Many people come up to me and place their hands on the cheeks lifting the skin back and up saying, “I want to look like this but without surgery”. The quick and true answer is “not possible”. Each procedure has a personal price that it exacts. The depth of involvement determines the degree of the outcome. The old saying, “you get out what you put in”, cannot be more appropriate when it comes to aesthetic improvement. This kindergarten lesson seems to fly out the window when we come through the office door.