This review is concerned with the concept of facial rejuvenation utilizing dermatological preparations in a nonsurgical approach. The combination of art and science now provides physicians with the capability to make the face appear more youthful. Facial aging combines intrinsic or genetically determined and extrinsic factors including sun exposure, smoking, diet, and general lifestyle. The features of the aging face are well described and include loss of skin elasticity, lines, wrinkles and dyspigmentation. The management options are focused on moderating and even reversing some of these changes

There are few reliable statistics in the UK. A Mintel™ report1 stated the number of cosmetic surgery operations in the UK in value terms had increased from £450 million in 2005 to £900 million in 2007, a 100% increase over three years. In 2005, this included 230,000 nonsurgical procedures such as Botox™ and fillers which rose to 472,000 in 2007. In the UK, the British Association of Aesthetic Plastic Surgeons (BAAPS)2 produces reliable cosmetic surgery figures but they only relate to its members. It is not known what percentage they form of the total number of UK procedures. In 2007, they performed 32,453 procedures, 12.2% up on 2006. There are few reliable statistics in the UK. A Mintel™ report1 stated the number of cosmetic surgery operations in the UK in value terms had increased from £450 million in 2005 to £900 million in 2007, a 100% increase over three years. In 2005, this included 230,000 nonsurgical procedures such as Botox™ and fillers which rose to 472,000 in 2007.