The quest for self-improvement goes on. Baby boomers, as they approach retirement age, are continuing to have a tremendous impact on the economy with some of the most noticeable effects in health care. In the future they will dramatically increase their utilization of traditional medical care, but today they are still mostly in middle and late middle age, making them avid consumers of services that either delay the signs of aging or at least cover them up with various interventions. The health care community is more than willing to oblige, with the refinement of old techniques such as rhytidectomy, skin resurfacing, and botulinum toxin injections and the development of new ones such as nonablative laser rejuvenation and filler materials. We now have a range of procedures for patients, starting with the most minimally invasive such as microdermabrasion when the patient is in the 30s and skin aging is starting to become apparent, to invasive procedures such as rhytidectomy, which are needed when the aging process is far more advanced when the patient is in the 60s and older.