Facelift: Q&A
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Are Staples Apropriate for Mid- Face Lift? (photo)
I just had an Endotine midface lift with lifting the corner of the eyes only by vertical excision of skin above the years just behind the hairline.I was told by the surgeon that the incisions would be about 1-2 inch on each side just above the years , inside the hair – basically invisible, but when I removed the bandages, I was surprised there where about 5 inch long at the hair line on each side and stapled with metal, not sutures.Are staples appropriate to be used in this case?
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19 Doctor Answers |
Asked by
van_d_man
in BH California
+2
Are staples acceptable in facelift surgery?
Use of staples in hair bearing areas is indicated because they have less adverse effects on hair growth, do not entangle the hair and are simple to remove. However they may result in punctate scarring if used elsewhere on the face.
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Mid-face Lift and use of Staples
Staples are commonly used in facelift and browlift procedures when the incisions are in the scalp. In most cases they are easier to remove and wont't tend to get caught in the hair. From your photos, it appears that it was appropriate for your surgeon to use staples to close the incisions in your case. Best wishes.
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Staples Are An Appropriate Option For Incisions In The Hair
Staples are very commonly used to close incisions, especially in the hair. Staples give a nice result (the scar looks good- maybe not great, but very good), and close the incision quickly, decreasing the operative time. It sounds lie this was not what you were expecting, but give it some time. You will be happy with the result.
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Midface lift with staples.
Within the hair staples are used often. However, if the incision is at the hairline we prefer sutures andalusia the hair grow thru the scar so you do not see it( The Irregular Trichophytic Incision).
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Staples in midface surgery
It is quite acceptable to use staples for incisions within the hairline. Staples hold all the layers together and leave very little evidence when removed at the appropriate time.
There are many types of midface lifts, including Endotine, inside the mouth / temple. subciliary, limited subciliary, and through the facelift. All these procedures elevate some portion of the mid face or cheek.
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Staples in a facelift
Staples can be used at your surgeon's discretion as long as if they are in front of the hairline they are removed early enough to not leave railroad track marks.
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Staples in the Hairline
Staples are used by many surgeons for incisions that remain in the hairline. Most surgeons will suture anything on the face and staple anything in the hair.
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Staples for hairline incisions after midface lift
Staples sound a bit coarse and even a bit crude, but for incisions in the hairline, they are optimal. They provide excellent eversion and approximation without strangulating tissue and compromising the blood supply - meaning well-healed incisions without hair loss.
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Skin Staples/Clips - Good Choice Within Hairline for Facelift, Brow Lift, Temple Lift, etc
Skin Clips or staples are not only appropriate but preferred by many surgeons including myself within the hair portion of your scalp as your photos demonstrated. They have the following advantages - no hair shaving is required to prevent hair being trapped within sutures and the incision, easy removal, less damaging in many cases to the skin.
Your surgeon made a good choice.
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Staples are acceptable in the hairline but I don't use them.
I don't like staples in elective aesthetic surgery cases. They can leave blemishes that I dislike, even in the hairline. Stapling can save time but not that much. The patients pay a lot of money and precise suturing is an important detail for me.
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