I've been going to Dr. Ricke for several years for my botox. The man is a pro - he is extremely knowledgeable about botox and fillers, etc. - and he takes the time to study your face, determine what is needed, share his suggestions with you, get your feedback, and then proceed. He is patient and he listens. He's been in the field many years. You can tell his focus is on giving you what you want --- not trying to sell you more procedures. He also takes steps to minimize any pain from the needles - and is supremely gifted in injecting the botox. The first time I got botox was from another medical clinic (a dermatologists office). They charged more, didn't take the time to freeze the part of my forehead before injecting it, and overdid it - causing me to get a bizarre lump on my forehead that really frightened me! I also get microderm and pore cleaning services from Suzie Savage. She is terrific. Her machine is a medical grade or more powerful model than ones found in regular aesthetician's offices so you get a more effective treatment. My skin always feels and looks fantastic after a session with her. Plus, she is just a terrific gal - always a delight to see her.