The aging of a person’s face must be accompanied by the aggravation of the nasolabial folds. Why do you say so? Because the sagging of the entire face has several manifestations, of which there are 2 main symbols of aging. 1. Decrepit lines, which is what we call nasolabial folds. 2, the formation of marionette lines. The appearance, deepening or aggravation of these two wrinkles are signs that indicate facial aging. There are many clinical methods to improve nasolabial folds and marionette lines, including probably surgical ones and injections. The surgical ones are divided into incisional surgery and thread sculpture. Which procedure is more effective in improving nasolabial folds or marionette lines? Specifically, for the signs of aging caused by displacement, facial lift surgery, including thread sculpting, can improve the signs of aging in the nasolabial folds to varying degrees. In terms of long-term effects? It is definitely this kind of lifting and complete separation of wrinkles that can improve the nasolabial folds and marionette lines more definitely. What about the injectable technique? It can only replenish the tissue volume from the deeper part of the nasolabial folds and marionette lines, it does not involve the displacement of the facial structure. Since it is not able to change the signs of sagging of the entire facial structure, the effect of improving the nasolabial folds and marionette lines on facial rejuvenation must be limited. It is more suitable for those who have less obvious structural laxity and only have nasolabial folds and marionette lines as their manifestation. For candidates with more obvious structural laxity and sagging, this injection technique should be considered together with surgery. There are concerns that surgical facial wrinkle removal will result in the loss of some expressions. There are two types of facial wrinkle removal procedures: small incision and large incision wrinkle removal. But generally speaking, in terms of long-term effects, the damage to expression is not great. The more significant impact on expression is immediately after surgery, or within the immediate post-operative period, which has a slightly greater impact on the expression muscles. One month after the surgery, there will be little effect on expression. The focus of lift surgery is not necessarily on the relief of wrinkles, it is only an overall structural lift to give you a sense of facial rejuvenation, especially the five-layer facial lift surgery, which focuses on minimizing the interference with facial expressions, after surgery, there is almost no loss of expression, only structural improvement. In other surgeries, as long as the long term effect is not deliberately targeting the disconnection or removal of expression muscles, the post-operative loss of expression is not significant either.