Sutures, stitches and staples for lower Facelift?

After having performed thousands of face and neck lifts
comfortably under local anesthesia, I have found that, in my hands, an incision
most consistently heals as a thin line with gentle handling of the skin edges,
minimal tension on the incision line (not pulling the skin too tight),
and the use of fine sutures. Although it is quicker to use staples,
I personally prefer the control I have over each stitch placement to align the
skin edges for the most pleasing result that I can achieve. Healing times are
relatively similar for both.

You are asking one of the Million Dollar Questions in Plastic Surgery.Personally, I use a combination of dissolvable sutures, permanent sutures (which need to be removed), and sometimes staples IF the scar is inside the hairline.The dissolvable sutures are used deep inside the cheek in order to hold the tissues where I want them to stay.  They typically stay in place for about 3-4 months before being absorbed.I like to use permanent monofiliament sutures (like nylon or praline) in the skin to approximate the wound edges because your body is unlikely to react to them as long as they are removed by day 5 or so.Staples are occasionally useful within the hairline because they are a very fast way to close the scar that nobody is ever going to see anyway.  Furthermore, I remove them at day 5 as well (when I take out the sutures) so there shouldn't be any visible "railroad track" marks from them.  The reason time is important is that the Anesthesia is so expensive.  If I can save the patient 20 minutes of OR time by using staples and nobody is going to know the difference two weeks later, then that equates to real dollars and cents.Okay, sorry for the long answer, but that's what I use and why I use them...Good Luck!

This is really a question that depends on surgeon preference. You can read below, but every surgeon will have his/her own preference for closure of the surgery. It It really doesn't matter what the surgeon uses to close, look at the surgeons beofres and afters and have a frank discussion with them about what you can realistically expect for scars. The  incisions are placed in natural lines of the ears so scarring should be imperceptible. I do my procedures without general anesthesia, I find it helps with a quicker recovery. I also remove all my sutures at 1 week and do not sure staples. Thats my preference. Good luck!