Patients in their thirties and early forties begin to show signs of aging because of loss of volume. Early signs of jowl formation and loosening of the skin of the neck and face are common complaints in my practice. It is surprising to hear how many of these patients have spoken to surgeons who have recommended major facelift surgery. I find that by using a combination of non-invasive treatments, patients can maintain a natural improved appearance without the risks and downtime of major surgery. Accent XL radio-frequency treatment can tighten the loose skin around the jowls and neck. Radiesse injected from inside the mouth to the cheeks restore lost volume of the face without bruising or lumps. Fraxel laser can improve the color and texture of the skin, as well as improving fine to moderate wrinkles. The benefits of Properly placed Botox are well known. As aging continues, then fat transfer can be used to more dramatically restore facial volume and contours. As a photographer of “the stars” shared with me today, “There are some celebrities that look as if they want everyone to know that they have had work done, but they don’t look good. Then there are those who look fabulous, whom you know have had work done, but can’t tell what it was that they did to look so good”. Save surgery as a last resort, when it comes to facial rejuvenation often times “less is more”.