First of all, what is the focus of your anti-aging after 40 years old? After the age of 40, facial aging is no longer dominated by “looseness”, but by “sagging”. The general causes of the sagging of the middle and lower face are: 1) fat loss in the middle face 2) sagging of the cheek fat pads 3) sagging of the cheek fat pads 4) expansion and sagging of the jaw fat To solve these problems, facial lift surgery is needed to lift and reset the sagging and displaced tissues to their normal anatomical position when they were young. So, the question arises, should I choose a large incision or a small incision for a face lift? Before answering this question, let’s do an action by which you can self-test which type of face lift is suitable for you. The specific steps are: along the temple side, use your hands to push upward and backward to simulate the effect of a face lift afterwards. Usually the upward push creates a vertical skin fold below the earlobe, and the sagging excess skin will gather in the front of the ear and in the anterior temporal area, where a mid to lower face lift is usually performed. The amount of skin fold created below the earlobe indicates the severity of the sagging skin. For moderate and moderately severe facial skin sagging, small incisions may be considered. If your skin sagging is severe, you may need a lift with larger incisions at this time. Some candidates ask: How do I balance the effects of face lift surgery with the trauma? The condition of the facial skin varies greatly from one age to another. During the lifting process, the lifting force and the amount of sagging skin tissue removed are different. For example, if you are around 40 years old and 60 years old, you can still use minimally invasive lifting at the age of 40, and the results will be precise after surgery. However, after the age of 60, if you want to become younger, you may need more courage to undergo a facelift with larger incisions so that your post-operative satisfaction will be a little higher.