Facial aging may present itself in one’s early 40s with signs of minimal skin laxity, jowling and deepening of the nasolabial folds. This may be exaggerated when one leans forward. Minimal facial aging can sometimes be addressed with nonsurgical options including devices such as Ultherapy, Exilis and ReFirmeTM, or with injectables including fillers and biostimulants. As aging progresses, a short-scar facelift with limited incisions may be indicated. If greater laxity of the neck skin appears, a full facelift and platysmaplasty (necklift) may be indicated. The desired goal is to achieve a beautiful, natural-looking, rejuvenated appearance with inconspicuous scars.