Post vs Pre Tragus incision?
Doctor Answers 33
Post vs Pre Tragus incision?
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Pre versus post travail incisions
Facelift incision pre-tragal or post-tragal
This is a very good observation on your part. Most patients are quick to assume that the post-tragal technique will always be the better option since the incision is "hidden."
In reality it is only about a centimeter or two of the overall incision that has a different pattern. Both techniques are great, each with their own pros and cons.
You will find that the post-tragal technique is more common, but if you know the signs to look for you will also see that the post-tragal technique is far too easy to mess up unless done exactly the right way. This causes issues with the final appearance. Some of these are obvious and distort the tragus significantly.
In other situations the issues are more subtle, but they can still give the overall impression that the appearance in that area just doesn't seem right for some reason, and that is one of several factors that lead to a facelift looking like work was done even to the casual observer like a friend or coworker who is not analyzing you like a surgeon would.
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Pre vs postragal incision
You are correct and there is no right answer
Facelift Incision placement in front of the ear
Subtle surgical nuances are what ultimately make for happy patients. Make sure your surgeon can tell you exactly what he or she intends to do to camouflage your incisions and help you avoid the stigmata of an "operated face."
When you visit a doctor that you are considering having perform your facelift, ask them to see before and after photos of their work. Be sure to see enough photos to where you feel comfortable with the incisions, procedure and expected results.
Pre vs post-tragal incision
I would prefer the incision along my ear to be in front of the tragus, pre-tragus, rather than post-tragus.
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Pre tragus is not better
all ghe best
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