With the increasing competition in people’s daily work and life, it is not uncommon for middle-aged and elderly people and even young people to have loose facial skin. Facial wrinkles are most likely to appear on the forehead, followed by the upper eyelid, and the lower eyelid skin laxity, then eye bags and crow’s feet appear at the corners of the eyes. Further development will be the sagging of the skin in the middle of the cheek, deepening of the nasolabial folds, and disappearance of the jaw and neck corners. As early as the early 20th century, doctors began to try to do facial wrinkle removal, and it has been developed for 80 years. During this time, many methods and procedures have been developed, including methods such as topical skin care wrinkle cream, chemical peeling, grinding, collagen injection, etc.; there are also procedures such as forehead-temporal wrinkle removal, temporal wrinkle removal, lower face wrinkle removal, full face wrinkle removal, brow lift, subperiosteal wrinkle removal and small incision wrinkle removal. Today, we will mainly talk about endoscopic assisted wrinkle reduction.