If I want some new syntax in a LISP, I just write a macro.

e.g. the following threading macro in clojure

(->> x foo bar)

Takes x and passes it as the last argument to foo, then the result of foo is passed as the last argument to bar. Alternative you have -> for passing it as the first argument. These are from the standard library, but if they weren't they would be trivial to write yourself.

And no strings involved when you write macros in lisp either. It's just lists, your macro is just building a list. Because the syntax is just lists and there's no difference between lists and the syntax.

Without macros, regular expressions are strings at compile time and then at runtime objects are created based on the strings to evaluate them.

With macros, regular expressions are expanded at compile time into Common Lisp code that implements the evaluation.

There's a similar idea with an ORM library.

Without macros, the object-relational mapping is defined at compile time and any dynamic SQL is generated at run time.

With macros, the object-relational mapping is used at compile time to expand the query macros into Common Lisp code that includes the actual SQL.

Then also remember that the compiler is available at runtime in a lisp, so the distinction only matters when comparing it to non-lisps.