Facial Rejuvenation

Scottsdale – When it comes to facelift incisions, we have reviewed our perspective on the anatomy of the Ear and the design of Facelift Incisions around these structures. We have learned a nice way to make the incisions less noticeable with a good design. To improve on this work, we should review the steps involved with facial plastic surgery wound closure. Creating a good closure can only improve the results of plastic surgery of the face in the hands of most board certified plastic surgeons.

How do we begin Closure of Facelift Incisions?

The closure of the face wound begins after the cosmetic surgeon has removed the skin judges to be excessive. The remaining tissue is closed under minimal tension. Once the tissues have been lined up, the closure begins with a deep layer suture technique. I prefer multiple, appropriately spaced 4-0 Vicryl sutures. This suture is placed up and down the incision, including the tragus, where a touch of cartilage may be incorporated to give the wound some strength. The same suture, which goes away over time, is used behind the ear.

What Suture for Facelift?

In front of the ear, for the second layer, we use a thin 5-0 non-absorbable nylon suture running up and down the incision, including the hairy scalp skin. I now avoid staples in the scalp. This was a fashionable way to close these wounds, but may lead to step-offs and less than ideal healing, in some patients. In the back of the ear, a suture that goes away is placed on the skin, including the hairy skin of the scalp there.

Easy Care and Good Results for Facelift.

This type of closure leads to the best results, in my opinion, but there are many respected plastic surgeons who may use a different technique. Another advantage of this facelift technique, is that it is easy to take care of until the sutures are removed by your cosmetic surgeon.