As we age we lose not only the elasticity of our tissues, we also lose volume. In fact, studies have shown that 80% of aging in the face is volume loss. This volume loss is happening in both bone mass and in facial mask thickness. In this woman, we see advanced signs of aging as the face seems to slide down and the neck loses its definition. In rejuvenating this face, attention was paid to her eyes, cheeks, jowls, neck and chin to reverse many of the signs of aging and give the patient a much more youthful but age-appropriate appearance. Again, without the appearance of an operation.