Mestizo patients, also known as Hispanic or Latino patients, are a growing ethnic group worldwide. Cosmetic procedures have become more accessible, and more patients are looking for procedures that will not only improve their facial features but also make them have a more youthful appearance. Mestizo facial characteristics are reviewed, and a stepwise approach to the aging Mestizo face is presented where nonsurgical and surgical options are discussed including midface-lifting techniques and short scar face-lifting procedures.