Where do I start? I talked with a patient today in her late 50’s that said she wasn’t sure where to start? Forehead down or chin up? My advice to her, please just start somewhere. Worry about what to do and not doing anything is only speeding up the clock, not slowing it down. At least come in yearly for a consultation and evaluation of the skin. The esthetician can break it down for you. To remove this …do this, to fix that… do that. You don’t have to do everything at once (although you will see faster and better results). Using better products and getting a microderm is going to help. It won’t remove years or even months but it will help. So if you don’t want to take giant steps, at least take baby steps.