of the patients studied, the zinc/phytase combination resulted in a remarkable improved responsiveness to treatment of blepharospasm using the same amount of Botulinum toxin as previously used,” said Soparkar, M.D. “The toxins seemed to have greater effect and last longer. Potentially, this could mean using less toxin, offering patients financial savings, greater safety, and more consistent results.” This study was recently published: Effect of dietary zinc and phytase supplementation on botulinum toxin treatments. J Drugs Dermatology 2012 Apr 1; 11(4):507-12.
ZYTAZE™ is a prescription nutritional supplement manufactured by OCuSOFT.    Each capsule contains Zinc Citrate 25 mg and Phytase 1500 mg.  ”Two capsules daily for four days prior to and on the day of receiving botulinum toxin injections.  Each prescription package contains 10 capsules. ZYTAZE™ may be taken during meals or snacks, but avoid taking ZYTAZE™ within two hours of other medications and / or supplements.    ZYTAZE™ is a medical food and is intended to be used under the supervision of a physician.” For answers to frequently asked questions and more information about the product, please visit http://www.zytaze.com/faq
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Botox Injections: How to benefit the most and have the best result.

Botox injection has become one of the most popular non-surgical cosmetic procedures. Botox injection has no downtime, the effect can be seen in 4 to 7 days and is relatively painless. Botox is primarily used on frown lines, crow’s feet, laugh lines, forehead lines and pebble chin or to reduce sweating under armpits. It can be also used to decrease teeth grinding and the volume of the masseter muscle. The muscles under the skin contract when we frown, laugh or worry causing wrinkles. Botox injection temporarily weakens the muscles and thereby reduces the wrinkles and also decrease or stop the sweating by seat glands where injected.

In today’s market one can have a Botox injection in a variety of places: medical practices of all types from family practice to gynecologist, dentist, dermatologist and plastic surgery, etc.. In addition, many spas, private homes in form of Botox parties’ inviting a nurse practitioner or a doctor offering Botox injections.

To benefit the most from your Botox injection you need to pay attention to the following:

· The expertise, experience and an eye for perfection of the person injecting the Botulinum toxin A are important. Botox injection by itself is a simple procedure, but to identify exactly what muscles and how many units to inject  or how deep to inject requires expertise and experience . Lack of accurate injection might result in droopy eyebrows, eyelids or an unnatural facial expression of surprised look.

· There is no “standard Botox injection” for everybody, it should be individualize for each person according to their need and strength of each muscle and anatomy of each patient. To have the best and consistent result from Botox injection, it is important that an accurate and precise chart is made for the patient recording the exact location of each injection and the amount injected, so that the plastic surgeon has an accurate guideline to adjust and improve the result for the next time or to obtain the same result.

· It might not be a good idea to go to different places for each injection every three to four months based on the lowest cost. The cost might be slightly less but it is unlikely that you can expect the optimal result or the same result each time.

· Allergan is the manufacturer of Botox Cosmetic which is shipped refrigerated to the physician’s office in the form of powder in a vacuum sealed vial. This powder is diluted in saline (salted water) in the physician’s office. The degree that the Botox is diluted and how many units are injected in each area is important. If more saline is added to the vial of Botox powder, the Botox is more diluted and for the same amount of injection less unit is injected, therefore the effect on the muscle is less effective.

· In our Jacksonville Cosmetic Surgery Center, Dr. A.H. Nezami, Board Certified Plastic Surgeon himself does the Botox injections. Our goal is to obtain consistently the best possible and the longest lasting result.  According to Allergan representative, Dr. Nezami has the highest patient retention rate in the state of Florida. Each patient has his or her own chart accurately documented the exact location and the number on units of Botox injected at each site. In our Jacksonville Cosmetic Surgery Center we dilute 1vial of powder in 1 ml of saline to have more concentrated product for more precise effect in the area injected.  We work with Allergan rebate program; the rebate ranges from $25.00 to $75.00, In addition we offer $100.00 off for our first time Botox user. To see the cost break down at Jacksonville Cosmetic Surgery Center click: http://www.ahnezami.com/botox-injections-jacksonville.

· To see before and after photo gallery  click: http://www.ahnezami.com/photo-botox

· To read more about Botox injections or other procedures offered at Jacksonville Cosmetic Surgery Center, visit or click:  http://www.jacksonvillecosmeticsurgerycenter.com/.

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Your First Visit To A Plastic Surgeon’s Office: What you should know, what to expect and what questions to ask.

Written by Jacksonville Cosmetic Surgery Center

Based on the past 31 years experience in Jacksonville, our analysis of what the patients need to know during their first visit with their cosmetic surgeon is summarized in this blog.  In our future blogs we will walk you through important things that should be covered in your pre-operative visit, surgery and follow-ups for each cosmetic procedure.

Patients that do their homework before coming to a cosmetic surgeon’s office usually   benefit the most from their consultation with their cosmetic surgeon. They already know the relevant questions to ask, in addition to the questions typical to their own particular case.

