Ancient cultures were as preoccupied with the aesthetics of appearance as i
ndividuals are today. Dermabrasion for skin resurfacing has been performed
with salt, pumice, ground grains, bone, and horn. Chemical peels have been
performed with acids, metals, botanical extracts, or animal fats. Tattoos,
ear piercing, makeup, skin treatments, and massages have existed for the pa
st 5000 years. According to history, when the rise of more complex societie
s brought an ever-increasing demand for cosmesis, perfumers, cosmetologists
, barbers, and gentlewomen became pioneers, undertaking and developing the
cosmetic practices that had evolved through the ages. With the consolidatio
n of medical specialties concerned with the management of skin care, the sc
ientific method has been applied to adapt and perfect many of the procedure
s that had been carried out with only empirical knowledge. To have a better
perspective from which to envision future technical and technological deve
lopments, plastic surgeons should be familiar with the origins of cosmetics
and some cosmetology practices that society demands.