The aging of skin is more than a decline in physiologic functions. Aging skin is associated with regressive anatomical changes such as looseness, roughness, wrinkles, and dyspigmentations (age spots) which adversely affect appearance. Unattractive aged persons tend to have less confidence, have low self-esteem, and are in fact less healthy than those who have aged well. Physicians must educate the public to follow life-styles that prevent a prematurely aged appearance. Additionally, resources which make it possible to remarkably correct the various deteriorations of the photo damaged face are now available. Patients should be told that these interventions are not simply an expression of vanity, but add to self-esteem and improved social relations.