By age fifty, regular skin examinations by a plastic surgeon are essential. Maintaining natural moisture is more difficult. Peels and light therapy in combination with ultra hydrating home care can help maintain the balance. In all likelihood, more extensive facial rejuvenation and resurfacing procedures will be necessary at this stage. Depending on your appearance goals, comprehensive surgery can reverse signs of aging in the face, brow, mid-face and neck areas. A facelift or brow-lift in conjunction with the mid-face lift can yield dramatic results. The payoff for more invasive surgery is a natural look that is virtually undetectable.