Is there always a scar in front of the ears after lower facelift? And how long does it takes for scars to fade?

Doctor Answers 23


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Most facelift approaches do require some incision in front of the ear. Fortunately we can camouflage this by bringing it behind the tragus (cartilage flap in front  of the ear canal) and into the opening of the ear canal. In addition, this is an area that heals very well- even without make-up, this incision, when well placed and executed, is hard to detect.

Healing will take a full year to see the final result. By two weeks, however, most patients should be able to camouflage all incisions with make up.

Indianapolis Facial Plastic Surgeon
4.8 out of 5 stars 49 reviews

Minimal Scar, Should Fade in a Year or Less

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In order to address the jowls, an incision in front of the ear is necessary. It can be hidden in the curves in front of your ear, and it should hardly be visible after it matures. Maturation for facelift scars typically takes 6 months to 1 year. Neck tightening alone can be performed without the incision in front of the ear.  

Facelift: incisions

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In order to be able to tighten the muscles in a lower facelift, an incision will have to be placed in front of the ear. The length of the incision can vary based on the type of lower facelift being done. At your consultation,  you should discuss the type of incision that your surgeon plans on using. They should be able to show you pictures of their patients' incisions at different stages of the healing process.  As they heal, incision lines will be permanent but should be barely noticeable. Every patient heals at their own pace.  The incisions will go through an inflammatory phase and then a remodeling phase. They can stay pink for a few months but should be easily concealed with cover up if needed. Patients tend to be happy with how their incisions as soon as 1 week after surgery.  It can take up to a year for the incision to completely heal. See the link below, 

Scar Placement and Healing

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Yes, the scars are typically placed both in front of and behind the ear and while every patient heals differently, I am always impressed by how discreet the scars wind up being. In general, no one is going to know that they are there. It is important to see a board certified plastic surgeon for your facelift as you want someone with the expertise and training to deliver exemplary results. Hope this helps.


Kouros Azar

Facelift incisions

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A lower facelift can be done through a posterior ear incision in some cases. It maybe best to do an anterior incision to hide the scar, any bulging and for the SMAS which lifts the fascia nd muscle for a longer lasting result. See a board certified ASAPS plastic surgeon in consultation. Good luck...

Facelift scars

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Believe it or not, plastic surgeons have little control over your wound healing biology. It is important to close the wound with as little tension as possible, but other than that, your scar healing is largely determined by your genetics. Nevertheless, I am always impressed at how well most facelift incisions eventually heal. Although there is initially some redness to the incision while healing, in most people it is very will hidden.

Ben Lee, MD - Account Suspended
Denver Plastic Surgeon

Facelift scars

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The typical facelift requires an incision in front of the ear, around the earlobe and behind the ear. This allows the effective exposure of the muscles that need to be re-suspended, as well as for the removal of excess skin that most patients require. Because there is very little tension on these scars, they typically heal very well with most incisions not being visible after a few months. Makeup can be used for the first several weeks after the procedure to camouflage the incisions that are pink during the first phase of healing. 

Facelift scars...

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In a typical facelift, the incision comes down in front of the ear, but behind the tragus so it is broken up nicely. Just like with any incision, a little redness can be evident for a few weeks but makeup can cover it up. Just be sure to see a facelift specialist because he/she will be the most experienced at obtaining scars that are well hidden and difficult to detect.


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In regards to facelift surgery, traditionally the incisions are made in front of the ears. For lower facelift sometimes the incisions are made under the chin. There will be some type of scar because of the incisions made however, the incisions should be small and should be hidden well. I highly recommend consulting with an experienced Board Certified Plastic Surgeon .Fading of scars and how pigmented scars are, are dependent on the patient and how they heal individually. For my patients, I usually offer scar revision post-surgery, if necessary. Thank you for your question and have a great day!

Sam Speron, MD
Chicago Plastic Surgeon

Scars after face lift

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Thank you for asking about your face lift.

There is always some kind of scar in front of the ear after a face lift - but it is usually broken up by putting part of it behind the tragus (the cartilage notch in the front of the ear, so it is barely visible. On average, scars begin to fade after six months.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

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.