Dr. Shah is an expert dermal filler injector and utilizes several noninvasive treatments which have proven to be effective in the scientific literature. Furthermore, patients receiving a nonsurgical tightening procedure can apply this amount to a surgical procedure (see office for details) if used within 5 years. This allows patients who are perhaps a few years too young for a facelift to embrace a nonsurgical skin tightening approach first and then, as they mature, progress to a surgical approach if desired.