It is not unusual as women get into the middle to late 40’s for age related changes to catch up with them and begin manifesting. Of course a healthy diet and hydration are always important to the body and in turn the facial appearance. Additionally, as menopause occurs or approaches changes in hormone levels can affect skin quality and tone leading to a more rapid progression of aging. All of these things are big topics and are better addressed in person. However, we tend to look at facial aging with three main points in mind: 1) skin quality 2) gravitational effects 3) volume loss. Skin quality can be improved through sun protection, the use of good skin care products like PCA, and the addition of therapies such as Botox, Restylane, Juvederm and Fraxel laser. All of these are listed on this site with more information. The second element, gravitational effects on the face, need to be corrected through the use of surgical procedures. At 46, we usually try to limit the procedures to minimally invasive office procedures that have a quick recovery time. The third element is volume loss. This can be addressed through the use of facial fillers such as Restylane, Restylane Lyft, Radiesse and Juvederm or through the use of autologous fat. As you can see there is much that can be done to reverse the signs of aging. We would love to be able to have the opportunity to tailor a personalized plan for you. Please spend some time educating yourself on our site and please plan to come in and have a personal conversation.