The skin ages by losing its elasticity and volume. A facelift or the removal of excess elastic skin and tightening of the underlying muscle greatly decreases the density of wrinkles However, only the stretching of the skin has been removed with a “lift”. A patient can now address the volume of the facial skin with a “fill”. There are many fillers available such as fat, hyaluronic fillers Restylane and Juvederm, calcium filler such as Radiesse and also Sculptra. It appears that the “lift and fill” approach, in addition to laser skin tightening and Botox cover the spectrum of ways to remove as many wrinkles as possible.