As we begin to age, the facial tissues change. Alterations in the skeletal structure, fat pad changes and skin degradation can all lead to mid and lower facial sagging. Careful placement of high-quality dermal filler by a trained clinician in areas such as the cheeks and nasolabial folds can address this volume loss, refreshing the face without looking unnatural. This treatment can last for months or even years. Dermal filler can be used throughout the layers of facial tissue to address volume loss within different areas. A thorough understanding of anatomy and the correct filler choice is essential to give the best results. For example, a softer product can be chosen to address peri-oral (or ‘smokers’ lines) to avoid an unnatural look.