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Everything is cash pay

Some patients turn to compounded versions for affordability

I would trust Mandie PAULA LEVITAN I have always been nervous about fillers, but at 43 years young, after loosing significant weight, my face has lost fullness and I am seeing much drooping around my mouth, plus far less definition in my jawline causing sagging around my chin

While one trial did show VAX-D to be more effective than TENS, concerns about study design, limited generalizability, and safety risks have kept it from being widely accepted as a standard treatment (Aetna Clinical Policy Bulletins, 2025)

More recent studies expanded this work