To date nothing replaces surgery for long-term improvement. Many advertisements for procedures such as Thermage, thread lifts, string lifts and Minilifts have not stood the test of time. Non-surgeons usually offer them in order to entice patients into trying these low risk, minimally invasive procedures to avoid definitive correction of the aging face. Although possibly applicable for a very small group of people, these technologies and procedures fall short of providing long- term improvement. When appropriate all patients should try the least invasive treatments first. However do not hesitate to undergo the correct surgery, as it will always provide the best results if done well. This is why a detailed consultation is necessary in order to determine what is best for you.