Inclusion Criteria:  3 (moderate) or 4 (severe) on the 5-graded WSRS who sign the written informed consent form  Exclusion Criteria:  who have received permanent facial implants who have received semi-permanent fillers who have undergone temporary dermal filler treatment within 12 months who have undergone facial tissue augmentation with fat injections, botulinum toxin injections, mesotherapy, or cosmetic procedures within 6 months who have a history of anaphylaxis or allergy to lidocaine, hyaluronic acid (HA) products, or streptococcal protein