This chapter discusses skin resurfacing and chemical peels, where pigment irregularities are seen as the stratum corneum thickens and photoaging progresses. Areas of hyperpigmentation can appear as a result of sun exposure and hormonal changes. Expressive lines are a product of the individual’s cultural and inherited mode of facial expression of emotions. Men and women have searched, experimented, and searched again for the one potion to apply or the one procedure to perform that will remove sun damage, erase wrinkles, and restore the glow of youth to the aging and weathered face. Deep chemical peeling was formalized and generally codified by the development of the Baker-Gordon peel solution based on a combination of phenol, croton oil, Septisol, and water by the doctors of the same names. Dermabrasion is an effective resurfacing modality to treat facial scarring from acne, trauma, or postsurgical wounds, as well as for the treatment of facial rhytides, photoaging, and rhinophyma.