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When you meet friends and family after a while, you may hear things like, “Are you OK, you are looking older than when we last met”. Hearing this from loved ones makes us conscious about our look and stimulates us to think about the techniques which can make us look younger. So many times, we have looked at those beautiful faces in those glossy magazines and envied that these people never age. But a lot of efforts, makeup and money have gone into it. As we age some external and some internal factors work on our face. Internal factors like body mass index, hormones, genetics etc. and External factors such as alcohol consumption, cigarette smoking, gravity and unprotected sun exposure have all been contributing to an accelerated appearance of facial ageing. The facial aging process is ongoing. The first signs of facial aging may appear in a person’s 20s. Without proper facial skin care and protection, an individual’s facial aging symptoms may escalate quickly. Owing to loss of skin elasticity and firmness and often loss of the underlying fat, the more obvious features of aging usually start setting in after the age of 40. Factors like stress, nutritional deficiencies and co-morbid conditions may hasten this process in certain individuals. Sagging, bulges and folds around the eyes can make the eyes look old and tired. Descent of the tissues of the cheeks make the smile lines more prominent & reduces the definition of the jawline with appearance of jowls. Facelift surgery done by a qualified Aesthetic Plastic Surgeon can enable you to get back a more youthful appearance and take away 7 to 10 years from your countenance. There are also several non-surgical modalities currently available which may be alternatives to a surgical facelift but without the same durability or striking result. Except in younger patients with early changes of ageing and those that do not want to go through surgery, these are better as adjuncts to the surgery and not a replacement.