When you walk into a plastic surgeon’s office, you will be ask to complete a patient information form and tell about your health and past medical and surgical history and your current medications. However, there are little nuances that can tell you something about the type of practice. The setting of the office is relevant; you can assess if you feel more of an atmosphere of a business office or a private plastic surgery practice. How you are first greeted and invited to the examining room will be an indication of the quality of the staff and the type of service that you can expect after your surgery.

Remember the purpose of your first visit is not only to learn about your procedure of interest and whether or not you are the right candidate for the procedure.  Also at this time you will be able to assess your plastic surgeon to see if you feel comfortable with him or her. Thus you must meet the doctor and speak at length with him and not the patient coordinator. Remember cosmetic surgery is an elective surgery; you should be absolutely comfortable with the selection of your plastic surgeon.  The surgeon should first ask you about your area of concern and the improvement that you are seeking, then a complete and detailed examination  must be done to assess your area of concern. The surgeon then should explain the procedure that is best suited for you to obtain the best possible and most natural result. The surgeon should explain to you the procedure, possible complication and expected result and not only what you like to hear, in order to close the sale.  He should show you some before and after photo. The photos are very important to assess the quality of his work. It is helpful to know the number of  complications if any the surgeon has had in the past, and to know how much experience the surgeon has had with your procedure of interest.

Your first consultation is your only opportunity to assess your surgeon. You will have a good feeling if your doctor is taking enough time to answer all of your questions. Is he explaining all the pros and cons of the surgery, does he appear to you as a meticulous and detail oriented surgeon?  Are you rushed through your consultation?  Remember there are no questions that you should feel intimidated to ask. Cosmetic surgery is an elective surgery and you are entitled to know everything that you feel you need in order to make your decision.

The next step is the charge of your surgery. All the charges should be clearly explained and given to you in a written form. It is best not to have any surprises at the time of surgery or afterward.

Cosmetic surgery is not only a surgical technique; it is an art, a very precise art. Every detail is very important and should not be rushed. It is also a surgery and should be done the safest possible way in an accredited facility that has easy access to a major hospital.

Surgery is an irreversible procedure and the attempt to correct it is costly. It is in your best interest to take your time and find the right plastic surgeon with years of practice and  experience.

It is wise to select a plastic surgeon that is board certified by American Board of Plastic Surgery and not a cosmetic surgeon who may be board certified in different specialty. There are other type of physicians that practice as “cosmetic surgeon” and even advertise as “board certified”, but they are certified for different specialty such as family practice, dermatology, dentistry and oral surgery and not plastic surgery

If you have any questions regarding the topic covered in this blog, please call Jacksonville Cosmetic Surgery Center at 904-399 5061.

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Dr. A.H. Nezami, Simply the Best Cosmetic Surgeon

A.H. Nezami, MD

An article written by Jamie Lober, photography by Mario Peralta in the January/February 2011 issue of Jacksonville Luxury Living magazine.

Dr. A.H. Nezami of Jacksonville Cosmetic Surgery Center is catching the eyes of women nationwide through his stellar website filled with natural looking results.

After being schooled at the Paris School of Medicine, Nezami came to the United States to complete his residency under the two founders of plastic surgery in Jacksonville, Drs. Morgan and Kaye. Morgan was so impressed with Nezami’s work that he asked him to join his practice. And when Kaye retired, he trusted all of his patients to Nezami. “He thought this was a good opportunity, and when we fell in love with Jacksonville, we decided to stay here and practice here permanently,” said Homa Nezami, the doctor’s wife and office manager.

Now in practice for 30 years as one of the most respected plastic surgeons, Nezami always saw the day coming that he would enhance breasts, bodies, faces and skin. Since he was young, he enjoyed building things and doing delicate work with his hands. When asked how his practice is set apart from the rest, the answer was quite simple. “It is just me [the physician] that makes us stand out,” said Nezami. He is in the office almost every day and takes credit for all of the results. Though he said there are little tricks to the trade, he chose not to reveal them and explained that you have to have an eye for it. “You cannot teach plastic surgery to somebody overnight,” he said.

The best possible results are achieved by this talented doctor tailoring the procedure to the patient in the safest way possible — and being connected to the hospital adds an additional sense of safety and security for patients. The idea is not just for the patient to select the procedure, but also for the plastic surgeon to select the patient. Patients are not always suitable for the procedure and may have the wrong expectations. “We make sure the patient really needs and wants it, that it is the proper procedure, and then we get the result they want,” said Nezami.

Nezami prides himself on taking care of the patient from beginning to end. He does not use patient coordinators or physician assistants. “I think patients come to see me because of the result they saw I obtained, not because of my physician assistant or nurse,” said Nezami. Though he describes his staff as well-trained and able to handle a lot, Nezami rarely even leaves sutures to his nurse. “Patients want me to do it; otherwise, they would have gone to somebody else,” he said.

