If you coming for a fill or fill+ from somewhere else. This time allows me to: -Check the quality of the extensions you already have on -Remove any extensions that are clumped, twisting, sagging, or touching the skin -In the worst situations, remove all the extensions you have on for a new set if the quality is unworkable. Do note, if after the check you do continue to receive a service with me. This $19 is credited towards that appointment