The aesthetic field changes at such a rapid pace, it is hard to keep up with the latest trends and developments. Each decade has introduced new technologies that have made cosmetic procedures more safe, simple and more efficient. The 1980’s was the decade of chemical peels; the 1990’s the laser; but the two most innovative changes have come from the aesthetic use of botulinum toxin in the 1990’s and now the explosion of fillers in this era of the 21st century.