This review is based on various factors, including third-party ratings and client feedbacks. Overall, the business seems to be doing well, with a good reputation and satisfied customers. The quality of the services seems to be high, with many clients praising Dr. Lirio's skills and professionalism. However, there have been some issues with communication and billing, particularly with Aetna coverage, which may be a concern for some customers. The pricing seems to be competitive, with many clients appreciating the office's efforts to work with them to make procedures affordable. The innovativeness of the business is also notable, with some clients praising Dr. Lirio's willingness to try new approaches and treatments. However, some clients have expressed disappointment with the office's ability to keep up with growing demand, which may indicate a need for improved planning and management. Despite these issues, the business overall seems to be well-regarded and deserving of its high rating. The issue of inconsistent communication and billing is worth noting, especially for customers with Aetna coverage, but it is not enough to detract from the overall positive assessment.