Facelift: Q&A
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How Can Surgeons Hide the Stitches from a Facelift?
Is there any way that the surgeon can put the stitches from a Facelift inside the ear? You can always tell someone has had a lift from those tell-tale incision scars in front of the ear.
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16 Doctor Answers |
Asked by
caesarboy
in southn Florida
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Making facelift scars inconspicuous
The incision for a facelift is placed along the tragal edge of the ear, as it is very well camouflaged in this area. Other techniques performed during a facelift to minimize scaring, are to not place any tension along the incision lines so that the incisions do not fall apart and leave wide hypertrophic scars. Another technique is to remove the sutures quite early, day 4 or 5 after the surgery, to prevent railroad tracking along the incision lines.
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Hiding Facelift Incisions
Indeed face lift incisions can be placed inside the ear. The post tragal incision is commonly used. With this approach the Facelift incision begins in the temporal hairline and continues along the edge of the upper ear and behind the small cartilage projection, (tragus), which is in front of the ear canal. This incision then continues around the ear lobe and up behind the ear. This type of incision is used by many plastic surgeons and helps prevent the straight vertical scar in front of...
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Facelift Incisions
The key to facelift incisions is to have equivalent shaping to the incisions so there are no straight lines and it matches one of the natural skin creases around, inside the ear, and behind the ear. The goal is to blend the incision with the natural creases so they become almost inconspicuous over time.
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Facelift Incisions
The planning for a facelift incision is a critical step in scar concealment. Some steps for scar concealment:
location and placement of the incision
keeping the hairline intact and avoiding hair loss
keeping ear position and alignment
avoiding excessively wide scars by avoiding tension on skin (lift should be on deeper tissues)
see video
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Ways to hide facelift incisions
Good facelift incisions are placed in areas where the scar will be camouflaged or hidden from view. We like to place the temporal incision within the temporal hair region. The incision behind the ear is placed such that the ear and the hair behind the ear will cover the scar. The incision in front of the ear is placed in a skin crease and goes behind the tragus ("inside the ear") in women and in front of the tragus in men.
The reason we don't like to place the incision behind...
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Facelift Scars
With very rare exceptions, the scars are placed within the ear. I feel the only reason for placing the incision in front of the ear is that it is easier for the surgeon. In men , where the sideburn hair could be pulled into the ear, the underlying follicles can be destroyed at the time of surgery or later with the use of electrolysis or laser hair removal.
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Facelift Sutures Hidden Scar Line
Question: How can surgeons hide the stitches from a Facelift?
Answer: All incisions should be closed meticulously and without tension. I always place temporal incisions with closure within the anterior temporal hairline. A number of surgeons place these incisions in front of the hairline (in front of the side burn); I disagree with this placement as I feel that it too often presents a conspicuous scar line. Despite my placing the incisions and performing a closure within this hair...
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Freehold Facial Plastic Surgeon
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Surgical skills are the most important
Regardless of whether the incision is behind the tragus ( inside the ear) or in front, if it is closed meticulously and without tension there will be no visible scars.
All being equal the most important factor is the surgeons surgical skills.
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How can surgeons hide the Facelift scar?
The Facelift scar is but one component of a well executed procedure.
The LENGTH and LOCATION of a Facelift scar depend on how many areas are treated and where the excess skin laxity will be the most obvious. In mild cases, the scar can stay on the anterior face but as skin excess increases, we need to extend the scar to behind the ears to better redistribute the skin.
After sagging face structures have been raised and repositioned in a more youthful location and the excess skin is...
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Posttragal incision in a male is possible but with caution
I think all of the previous respondents are correct in their assessments.In summary - you can place a facelift incision 'in the ear' but in a male you should be careful. I would make the same assumption as Dr. Jafri that you are questioning a male facelift. If you notice just in the front of the ear there is a 'no man's' land. The beard stops about a centimeter in front of the ear. If you bring this back all the way to the ear and onto the tragus, this can look unnatural. In some cases,...
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