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For surgical options, any time that you have a laxity of skin, significant jowls, a submental accumulation of fat under the neck, or volume restoration, I think any of those are signs that you are a candidate for a surgical procedure. Non-surgical procedure such as just volume replacement or skin resurfacing, they are great for younger people I think in their 30's, maybe early 40's who don't have that skin laxity yet.