Facelift - which incisions do we need?

by Hisham Fansa

Depending on the extent of ageing and the planned lifting, different incisions are used

A limited incision facelift is often sufficient for people whose skin has not been damaged by the sun or smoking, for example, and where there is no real excess skin but only sagging subcutaneous tissue in the cheek and starting at jowls. The incision is made from the temple to the front of the ear, where it is well hidden behind the front ear cartilage (tragus). This allows us to permanently tighten the subcutaneous tissue (SMAS) in the face (cheek, jaw line). We do not need to remove any skin here. In the first few weeks after the facefilt, some excess skin is still visible on the temples. After some time, however, this has evened out well.

Patients with sagging subcutaneous tissue and excess skin on the face not only need an SMAS lift, but also a skin tightening. We use the short scar facelift incision for these patients. We lift the subcutaneous tissue (SMAS) in the face (cheek, jaw line) and remove excess skin from the face. As with a limited incision facelift, the incision is made from the temple to the front of the ear (behind the ear cartilage, tragus), circles the earlobe and ends behind the ear conch.

In people who have sagging skin and subcutaneous tissue in the face and a sagging neck, we also need to tighten the neck. Here we need an extended face and neck lift - this lifts the subcutaneous tissue (SMAS) on the face (cheek, jaw line) and neck and removes excess skin from the face and neck. In addition to the incisions from the short scar lift, incisions are made behind the auricle to the hairline. In some cases, we also need a small incision hidden under the chin.

Because we only distribute the tension of the facelift to the SMAS, the scars usually heal very nicely and are barely visible.

We would be happy to provide you with more information during a consultation.