Many neck lift patient photos show a horizontal incision through the "sideburn," down the front of the ear, behind the ear and along the hairline behind the ear. Another approach skips the "sideburn" incision, goes down the front of the ear and finishes with a horizontal incision from the back of the ear with staples into the hairline. Can you please explain why the differences in incisions, and if the lack of sideburn incision will shorten the length of outcome?
Answer: Design of facelift incisions Incisions for a facelift require three primary considerations. Adequate access to the supportive tissue of the face and/or neck to accomplish the patient's goals, proper removal and redraping of skin after tissue repositioning without pleats or puckers, and a location resulting in minimal visibility of the incision. In my practice, each facelift patient is considered unique and the particular procedure performed designed for them. Incisions may vary accordingly but the following principles apply: Incisions around the ear should be in a naturally occurring crease and preferably behind the tragus in women. Incisions along or within the hairline are designed so that hair grows back through them. Incisions are long enough to remove excess skin without tension or pleats but are not extended beyond what is necessary. Hope that helps.
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Answer: Design of facelift incisions Incisions for a facelift require three primary considerations. Adequate access to the supportive tissue of the face and/or neck to accomplish the patient's goals, proper removal and redraping of skin after tissue repositioning without pleats or puckers, and a location resulting in minimal visibility of the incision. In my practice, each facelift patient is considered unique and the particular procedure performed designed for them. Incisions may vary accordingly but the following principles apply: Incisions around the ear should be in a naturally occurring crease and preferably behind the tragus in women. Incisions along or within the hairline are designed so that hair grows back through them. Incisions are long enough to remove excess skin without tension or pleats but are not extended beyond what is necessary. Hope that helps.
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July 1, 2017
Answer: Different facelift and incisions The difference between facelift, Mini lift, lower facelift, and necklift are real but subtle. First, the level of tissue tightening can vary: facelift or lower facelift can involve deep plane dissections, resulting in a stronger and more vertical pull. In order to do that, however, the incision must go above the ear into the sideburn or temple and often behind the ear along the hairline. This is needed to crest the space to do the deeper work. Necklift will involve incisions behind the ear and platysma lifting (a more lateral vector) while a mini facelift incision will be around the ear only and typically involve SMAS tightening for the deeper lift. Currently, non-invasive treatments like facetite or fractora can be use differently as alternatives to a mini lift.
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July 1, 2017
Answer: Different facelift and incisions The difference between facelift, Mini lift, lower facelift, and necklift are real but subtle. First, the level of tissue tightening can vary: facelift or lower facelift can involve deep plane dissections, resulting in a stronger and more vertical pull. In order to do that, however, the incision must go above the ear into the sideburn or temple and often behind the ear along the hairline. This is needed to crest the space to do the deeper work. Necklift will involve incisions behind the ear and platysma lifting (a more lateral vector) while a mini facelift incision will be around the ear only and typically involve SMAS tightening for the deeper lift. Currently, non-invasive treatments like facetite or fractora can be use differently as alternatives to a mini lift.
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Answer: Choice of incisions Thanks for a great question. Face lift incisions can be short scar, standard, or extended. The choice of incision is matched to the technique of face lift as well as patient considerations. In most face lifts, incisions are created in front of the ear and extended into the hair of the temple where they are well camouflaged. In short scar techniques, such as the MACS lift, the incision is in front of the ear and sideburns. When the incision skirts the sideburns, care is taken to cut across the hair follicles allowing growth through the incision and thus camouflaging it. Extended incisions are used when a neck lift is performed and this incision extends behind the ear and into the hair. Mini-lift generally refers to a "skin only" face lift and I view this as a marketing term and not a proper face lift. I hope this answers your question.
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Answer: Choice of incisions Thanks for a great question. Face lift incisions can be short scar, standard, or extended. The choice of incision is matched to the technique of face lift as well as patient considerations. In most face lifts, incisions are created in front of the ear and extended into the hair of the temple where they are well camouflaged. In short scar techniques, such as the MACS lift, the incision is in front of the ear and sideburns. When the incision skirts the sideburns, care is taken to cut across the hair follicles allowing growth through the incision and thus camouflaging it. Extended incisions are used when a neck lift is performed and this incision extends behind the ear and into the hair. Mini-lift generally refers to a "skin only" face lift and I view this as a marketing term and not a proper face lift. I hope this answers your question.
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July 14, 2017
Answer: Incisions for lower facelift, mini lift and/or neck lift Dear Bunny, You ask an interesting question. I do not believe that the same incision works for every patient and take many factors into account when planning incisions. The length and location of the incisions should be individualized for each patient, taking into account the aging changes, the length of the sideburns, the hairline in front, above and behind the ears,shape of the ears and the amount of redundant or loose skin to be removed. The quality of the final result is far more important than the length of the scar and the location is important in avoiding obvious visible scars and the stigmata of a facelift. I have a chapter (41) in my book “The Art of Aesthetic Surgery” discussing length and location of scars for optimal results.
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July 14, 2017
Answer: Incisions for lower facelift, mini lift and/or neck lift Dear Bunny, You ask an interesting question. I do not believe that the same incision works for every patient and take many factors into account when planning incisions. The length and location of the incisions should be individualized for each patient, taking into account the aging changes, the length of the sideburns, the hairline in front, above and behind the ears,shape of the ears and the amount of redundant or loose skin to be removed. The quality of the final result is far more important than the length of the scar and the location is important in avoiding obvious visible scars and the stigmata of a facelift. I have a chapter (41) in my book “The Art of Aesthetic Surgery” discussing length and location of scars for optimal results.
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July 1, 2017
Answer: Facelift incisions There different incisions when you're doing facelift surgery because each incision has an advantage and disadvantage. When you're doing efface the phone a man versus woman deviating the sideburns becomes more of an issue in a man where it's a nonissue and a woman. Each patient has different problems a person's problem is only the neck could have just a neck left with a scar behind the ear and the hairline. A person with good cheek dissent may do better with a full facelift. The key to a facelift is that when people see you they don't know you had surgery they just know you look good so adapting the incisions that will give you the desired result and keep you from looking surgical is the answer to an ideal facelift. Another new twist to these incision choices is fat transfer to the face. Fat for transfer to the cheeks and lower lid may be used to avoid a facelift and maybe downstage the facelift to a neck lift. The goal is to get a good natural look and for no one to know you had surgery.
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July 1, 2017
Answer: Facelift incisions There different incisions when you're doing facelift surgery because each incision has an advantage and disadvantage. When you're doing efface the phone a man versus woman deviating the sideburns becomes more of an issue in a man where it's a nonissue and a woman. Each patient has different problems a person's problem is only the neck could have just a neck left with a scar behind the ear and the hairline. A person with good cheek dissent may do better with a full facelift. The key to a facelift is that when people see you they don't know you had surgery they just know you look good so adapting the incisions that will give you the desired result and keep you from looking surgical is the answer to an ideal facelift. Another new twist to these incision choices is fat transfer to the face. Fat for transfer to the cheeks and lower lid may be used to avoid a facelift and maybe downstage the facelift to a neck lift. The goal is to get a good natural look and for no one to know you had surgery.
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