Each year, nationally recognized leaders in medical and procedural and aesthetic medicine convene in Hawaii to discuss and review the current state of knowledge in their respective dermatologic specialties. The program in medical dermatology features key clinical topics, including cutaneous cancers, acne vulgaris, atopic dermatitis, rosacea, psoriasis, and other important issues. Aesthetic medicine continues to be a growing specialty in the milieu of the aging American population and medical consumers’ ever-increasing desire to achieve the best possible quality of life at any age. Major advances in procedures, techniques, devices, and materials have made it possible for physical appearance to be brought into synch with the more vital and active lifestyles that today’s older Americans embrace.