The facelift remains the best cosmetic procedure to dramatically reduce the size and depth of wrinkles on the face. Botox and dermal fillers are good options, but they are not permanent and require additional injections about every 3-4 months. A facelift provides an overall lift to the bottom one-third of the patient's face by tightening loose skin. A patient in his/her 40's can expect a facelift to provide a refreshed, younger appearance for about 10 years; however, individual genetics, environmental exposures, and lifestyle can affect the longevity of a patient's facelift. Houston cosmetic surgeon Dr. Michael Eisemann is triple board certified and has over 20 years of experience in helping Houston men and women look their best.