These are men and women at spas or dermatology clinics who specialize in skin care. Before you jump into the arms of a plastic surgeon, find out what an aesthetician can do to help you slough off dead skin cells from your face (this is one of the biggest reasons your skin looks old) and regain better skin texture and appearance. I am all for take-home products, but you need to have a few spa treatments a year to really wow the people around you.