Facial rejuvenation face lift surgery will address loose skin most effectively. Wrinkles or rhytids that form secondary to this skin excess will no doubt be taken up by excising this extra skin caused by gravity and aging, and tightening the remaining skin. Small creases around the mouth will need a form of skin resurfacing to fix effectively. This may be in the form of carbon dioxide laser, erbium laser, trichloroacetic acid (TCA) peel, phenol peel, Blue Peel ™. Sometimes a smoking patient will have small peri-oral (mouth) wrinkles so pronounced and deep, that after rhytidectomy (facial rejuvenation face lift surgery), and resurfacing, botox will be needed to complete the treatment. Fortunately, either and endoscopic forehead or brow lift, or an open forehead or brow lift include the division and partial removal of the corrugators, depressor, and procerus muscles. Muscles that are responsible for the furrowing between the brows and just above them whilst frowning. Repositioning, or excising the forehead skin will address the forehead lines. So the short answer is that a face lift or rhytidectomy can take care of most, but not all wrinkles, folds. Any residual lines, crinkles, and creases will be handled effectively via skin resurfacing modalities.