Regular attention to care of your skin can maintain a healthy and appealing surface for many years. Irregular pigmentation, rough texture, fine wrinkles, and breakouts can be controlled or prevented. Beyond these features, contour changes (sagging, or gravitational descent of soft tissue) that develop and remind you of your age may be improved or corrected by other measures. Deeper creases can be softened by fillers such as hyaluronic acid or collagen, by Botox Cosmetic®, or by laser treatment. Plastic Surgery is not to be feared, and may be your best choice to appear as young and vibrant as you feel. The art and science of plastic surgery have advanced significantly in recent years, and a wide variety of safe procedures are available. Your treatment plan will be designed to meet your cosmetic needs and take into account your budget, available recovery time, and risk tolerance. Because everyone is different, personal consultation and discussion with an expert is necessary. The first and best step you can take is to call a surgeon certified by the American Board of Plastic Surgery®, and perhaps several surgeons in consultation, until you feel comfortable that his or her solution is right for you.