It is usual to feel apprehensive about undergoing a surgical procedure to improve appearance. The usual dilemma is that on the one hand you want to recapture youth and look great, but on the other hand you do not want people to think that you have had surgery to achieve it, fearing that you are vain. The real situation is that in our society we are all vain and care about how we look-our hair styles, clothes etc. The vast majority of people are not discerning and surprisingly they will not notice even quite marked changes to facial appearance.