Wrinkle reduction is also called skin tightening, because it can make people become young and rejuvenated, so it is also called “rejuvenation surgery”. The principle is to use cosmetic surgery to tighten and displace the skin and shoulders of the face or neck, and to remove excess skin so that wrinkles can be smoothed and hidden. Since the surgical incision leaves no scar on the face, it not only makes people look new and much younger than before surgery, but also gives them psychological relief and satisfaction after surgery. Wrinkle removal surgery is divided into eye wrinkle removal surgery, forehead wrinkle removal surgery, cheek wrinkle removal surgery, which can remove loose skin of upper and lower eyelids, forehead wrinkles, frown lines between eyebrows, crow’s feet, cheek wrinkles, nasolabial folds, neck wrinkles, etc., lift sagging eyebrows and outer corners of the eyes, lift sagging skin shields of the face and neck, and eliminate double chin. It can be used individually or in combination according to each individual’s situation. However, an experienced surgeon will make a final decision on the procedure based on a thorough evaluation of the person’s facial wrinkles, occupation, and personal requirements. There are few people who want to get rid of wrinkles. So, are all people who want to become younger suitable for this procedure? No, because every surgery has its indications; ① the best age is between 33-60 years old, consider over 60 years old as appropriate; ② deep and obvious facial wrinkles, little subcutaneous fat, long and thin face; ③ healthy body, no important organic diseases, such as heart, kidney, liver, brain and other important organ diseases, as well as blood diseases, skin diseases, etc., no scar body tendency. How long can it last after wrinkle removal? This is a common question for wrinkle removal patients. Generally speaking, the maintenance time is about 5-10 years. Some people advocate to do it once at the age of 40 and a second time at the age of 60. However, this is not absolute and varies from person to person. Some people have good skin conditions, fine skin lines and young age, so naturally the maintenance time is long; while some people have rough skin, deep skin lines, plus older, the effect of surgery is not as good as the former, and the maintenance time is short. Of course, the maintenance time after wrinkle removal is also related to the quality of the surgery. If the skin is not excised enough or free enough, the surgery effect will be poor and the maintenance time after surgery will be short. Some people think that everything is fine after the surgery, which is a very wrong understanding. An open-minded, optimistic and open-minded person can delay the recurrence of wrinkles and thus reduce the number of surgeries, as long as he pays proper attention to skin care. Forehead suspension surgery is a suspension surgery to solve the forehead wrinkles and laxity phenomenon. During the surgery, the skin in the middle of the forehead is cut in accordance with the design line to reach under the capillary tendon membrane, and then a special plate separator is used to separate this layer forward to reach the upper part of the eyebrow and the root of the nose, and then a special small-tipped hook knife is used to cut the frontalis muscle, frown muscle and descending eyebrow muscle, and laser hemostasis is applied while peeling, and sharp separation is made with a special instrument along the SMAS fascia forward to the root of the nose to solve the problem of wrinkles at the root of the nose (Kawasaki lines). Temporal suspension surgery is performed concealed in the hair on both sides of the temples to solve the crow’s feet at the corners of the eyes, lift the sagging corners of the eyes, the sagging corners of the eyebrows, and the sagging cheeks. It improves the nasolabial folds and addresses the sagging corners of the mouth in one stroke. Improving the phenomenon of nasolabial folds and solving the phenomenon of drooping corners of the mouth, all in one stroke. This surgery is the most conventional suspension surgery, accounting for about 90% or more of fascial suspension surgery, its surgery pain is small, the face does not swell after surgery, does not affect normal work and study, good effect of facial lifting, the operator seems to be generally 6 to 20 years younger, clinical observation for 10 years, the surgical effect can be maintained for 6 to 10 years. Forehead and temporal suspension surgery is generally aimed at those who need a large area of forehead lift in addition to facial sagging. It is mostly suitable for middle-aged people aged 35 to 45. The overall feeling after surgery is about 10 years younger. Full facelift Commonly known as a large facelift, a circular incision is made above the head along both sides of the ears to remove a wide range of excess tissue without interrupting the epidermis, muscles, and fascia. It is suitable for people between 40 and 65 years old, and the lifting effect is obvious, so that the wrinkles of the face aging and relaxation phenomenon disappears, and the “flab” phenomenon can be solved. The operation time is usually between 2 to 3 hours, because of the large area of surgical peeling, there should be an assistant to cooperate, and high-frequency electrocoagulation equipment to stop bleeding, this operation is a top facial youth restoration project as a whole. Lower face suspension surgery is mainly used to solve the aging and slackening phenomenon of the lower half of the face. It is mainly used to solve the sagging of the corners of the mouth and the sagging of the jaw with the “meat flab” under the cheeks. Because the operation is a circumferential method around the ear,. The procedure is to first subcutaneously peel off the anterior ear, beyond the anterior edge of the parotid gland, and bluntly peel upward with a fascial suspension instrument about 5 mm, in view of the traditional anatomical concept of the relationship between the SMAS and the facial nerve, the facial nerve goes beyond the anterior edge of the parotid gland directly to the deep SMAS. If the SMAS is peeled beyond the anterior border of the parotid gland, the facial nerve will be easily damaged. Therefore, instead of extensive and complete freeing of the SMAS in the middle of the face, an O-shaped incision should be made mainly behind the ear along the hairline for suspension and peeling. The deep facial vascular branches must cross the SMAS layer in order to innervate the surface skin and subcutaneous tissues. Despite the presence of its own blood supply network, the blood supply to the flap and SMAS flap will be significantly reduced after extensive peeling.