The sudden explosion in recent years of nonsurgical rejuvenative techniques is patient-driven. The modern patient, man or woman, desires quick, safe and pre- dictable nonsurgical techniques that will confer some form of facial rejuvenation and at the same time allow them to get back to work or their social lives with a minimum of downtime. By that is meant a modicum of bruising and swelling for 2–3 days (i.e., over a week- end) and not the 2–4 weeks of downtime and scars that often accompany open surgical techniques. Whilst nonsurgical techniques are not a substitute for traditional rejuvenative surgery, the combination of several nonsurgical tools and procedures has be- come a powerful adjunct to or a temporizing substi- tute for open surgery.