Aging effects us in many ways. Superficially our skin can become pigmented and develops lines. As we age we lose volume in our face which decreases our facial contours and may result in further sagging. As the first two occur we can get loss of elasticity and deflation which causes our skin to sag. Looking tired may be due to any of the above. Sometimes simple procedures in the office such as injectables (neuromodulators like Botox and fillers) can be done to help soften our appearance and decrease the “tired” look we all dislike.