Is it possible to do a mid-facelift with a hairline incision?

The answer is YES, it is possible to mobilize mid-face skin and soft tissue in the deep plane and to reposition these structures upwards without a scar in front of the ears. My approach for this powerful lift is at the lower eyelid margin with a completely hidden scar. Elevated mid-face structures are secured to bone with deeply placed sutures.

Lifting the midface without a visible scar in front of the ears is possible in select cases, especially for younger patients with good skin quality and minimal laxity. However, if a deep plane facelift is required to effectively reposition the malar (cheek) region, an incision near the front of the ear is typically needed for optimal access and long-lasting results. Incisions can often be placed discreetly and heal very well. Erman AK, Dr. MD, Plastic Reconstructive & Aesthetic Surgeon

Thank you for your question. There are degrees of change that can be effected for facial rejuvenation or a refreshed appearance of the facial features in someone younger. You are entirely accurate in saying that skin excess does not occur so early in life. The technique of minimal access facelift, also referred to as a gliding facelift, is applicable in a situation like yours.

The scar can be limited to the sideburn area, or can extend also in the temple hair and it involves mobilising the tissues in the midface and towards the cheeks. While it does not have the same amount of impact as a deep plane facelift, it carries less scarring and is therefore an appropriate intervention for someone who does not require a significant amount of change.