There exists some similarities and often many differences in the strategy for managing the aging face of the Oriental individual as compared to the Caucasian face. In recent years, there has been an emergence of a new paradigm for the aging face; the traditional treatment strategy of managing the aging face has always been removal and lifting – a facelift, a browlift, a necklift, removal of eyebags, removal of excess and droopy upper eyelid skin and so on. Whilst there is a definite place for all these procedures, the new paradigm proposes the opposite of traditional lifting- and excisional-based rejuvenative surgery through the use of fat transfer to the face.