I started coming to BACD about a year ago for concerns related to aging and sun damage. I am 60 years old. I had Botox and Juvaderm treatments before, but I was interested in newer products that were being used by Dermatologist's, currently. I have exclusively seen Dr Austin. She is a top teaching Dr. with so much knowledge, experience, and expertise in skin related care and issues. I have had zero issues with booking and confirming my appointments. I always receive emails and texts, letting me know of my appointment status. When I arrive, the reception staff is always kind, efficient and helpful. In December I decided to take GLP1 to lose 30 lbs. I started at 180lbs. I am now at 152 lbs. I was told, by friends, and the media, that that much rapid weight loss could affect my skin around the neck, jawline, and face. I wasn't too worried, though because I knew that I had already been practicing a very good skin care routine and excellent filler and Xeomin results, based on my visits with Dr. Austin. I am completely thrilled that my skin, especially on my face and neck, is an excellent shape! I am on a maintenance routine with filler and Xeomin at this point. I highly recommend Dr Austin and BACD. She is kind, gentle, and very experienced and knowledgeable. All the staff are helpful and wonderful at what they do!