definiens: shall mean sale and use of ADRC ’s ( as defined in Section 2.1.2 ) with or withoutautologous fat transplantation for purposes not caused by a named medical illness with an associated ICD codebut rather for the sole purpose of discretionary appearance enhancement of the normal state for a patient and / orimproving the appearance or volume of a body area caused primarily by the normal aging process . Examples ofcosmetic uses include use of ADRC ’s for : breast augmentation, treatment of age - related wrinkles, soft tissuefilling of the face and hand due to age related volume loss, body and trunk contour irregularities from aging orperceived insufficiency . Cosmetic Market is limited : ( i ) to application only to the skin, epicutaneous or subcutaneous space ; ( ii ) toprocedures that are remunerated by discretionary payments from the patient, relative or other similar partydirectly to the physician without a third party intermediary such as insurance company, government pay or etc.;(iii ) to procedures that are administered in physician ’s office, surgery center or other facility without the capabilityfor inpatient ( > 24hour ) care such as a hospital