How to Prevent facelift Scars : Secrets from Noonopi Plastic Surgery

facelift scar
Nk Park, Board-Certified Plastic Surgeon,
Founder/Director of Noonopi Plastic Surgery, Seoul

Worried about long scars on your face after a facelift? It’s a common concern since all plastic surgery carries the risk of scarring. Facelifts, in particular, involve significant incisions, which can be daunting. In this article, we reveal how Noonopi Plastic Surgery minimizes facelift scars.

1. Facelift Incision placement

Understanding the cosmetic units of the face is crucial for making scars less noticeable.

Cosmetic unit of the face
The incision should be made along this line to properly hide the scar when incision are planned.

Incisions should follow these natural lines to hide scars effectively. While central facial incisions are avoided due to visibility, sagging cheeks and wrinkles are lifted using incisions near the ears.

Facelift incision placement
Facelift incision placement

Traditionally, incisions followed the red line to hide scars within the hairline as seen above. However, Dr. Nk Park of Noonopi Plastic Surgery recommends the green line, a method preferred by top Korean facelift surgeons.

1) Temporal Area Incision

facelift incision scar
Improper placement of facelift incision line

Incorrect incisions within the hairline can push back the hairline or eliminate sideburns. 

facelift before and after
Facelift scars : before and after(from Dr. Park)

Above photos are facelift before and after from Noonopi Clinic. So, Dr. Park suggests making incisions along the hairline to preserve sideburns.

2) Behind the Ear Cartilage

There is a diamond-shaped cartilage in front of the ear canal, called tragus cartilage. Incisions can be made in front of or behind the tragus cartilage. 

facelift scars ears
Pretragal vs Retrotragal : Incision method in front of the ear

Each method has its pros and cons, but if the incision is made in front of the tragus, the scar may be more visible. The retrotragal method hides scars better but requires skilled execution to avoid deforming the ear’s shape.

facelift scars ears
[Ref : Textbook ] A patient who had incision infront of the tragus(left), and same patients after re-operation with behind tragus incision(right).

However, retrotragal incision has some learning curves. This is because an unskilled doctor can create an awkward shape in front of the ear like the one below.

Before and after facelift (performed by an unknown surgeon)

Many patients can not point it out, but everyone can tell that it feels awkward somehow. Noonopi Plastic Surgery are known for not only hide scars behind the tragus, but also prevent deformation of the tragal cartilage.

facelift earlobes
Ear shape after FaceLift(by Dr. Park)

Dr. Marten, a world-renowned face lift surgeon, once said,

“Good surgeon can be judged by the outcome they made in facelift scars ears.”

Timothy Marten
10 1200
Marten and Park

Following his teachings, Dr. Park provide treatment paying close attention to the shape of the area around the ears, including the tragus cartilage, sideburns, and earlobes.

facelift incision post op
Facelift incision post op

The case above shows the 3-weeks after facelift, and you can see that the rhomboid-shaped tragus cartilage in front of the ears is well preserved, the crooked ears are corrected, and the sideburns are preserved to the fullest.

Ultimately, the face lift incision lines recommended by Noonnoppi Plastic Surgery are as follows.

Facelift incision placement
Facelift incision placement

2. Expert Suturing Techniques

Meticulous suturing is essential to avoid noticeable scars. Plastic surgeons’ precision in suturing is why patients prefer them for facial wounds. In facelift surgery, careful suturing are related to longer surgery times but results in minimal scarring.

facelift incision post op
Noonopi Plastic Surgery facelift incision 2 months post op

3. Thorough Follow-Up Care for facelift scars

In most cases, scars are not a major issue even without post-operative care. However, some individuals are prone to severe scarring. In such situations, the following measures can be helpful. Plastic surgery residents undergo extensive training, treating various scars and wounds over four years. This experience and knowledge are far more advanced compared to other medical fields. The follow-up care outlined below is recommended, considering the wound’s healing process.

1) Laser Treatment

Proper management of post-surgery scars is crucial. Wounds heal through the hemostatic, inflammation, proliferation, and remodeling phases. 

wound healing stage
wound healing stage

It’s normal for the incision site to harden and swell for 1 to 2 months post-surgery, which occurs during the proliferation and remodeling periods.  Early laser treatment can prevent severe scarring by addressing the wound during the critical healing phases.

2) Hyperbaric Oxygen Therapy

This therapy enhances oxygen delivery to tissues, promoting faster and proper healing.

Hyperbaric oxygen therapy
Hyperbaric oxygen therapy in Noonopi Clinic

When surgery is performed, blood flow temporarily decreases, new blood vessels grow, and the tissue regenerates. And hyperbaric oxygen therapy enhances oxygen delivery to tissues, promoting faster and proper healing.

More oxygen are carried to tissues in hyperbaric chamber

The hyperbaric oxygen chamber enhances the ability of red blood cells to retain and transport more oxygen to tissues. This accelerates the healing of wounds that are not healing well and helps progress through the proper wound healing stages. Consequently, the use of hyperbaric oxygen therapy in lifting hospitals has recently increased.

4. Conclusion

Noonopi Plastic Surgery’s facelift techniques focus on strategic incision locations, expert suturing, and comprehensive aftercare to minimize and manage scars effectively.

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