Patients are empowered with knowledge — they first come to the doctor for a consultation, which can take up to an hour, to talk about what they want to have done. Dr. Nezami then examines the area and explains what their options are for improvement. He shares pictures of patients before and after their procedures, and uses drawings to explain how the procedure is done. For example, for a prospective patient seeking breast enlargement, they would see the implants, be made aware of possible complications, and understand when they can expect to look good and be ready to go back to work. A second appointment is scheduled before surgery to see if the patient is prepared, needs any additional tests and to get remaining questions answered. “I want them to know how to take care of themselves before, during and after surgery and what to expect so they come in relaxed and know everything that is going to happen.”

The journey to self-improvement is embarked upon in an extremely comforting environment. “Our staff are caring, understanding and treat all patients as if they are family,” said Nezami. Nobody feels rushed, and when patients fill out comment cards to thank Nezami for taking care of them, they often mention his considerate staff as well.

Often patients have been bothered by a physical defect for a long time, then breathe a sigh of relief after seeing the improvement surgery brings. Nezami does not discriminate but especially likes when he feels the patient already looks good and is just improving upon that. “Anyone who wants to look better and has realistic expectations should come in,” said Nezami.

More often than not, Nezami’s results surpass the patient’s expectations, likely due to his personal care and attention to detail. He has been witness to many transformations as a result of his magical hands and powerful tools. “After a face-lift, patients’ attitudes change — they dress nicer, take care of their hair and face, and almost look like a different person because they see that improvement,” said Nezami. Every body part is enhanced with customized special care. “For breast augmentation, we see patients that come in with their shoulders down looking like they want to hide their small breasts, but once we have done surgery, they walk proud.”

The best plastic surgery is the kind that is unrecognizable, according to Nezami. “You want people to tell the patient that they look good, younger, more proportionate and refreshed,” he said. It comes down to knowing where to pull and how much, what the limits are, where to put the incisions and what to do underneath the skin so the face looks more natural — or how to select the proper size and shape of the breast implant so it goes with the patient’s body.

Nezami’s confidence is booming as he shares that he has never had complications, which usually go along with the territory. “They say if you do enough surgeries, you get complications, but I do not think that is true for me,” he said.

The best part of his job is he can make it seem that he has never had to work a day in his life. “I think my job is not really a job, it is a pleasure,” said the doctor. His results keep him going strong in what he calls an art in human dimensions. He loves that the patients are happy. “They do not have a disease or anything they have to take care of, they are just trying to improve.” In comparing himself to other doctors, Nezami likes his place. “When I have excellent results and happy patients, that makes me happy too.”

Patients look and feel better, have improved self-esteem, and are happier overall because of his expertise and compassion. Nezami is unique in the sense that he follows up with patients, which he said is unusual for a plastic surgeon. Patients who have breast enlargement are checked annually for problems or anything that can be detected early. Often, happy patients will come back for additional procedures or refer their friends. “A good percentage of the people of Jacksonville are in my population already,” said Nezami.

Aside from getting a consultation to learn more, Nezami recommends sun protection. “The sun does a lot of damage to skin, so you should put on sunblock half an hour before you go outside and not just wear a shield on your face.” If you have been contemplating a procedure and are looking for the right person to turn to, look no further than Dr. A.H. Nezami.

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Curious about Botox? Jacksonville’s Dr. A.H. Nezami Explains All You Need to Know.

Jacksonville Botox Blog Provided by A.H. Nezami, MD.  of Jacksonville Cosmetic Surgery Center, PA.

Botox is a product called Botulinum toxin, when injected into the muscle reduces the muscle’s activities that cause crease lines. The product is shipped refrigerated to the physician’s office in form of powder. The vial of Botox contain 100 units, the powder is dissolved in saline solution. In our Jacksonville Cosmetic Surgery Center practice, we dissolve 1 vial of Botox in 1 cc of saline. This concentrated solution makes 100 units of Botox. If more saline is added to the vial of powder Botox for reconstitution, the Botox is more diluted and the effect on the muscle is less for the same amount of cc. injected, or if more cc injected then the effect could be more spread out to the adjacent muscle that we do not want to affect. After the injection patient will see relaxation of the muscles and a reduction of wrinkles in 4 to 5 days.  The effect of Botox injection will typically last 3 to 4 months. Repeated injections of Botox, over time weaken the injected muscles. After Botox injection normal activity can be resumed immediately, no recovery time is needed.

Although any medical doctors specialized or not, dentists, physician assistants and nurse practitioners are authorized to administer Botox, to get better and more consistent result it is wise to have the injection done by a plastic surgeon who has experience in the technique and knowledge of the anatomy and function of the musculature and has also a sense of aesthetic result that you want to obtain. Remember Jacksonville, Botox injection is not like any other injection. The injection has to be in a correct location, appropriate depth, and adequate amount of concentrated Botox to achieve the best aesthetic and lasting result and prevent the appearance of frozen face. The physician should be able to assess the strength of the muscle in each patient in order to administer the correct amount of Botox. Otherwise the result may not last or if it is diluted it may spread and cause other muscle weakness like eyebrow or upper eyelid droopiness.

Read more »

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