Aging gracefully... an oxymoron or a mantra?  This question is the crux of Plastic Surgery today.  Years ago most people didn’t commit to surgical procedures until a large overhaul surgery in the last quarter of their lives, if at all.  Today many more options exist then ever before, but before we can really have a discussion about how to tame Father Time’s effects we have to talk about what’s really going on during aging.  Knowledge about these processes can be very powerful in diverting them.