Facial Plastic Surgeons continually strive to improve their patients' results and procedure experience. The material in this issue presents how to stay on "the cutting edge? with innovative tools and techniques while performing efficacious, innovative, and relatively safe procedures. The topics include latest laser procedures, ultrasound treatment, platelet fibrin matrix gels, stem cell studies, and chemical peel techniques, among other innovations. These reviews of procedures, techniques, and devices should be considered in the light of evidence based medicine. There may be limited data as to their potential outcomes and complications, as is frequently the case with innovations in Facial Plastic Surgery. A comprehensive overview of the emerging procedures and tools and discussion of outcomes, considerations, complications, and successes are presented here.