Facelift Scars?

I would like to know why in a surgical Facelift the women get the scar behind the ear and the men just before the ear?? A doctor told me that if the pull back the MEN skin form behind the hear the hair will disturb us because will grow behind the ear. Is it right? Second question: Is it really annoying or just a light disturbance?? Is it highly recommended not to to the incision (scar) behind the ears for men?? Or i can decide to get it in the same place as the women since its less visible?thanks

Doctor Answers 24

Male Vs. Female Facelift

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When performing a facelift procedure, much thought is carefully made as to how to produce the most aesthetically pleasing result. Scar placement is included in this consideration. My decisions for scar placement typically depend on the patient's degree of skin laxity, natural aging and hairline pattern, and exaclty what type of facelift procedure I am performing.  Ultimately, the trade off for a nice result is having scars, but an aesthetically-conscious surgeon will, at all times, strive to hide the scars as best as possible. 

Richardson Plastic Surgeon
4.7 out of 5 stars 15 reviews

Male Facelft and Incisions

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This is a good question.  Unfortunately, I don't think you understand the concept of a male facelift.  I just gave a talk on this subject at a meeting about these concepts.  The incisions are necessary both in front of the ear as well as behind the ear to achieve a good result.  If shortcuts are taken, this will disturb the final result and a revision will probably be necessary along the way.  This is because of the direction of skin removal that is necessary both on the face area as well as on the neck area.  The surgeon should be aware of this fact and handle the tissues properly.  It is extremely important in Men that the skin be removed in the proper direction to achieve a excellent result.  Without placing an incision behind the ear, it is unlikely to get a good jawline and neck contour.  These incisions are carefully placed and will not show and are usually needed to achieve a sharp jawline and neck.  There are other surgical techniques that are utilized in male face lifting that are important to achieve a excellent result as well that are not necessary in women.  Good luck.  I always say, your face is the diamond, polish it brilliantly.

Walton Montegut, MD
Newport Beach Physician
4.9 out of 5 stars 47 reviews

Facelift location in men vs women

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I prefer a behind the tragus incision (post tragal) in men and have not noticed sideburn malposition issues.  This depends on the vector of pull (which is different in male and female shape preferences).  If hair does grow on the tragus, options such as laser hair removal, electrolysis or shaving are options.All scars go through three phases of healing with an initial redness phase followed later on by rebuilding and maturation of the scar.  Most scar and wound experts agree it takes about a year for a scar to fully mature.   Facelfit scars are commonly seen as red and can be hypertrophic.  Treatment of scars depends on the type of scars seen and can include the following treatments: -laser treatments to help both scars and redness of scars  -injections of kenalog or a combination of kenalog and 5-FU  -scar revision if poorly positioned scar The key to great scars after a facelift is to avoid tension on the skin and lift the deeper layer of the face.  Placing too much tension on the skin can make scars wider than ideal.  Meticulous closure technique can also aid in scar appearance.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

Facelift Scars different in men and women?

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Dear Cocoliso,

Thank you for your question.  Facelift incisions should be tailored to the patient, with many factors involed, including degree of tissue laxity, facial shape, how the hair is worn, and personal preferrence.  Facial hair is a consideration as well, but hair lasers can often be used to  minimize this as a problem.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Facelift Scars

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Incision location shouldn’t be based on whether you are male or female. Rather, it should depend on your degree of facial aging, skin laxity, hairline, and other unique characteristics. The type of facelift being performed will also influence incision placement. I usually work to accommodate my patients’ aesthetic preferences whenever possible. Remember that scars are a tradeoff for surgery, and most people find the results well worth any minimal scarring. Usually, the incisions are hardly noticeable. Talk about your incision preferences with your doctor. Good luck!

Facelift Incisions In Male & Female Patients

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The placement of a facelift incision is usually based on a patient’s facial features and can sometimes be based on their hair line as well; it is not always dependent on if they are male or female.  In the end the most effective incision done is based on what is best for the patient. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Male face lift incisions

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The incision made by a surgeon depends on their preference. I use 3 different types of facelift incisions based on mild, moderate or severe skin laxity. My goals are to maximize skin removal and minimize the scars appearance in every day life. Some doctors probably do the same incision on everyone. Your question is a good one and I hope my answer helped. Good Luck!

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 62 reviews

Scar placement

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Good morning!


Good question- but the short answer is "it depends".

Scar placement is not necessarily a male/female issue- but more of a hairline issue as well as what kind of procedure the patient is having.  Some patients (both men and women) do very well with just an incision in front of the ear and perhaps a n incision heading behind the ear in the crease- not into the hairline.  Other patients require an extension of the incision into the hairline to give them the look that they desire.


I hope this helps

Robert Steely, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 62 reviews

Facelift for men.

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There are a few differences in facelift surgery for men. One is the location of the scar. We want to avoid placing hair bearing skin where you don't want it. it gives an abnormal look to the patient. For thos reason, we alter the incision. All the best

Facelift scars in men

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Many surgeons will place the facelift scars in men in front of the ear (the tragus) citing that the beard makes it more noticeable otherwise. I disagree with that and most the time I am able to place the scars on the edge of the tragus, similar to the way I do it in women. It ends up being an individual decision though, based on the man's skin features. usually the hairs can be destroyed from beneath the skin.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.