velofel into your office and they're asking hey guess what I'm interested in this procedure but I'm kind of nervous to have something injected down there how does that conversation go and what's kind of the kind of the safety record for off-label use for the product so I tell them about that I discussed the safety studies that have been done for the FDA on the face longevity computation rates those kind of things is the same set of complications that you could have with any treatment or fillers so the most common are swelling bruising very very low likelihood of nodule formation the door is kind of thing if you have the discussion I also go through with every patient I have a chart of the