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Objectives: 1. Explain the importance of anti-aging and longevity in the aesthetic practice 2. Discuss the potential impact on aesthetic care and outcomes 3. Present a simple means of incorporating longevity and wellness into your practice Introduction: With the tremendous increase in our understanding of the human genome and the conditions that are often either present at birth or modified with lifestyle, aesthetic medicine, dermatology and plastic surgery are well positioned to be leaders in this emerging field. Herein, we present a simple means of biologic age testing, AI insight into the pace of aging, relative telomere length and intrinsic and extrinsic biologic age, online consultation with a genetic engineer and creation of personalized supplements, lifestyle changes and biohacking to optimize longevity and wellness. Materials / method: Patients undergo a series of blood tests, a fingerstick, a photographic image of their face and upload their medical history. Within a few weeks, a consultation with a genetic engineer is scheduled. During the consultation, your test results will be reviewed and personalized recommendations based on your particular epigenetics as well as your blood work and history will be made. Results: Intrinsic and extrinsic biologic age, biomarkers of inflammation, telomere length, pace of aging, dietary response and diabetes risk among other information is given to the patients. Patients begin on their personalized regimen and then 6-12 months later, the studies and consultation are repeated. Conclusion: In the new world of aesthetic medicine, wellness and longevity will have a prominent role. As caregivers, those of us who practice aesthetic medicine and surgery are in a perfect position to help our patients not only with their youthful appearances, but to make even more meaningful changes in their overall health.