Nothing last forever—so too with facelifts. Your skin type and social history (sun exposure, smoking, etc.) well determine how long your facial improvements will last. Botox and fillers can buy time, but eventually most patients request a “touch up” that will require “nip and tuck” procedures. Dr. Marsh refers to these type of surgeries as “band-aid” surgeries. They usually involve no bruising and little down time. There are many variations of these procedures and Dr. Marsh has extensive experience with them. This is where the art of plastic surgery counts most.