As we age, our skin thins and loses its elasticity; fine wrinkles and irregularities develop. Sun or environmental exposure and smoking accelerate these changes. Although true laxity of the brow, cheeks, jowls and neck are treated with surgery, this does not generally address the textural and pigmentary changes on the skin surface. These are best treated with chemical, mechanical or laser resurfacing procedures. Chemical peels help improve the youthful appearance and texture of facial skin.