I had surgery on my lower jaw and chin a year ago and I am in aggravating pain and discomfort every time I move my lower lip to talk. Armstrong has been very inappropriate, rude, dismissive and refuses to take any accountability. He stopped following up so I called the hospital to see why. Supposedly, he told them I was thrilled with my results (except I literally remember crying to the nurse that Im not sure how I can live if this is permanent). That shows you his ethics (or lack there of).