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Those individuals who started low down the curve should be considered for a skeletal augmentation, not only to reverse the aging changes but also to bring their natural state higher up the curve so that the soft tissues are better supported for a more attractive look. With more youth, these individuals have more in reserve against future aging. Facial bone structures also explain the observation that we tend to age like our parents, a familial trait that we inherit from them. In recent years, augmentation for selected areas of the facial skeleton has become a powerful adjunct in our approach to facial rejuvenation. Although many materials can be used, we generally prefer the use of porous hydroxyapatite granules (Interpore International, Irvine, CA, USA) for their versatility and due to proven clinical experience.