Changes from age are not primarily due to “loose skin,” instead it is a result of loss of underlying structure with reabsorption of fat pads and skeletal bone loss. Treatment with a variety of dermal fillers can significantly reverse some of these changes. The appearance of aging skin, with brown spots, uneven tone, fine lines and enlarged pores, is mainly due to sun damage. These problems can be effectively addressed with various topical and deeper energy based treatment modalities.