Do you have a wedding, reunion, or other event coming up?  Everyone's skin is different, but here is a list of some of the things you could accomplish in six months:

• improve your "glow" with products, peels, microdermabrasion
• remove unwanted facial hair
• clean out pores and improve acne 
• relax frown lines, crow's feet, and neck lines with Botox
• fill in lines from nose to mouth with Juvederm or Restylane
• get some tightening of the whole face with Thermage
• tighten the skin of the eyelids with eyelid Thermage
• improve, wrinkles, brown spots, and some acne scars with a Fraxel laser
• get rid of brown spots, redness with a gentle laser photorejuvenation series

SkinTour has lots of info on all of these, so you can educate yourself before seeing your dermatologist.