There are noninvasive techniques for reducing facial lines and wrinkles. They produce quick results with minimal downtime. Botox (now FDA approved) is a toxin that is injected in small amounts into muscles in the upper portion of the face to smooth the lines and wrinkles caused by contraction of these muscles during frowning or squinting. Horizontal forehead lines, vertical lines between the eyebrows, and crows’ feet around the eyes can all be significantly reduced by injecting small amounts of this substance into the underlying muscles. Treatments take ten to twenty minutes and results can be expected in three to five days. The effect usually lasts three to five months, at which time further injections may be needed to maintain results. Collagen and acellular human dermis (“Cymetra”) are injectable substances used to soften frown lines, smooth wrinkles and augment lips. They act by “plumping” the tissues. Collagen lasts around two to three months and requires a pretreatment test. “Cymetra” can last three to six months and does not require a pretreatment test. Fat can be removed in small amounts from the abdomen or thighs with a syringe and injected into the lips, wrinkles and frown lines. Slightly more post-treatment bruising and swelling may occur because overfilling the treated area is done (some of the injected fat is absorbed by the body). The effects of injected fat also fade with time (4 to 8 months) but a percentage (50%) become permanent and multiple treatments can lead to lasting results.