This is a really great question that comes up often in cosmetic consultations: What is the duration and durability of a cosmetic surgery? Most of that answer depends on your own, inherent physiology and anatomy. For example, an older patient will often get less durability out of the surgery as their tissues just do not respond as well as a younger person. Your genetic predisposition to agent will also play significant role. I always tell patients that we can turn back the hands of time, but we cannot stop them from taking forwards. Basically, you will always be aging from a new point, as you continue to age after your surgery, you will always have that Headstart having begun that process from a better starting point, so you always look better than had you not had the surgery. The type of surgery is also important; an eyelid surgery does not tend to have as much tension placed on it as say a facelift, so inherent genetic changes can play more of a role with duration there. Treatments like Botox or Dysport can definitely be preventative and prolong the need for surgery by helping to take tension off of the tissue. I always encourage my post operative patients to preserve their results with Botox or Dysport, just as we encourage young patients to start early and preserve what they already have! To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon. Cameron Chesnut #realself500 Physician