This patient had acne scarring and age related skin changes and volume loss. She utilized multiple treatment modalities to maximize rejuvenation and beauty enhancement. Diligent use of a customized, evolving medical grade skin care system improved the quality of her skin. She received a series of eMatrix treatments which improved acne scarring in her lower face and overall skin quality. The filler Perlane was used over several sessions to restore lost volume under the eyes, in the cheeks and around the mouth. Maximizing rejuvenation often requires a multi-modality approach with ongoing communication between patient and doctor.