When there is an incision made in the scalp for a lower facelift, does that mean you are going to lose some of your hair?

Thank you for your question.The incision are made close to the hairline or even extend up into the hair to help hide the scar. If you put them on the outside they would show on the neck and be visible if you pulled you hair up off your neck. There will be trauma to some of the surrounding hair follicles after surgery, so some hair loss is expected. The hair does grow back around the incision and hides them very nicely. Hair will not grow in the scar itself.

incisions around hairline can cause scarring and hair loss. I suggest PRP/acell injections and hyperbaric oxygen therapy before and after treatment.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

You do not lose any hair with facelift incisions. Some hair is trimmed to avoid hair getting inside the wound. Regards Dr. Janjua 

If your doctor is extending the incision into the hairline, it will raise the temporal tuft of hair and raise the hairline in the temple area.  Some scalp is being excised so you will be losing some hair this way.  Discuss incisions with your doctor to determine what is best for your objectives.

This question depends on your facial sagging and the skill of the surgeon. See several very experienced facelift surgeons to discuss what is best for your face  

 There's many different  placements of the incisions for a lower facelift,  so it is imperative to talk with your surgeon about where they are going to make the incision.  If the incision is placed behind the hairline, then the skin that is removed is going to be hair- bearing skin. This technique will raise the hairline. When the incision is placed at the hairline, the bald, non--hair bearing skin is removed. This prevents the windswept look.

Dear Mellibean, Yes if the surgeon uses an extended incision into the hairline he/she is going to remove some of the area where there are hair follicles. Ultimately, this elevates the hairline and leaves the patient with the obvious tell tale signs of a "bad" facelift.  I always bevel the incision right into the start of the hairline careful not to remove any hair, ensuring the patient has no visible incisions. Discuss the incisions with your surgeon and have the surgeon draw them on you during your preperative appointment to ensure you are on the same page. You can also consider asking to see some of the surgeons follow up patients so you can see the incision techniques. Best regards, Michael V. Elam, M.D.