Ronald felt he had two things working against him besides aging— he is a cyclist and he's also HIV-positive, the drugs Ronald takes to stay healthy have had some side effects on his looks. Ronald came into Dr. Tracy Pfeifer's office and was interested in looking as healthy and young as he feels on the inside. Together, they talked about the different options in terms of eliminating some of the gauntness he was experiencing in his face and also some of the vertical creases in his skin that really bothered him.