Why does placement of facelift incisions at the temple vary?

Looking at various photographs of different facelifts, sometimes the incision at the temple (above front ear) is well-hidden in the hairline (and often closed with staples), but sometimes it seems to curve around the hairline (and closed with stitches) so that it is much more visible. Does it depend on the surgeon's technique or the type of facelift (mini, full, macs etc)?

Doctor Answers 30

Why does placement of facelift incisions at the temple vary?

Where the incisions are made is determined by the surgeon’s preference and experience. I do the short-scar facelift (smaller scar) and the end result is very natural looking.  My patients are thrilled with their results.  A small incision is placed just above and below the front of the ear and the scar is placed inside the ear.  Women are able to wear their hair up or in a ponytail without any tell-tale signs of surgery. Seek a consultation with a Board Certified Plastic Surgeon with elite credentials in this procedure.


Toronto Plastic Surgeon
4.5 out of 5 stars 111 reviews

Facelift Incision Placement

Thank you for your question.
Incision placement varies with each patient, hairline geometry, and type of lift.
Ask your surgeon to draw on your picture where your incisions will be.
Best wishes.

Greg Chernoff, MD
Indianapolis Facial Plastic Surgeon
4.8 out of 5 stars 29 reviews

Dependent on the technique and experience of the surgeon

It's very dependent on the technique and experience of the surgeon. Their experience will dictate where they are comfortable making an incision. There are advantages to each location but exposed non-hairline incisions should rarely be closed with staples. Incisions location and length could determine what results can be accomplished. Don't expect small incisions to yield big results. That's looking for a magic wand. In plastic surgery, we have learned over a long time to hide incisions and carefully choose their placement to optimize results. Don't choose a short scar technique expecting a long scar result. Their is no free lunch.

George T. Boris, MD, FRCS (account suspended)
Los Angeles Facial Plastic Surgeon
3.7 out of 5 stars 18 reviews

Face lift incisions

Thank you for asking about your face lift incisions.

The design of the face lift incisions depends on many factors-
  • the surgery planned
  • the hair line
  • the patient's concerns
Each incision has its pros/cons.
  • The incision in the hair line will reduce side burns and pull back the hair line. Although less noticeable, it can be more distorting - but an excellent choice for a woman with thick hair and minimal side burns.
  • The incision at the hair line preserves the hair line and hair - and is designed so that hair will grow over the incision and hide it although this takes time.
  • Mini-lift incisions may not go above the ear at all and MACS lifts go a short way.
So there is no right or wrong - there are all good options, depending on what is best for you.
Always see a Board Certified Plastic Surgeon
Hope you found this answer helpful. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

PL;ACEMENT OF FACELIFT

At your consultation with your surgeon they will explain to you where your incisions will be and exactly what entails with the procedure.

Elliot M. Heller, MD
New York Facial Plastic Surgeon
4.6 out of 5 stars 93 reviews

Facelift incisions in the temple may vary depending on where the surgeon wants the hairline sideburn.

 It plastic surgeon will adjust the incisions of the facelift to minimize distortions of hairline and sideburns. This will be explained to you by your surgeon prior to the operation.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Why is it that nearly every surgeon has a different opinion on incisions!

I must admit, i ask myself the same question often. To be completely honest, us surgeons are an interesting group of people. We are very type A (if you know what I mean) and many of us thing our way is, the ONLY way. But you know what, this isn't true. In Surgery, there are many ways to achieve the same effect. Each way has its benefits, drawbacks and of course this all depends on the experience of the person doing it. 

One of the things we consider when making the temple incision is the hairline. You can imagine, if we make the incision RIGHT at the hairline it may be more viable, especially in people with little or no hair. However, there is a benefit of this over another way, putting the incision in the hair. The benefit of this is that the incision is hidden in the hair, however, as we pull the skin there is a chance we can raise your hairline or move your hairline back a bit, which isn't always desirable. 

Also, as you mention above, it depends on the type of facelift as well. A "mini-lift" would not use this incision at all, but then you can not really remove much extra skin with all this.

In the end, all surgery has limitations and drawbacks. Our job as surgeons is to inform you of these and help you chose the one that will give you the effect you desire. 

I hope this is helpfull,

James P. Bonaparte, MD, MSc, FRCSC
Head and Neck Surgery
practicing in Facial Plastic and Reconstructive Surgery
Assistant Professor, University of Ottawa
Ottawa, Ontario, Canada

James Bonaparte, MD, MSc, FRCSC
Ottawa Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Face lift incisions

As you are now aware, there are a number of ways to make face lift incisions.  The choices, pros and cons, should be discussed with you by your surgeon prior to surgery.  I prefer the incision in the temporal scalp because it hides easily as you mention.  The scar in front of the temple hairline tends to be more visible.

Todd C. Case, MD
Tucson Plastic Surgeon
4.9 out of 5 stars 57 reviews

There are several different types of incision...

The answers to this question should make it apparent to you that a few surgeons need to be seen in consultation for you to be comfortable with the answer. For the most part the surgeon will do what he/she is most familiar with in conjunction with how they were trained. Each incision has their pros and cons (I favor the incision in the hairline - that way you will practically never see a scar), but if you visit several specialized facelift surgeons, you will get a feel about what is good for you, and who you feel comfortable with.

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 206 reviews

Facelift incisions

There are probably as many incisions used in facelift surgery as there are newly created names for facelifts.  Several factors are generally considered by the facelift surgeon in creating the incisions for the facelift.  The sex of the patient, the height of the temporal hairline, the depth of creases in front of the ear, and most importantly, the objective of you and your surgeon in performing the facelift.  A good facelift surgeon will likely consider these variables and many more in order to give you the most natural and pleasing facelift result.

Philip S. Schoenfeld, MD, FACS
Chevy Chase Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

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.