 [ Symptoms ] i have had a thyroid nodule since diagnosed drained twice but it came back [ Disease ] there are several factors that cause the face to age genetics account for 20 30 and the rest is environmental factors    sun smoking stress diet and other lifestyle factors there are many procedures that can help rejuvenate the skin the best approach is a combination of botox soft tissue fillers and laser as appropriate it is important to use appropriate topical productstreatments to even out the skin tone botox helps soften and even eliminate certain wrinkles and can even lift the brows soft tissue fillers add volume in a very natural way when done correctly and are so important in the rejuvenation process these treatments are typically done over several visits and the results can last for years