The current marketing blitz for facial enhancement or treatment of the features of facial aging, make choices for the consumer difficult. The range of options include, but are not limited to, fillers, botox, peels, liposuction, surgical techniques to reverse gravity, (face & neck lift, brow lift, upper and lower eyelid lift, dermabrasion) and laser. A proper assessment of both facial skin ageing and facial gravity ageing is necessary in order to determine the appropriate management plan, and to optimize the result.