Most cosmetic dermatologists and patients would agree that many cosmetic procedures are performed to repair signs of extrinsic aging, namely actinic-induced aging, as well as intrinsic aging effects. Although many patients turn to surgical procedures or lasers, light peels, or microdermabrasion for ablative and nonablative rejuvenation, there is merit to the idea that a well-designed topical skin care regimen, in the right patient, yields results that parallel those achieved with more invasive procedures. Central to this idea are the choice and combination of products, as well as patient compliance with their proper use. In this article we detail topical skin care regimens and provide photographic documentation of the benefits of a well-designed daily regimen. As dermatologists, we are experts at maximizing the effects of topical skin care regimens, and we can use our skills to avoid unnecessary procedures and maintain or enhance the effects of procedures.