The song is a cynical look at the music industry as a publicist / manager begs the protagonist to remain hip for the younger crowd ("What 's the matter with the car I 'm driving? '' / "Ca n't you tell that it 's out of style? ''), and the protagonist 's refusal to change, claiming his music will remain relevant regardless of his appearance. The song was a reaction by Joel at the new music genres that were around in the late 1970s (punk, funk, new wave). It was inspired by Joel reading a review about a particular (unnamed) band, and realizing that he had no idea what their music sounded like. The song also includes the line "Alright Rico! '' to kick off the saxophone solo performed by Richie Cannata.
who played sax on it still rock and roll to me
Richie Cannata