The nature of facial skin is to lift upward, including the scalp. From the moment we are born, facial skin wants to pull upward every day in an effort to fight gravity and avoid aging. What exactly makes it start to fall down? It turns out that because the nutrients that support the tissues are lost, the skin begins to loosen and the bottom layer of the periosteum loses its pull. The loosened skin also wants to maintain its vocation – upward and taut – but it is not getting the nutrients it needs. In the absence of food and support, it has to find its own way to survive – to accumulate fat to support the sagging skin. However, the more fat, the greater the weight, the impact of gravity will also intensify, the skin again down, and finally formed a vicious circle of always loose, always fall, always hoarding fat. It is clear that although wrinkles and flab on the epidermis is an obvious aging phenomenon, but if only for wrinkles and flab to care is far from enough, we must find out the real cause of skin slack, the right remedy. Flash floods are caused by the loss of various soil layers, which eventually leads to mudslides. You can see the importance of the support points. Where does the skin start to sag? The hairline! Once the scalp is loose, there is no pull to pull the eyebrows; once the eyebrows are loose, they squeeze to the end of the eyes and eyelids; when the eyelids are loose, they squeeze the cheekbones and the apple muscle becomes a big pie: when the apple muscle continues to be loose, it squeezes out the lines of the law and the puppet lines at the corners of the mouth, leading to poor circulation in the lower part of the face, and the face starts to become dull, and the originally straight jaw becomes loose and leads to a large accumulation of fat. If you understand the causes and consequences of skin loosening and aging, you will naturally understand that you can’t just rely on fixed points to solve skin problems, you must first use “wipe, repair, nourish, and fix” to help the skin find support points and fix the skin in order to regain a firm grip on the facial contour. But nowadays, medical aesthetics is more about immediate results. Through open facelift surgery, the top of the head is the main support point, starting from the hairline, the sagging skin is peeled off and tightened upwards, while the fat and muscle, which are also part of the aging soft tissue, are forced to be tightened and removed without the opportunity to repair, which is the reason why the expression is stiff and unnatural after the “facelift”. For example, when we smile, our mouths are pulled upward along with the laughing muscles, and our eyes are slightly curved downward at both corners; but after facelift surgery, no matter what expressions people make, the skin always looks like the scalp is tightening upward! In the long run, the skin will gradually give up its vocation and its ability to support itself will decrease, and it may even age faster than before the surgery. Therefore, I do not agree with the use of a “facelift” directly by middle-aged people to fight aging, even if it has immediate effects. If you look deeper into the skin’s hierarchy, you will find that it is not necessary to “violently” peel away the flesh and skin joints, but simply to fill in the right layers and apply the right materials into the deeper layers of the skin to help replenish the skin’s natural support points; and to adjust to the skin’s natural growth cycle of metabolism about every three months. The cycle is adjusted according to the natural growth cycle of the skin, which occurs approximately every three months.