Initially, Facial surgery was a resumed to skin tightening procedure. Now it has become a multiple approach to the face targeting the specific deformity. This gives the most natural and durable result.The aging of the face involve skin, fat and the skeleton. The skin get premature aging secondary to smoking, aging, sun damage and muscle activity. It becomes atrophic, wrinkled and moves down with gravity. Fat, usually, become atrophic or accumulate in the neck. To treat those deformity, Skin and fat need to be repositioned with surgery. Skin damage can be treated resurfacing procedure like dermabrasion (skin abrasion) or laser. Fine skin creases are treated with skin fillers (see hyaluronic acid) and hyperactive wrinkles with paralytic agents like botulinic toxins (see paralytic agents). This comprehensive approach helps getting the best, the most natural and durable result.