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Don't go to Dr. Rivers in Vancouverand do not get laser treatments done (fraxel repair is a huge mistake). Leave it as a last resort. I have had substantial fat loss from it and I have very thick skin and naturally chubby cheeks so I can imagine how much worse it will be for someone with a thinner face and thinner skin. I suggest getting needling done and subcision and fillers before doing some end treatment (maybe a peel). Lisa Lam at Biotouchis also someone I have seen in Vancouver for needling purposes and she was quite helpful. I just couldn't afford to keep flying down to Vancouver.