This 48 year old woman was unhappy with the physical signs of aging on her face. Specifically she described that when she looked in the mirror she felt that her appearance made her look old, tired, sad and angry. She came to see Dr. Lichten at Central Ohio Plastic Surgery to discuss how facial injections with Botox Cosmetic and Juvederm could make her look younger and less tired. She had a combination of Juvederm Voluma, Juvederm Vollure and Juvederm Volbella injections in her cheeks, nasolabial folds, marionette line and lips, along with Botox in her glabella, forehead and crow’s feet to achieve her results. She is shown 2 years after starting injections and 8 months after her last Juvederm injections.