The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances in have been made in the last 5 years that have led to safer, more predictable and longer lasting fillers. As one ages, the face loses volume. This creates more prominent wrinkles and skin folds while features become less distinct. Dynamic wrinkles caused by facial movement such as smiling and frowning appear. Injectables were designed to subtly reduce these signs of aging. Injectables include two basic classes: Fillers, to restore lost volume, and Botulinum toxin injections, to lessen the appearance of wrinkles with smiling, frowning, concentrating and looking surprised. Most fillers work by filling the lip or wrinkle with volume and are gradually digested by the body. While botulinum toxin injections work by weaken the underlying muscles to decrease their overlying dynamic movement. FDA approved Injectable fillers include Hyaluronic Acid Fillers, Fillers with microscopic beads and Poly Lactic Acid. For those wishing to avoid the injection of any foreign material, Lipotransfer, the harvesting and reinjection of your own fat, may be an option.