Objectives : The purpose of this study was to estimate the wrinkle treatment effect of Miso Facial Acupuncture with the facial skin photographing system. Methods : Six middle-aged women with no diseases were recruited. Miso Facial Acupuncture, a total ten times was performed three times a week. The facial skin photograph of each participant was checked two times-pretreatment, posttreatment-using the facial skin photographing system. Both squares and counts of wrinkles in the facial 3 parts were measured for each one. Results : Both squares and counts of wrinkles were decreased on average. The improvement of lower eyelid were the best of all. And the wrinkles of outside of lip were reduced a little. Conclusions : in this study, we could evaluate the wrinkle treatment effects of Miso Facial Acupuncture by an objective and scientific method. Miso Facial Acupuncture has notable effect in wrinkle treatment. As though we had not wide experiences in this treatment, more researches are needed.