Facial aging results in fat loss in some areas and excess fat in others. These volume increases in the fat distribution can be treated by liposuction or by surgical removal. The localized decrease of the fat can be treated by collagen or by additional increments of fat deposition. These combination of treatments is done in blepharoplasties, face-lifts and the malar, submalar, mandibular and chin implants. The treatment of special problems concerning malar bags, Bichat and lateral buccal fat pads, subplatysmal liposuction, periorbital fat, melolabial fat, and jowls is discussed.