Nonsurgical facelift is truly a misnomer as utilizing Botox and fillers does not accomplish a true facelift. Facial aging nearly always includes a combination of volume depletion and laxity of soft tissues. Combining lifting and repositioning along with appropriate volumization achieves natural and optimal results. The nonsurgical facelift is described as utilizing fillers to achieve a facelift. This simply is not the case. Fillers can result in subtle lifting of soft tissues however, utilization of fillers alone to try and lift soft tissues in a more significant way very often results in the overfilled and unnatural appearance. I do use hyaluronic acid fillers to treat the aging face. There are a multitude of HA products, all with different properties, that are utilized at different levels of the skin and underlying soft tissues to diminish visible signs of facial aging. Significant improvement can be achieved with fillers alone however with significant soft tissue laxity, face lifting is also necessary to achieve optimal results.