"The results of this study show that women today, regardless of age, place greatest value on a 'break' from their daily grind and relatively less emphasis on physical goals, such as weight loss or shaving a decade off their age," said Macrene Alexiades-Armenakas, MD, PhD, Assistant Clinical Professor Yale University School of Medicine. "The high ranking of a vacation as the birthday gift of choice may be a reflection of the increased presence of women in the workforce and a greater need for time to relax and rejuvenate."Relatively few women surveyed say they feel anxious because they are getting older (23%) or conflicted because they don't feel as old as they look (21%). Interestingly, women approaching their 30th birthday are actually more likely than those approaching their 60th to say they are anxious about getting older (30% vs. 14% respectively). "Women turning 30 are approaching the first big birthday of their adult lives and often come to our office feeling anxious. It is typically a time of growth and transition in their lives. They may not feel settled – such as with an established career, partner or family," said Dr. Alexiades-Armenakas. "As the survey shows, they tend to feel less anxious as they get older." The Skin I'm In... Over 4 in 5 women approaching a milestone birthday (81%) say they want to improve something about their skin's appearance. Those approaching 30 or 40 would most like to improve their uneven skin tone and texture (23% and 15% respectively), while those approaching 50 and 60 want to improve wrinkles and/or fine lines (33% and 30% respectively). Also, women approaching 40 are more likely to want to improve facial redness (12%) than those approaching 60 (3%). According to Dr. Jaliman the survey findings support the popularity of non-invasive procedures to enhance the skin's appearance versus past trends of more invasive surgery for dramatic changes. "Women realize that no surgery will improve the quality and feel of their facial skin or eliminate common concerns like coarse texture, fine lines, splotchy redness and, as they get older, wrinkles," said Dr. Jaliman. "These patients seek solutions to appear more rested and relaxed – not to look different."