 Photography will be mandatory to participate in this clinical trial. Subjects will consent to allow Kenneth R. Beer, M.D., PA permission to use photographs for FDA advisory panel meetings, scientific journals and conferences, advertising, publicity, and promotional purposes as one option. Additional options will be given to the subject to allow Kenneth R. Beer, M.D., PA to only use photographs for FDA advisory panel meetings and scientific journals and conference, but does NOT have permission to use the photographs for advertising, publicity, or promotional purposes as option 2. The third and final option allows the subject to have photographs taken, but subject does NOT give permission to use photographs for FDA advisory panel meetings, scientific journals and conferences, advertising, publicity, and promotional purposes. 