While it is impossible not to have any scar with surgery, a well executed facelift will leave inconspicuous scars such that others will have a hard time noticing even with close examination. A good facelift is designed with the incisions in the temporal and posauricular (behind the ear) hair bearing scalp. The incision does travel in front of the ear, but should be designed to fall within natural curves and skin creases. In women, we like to plan the incision behind the tragus. In addition to well designed incisions, it is crucial to close the wound with meticulous attention to detail, particularly around the ear and the lobule. By adhering to these principles, excellent outcomes can be achieved with high patient satisfaction.



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