Where are the scars in a facelift?
The incision typically starts in the scalp just above the ear, courses downward following the curve of the ear, disappears behind the small protruding cartilage in front of the ear, emerges to course around the earlobe, and runs in the crease behind the ear (Figure 3, center). It will either stop there in those with little neck laxity, or continue backward into the hair behind the ear in those who are older and have looser neck skin (Figure 3, right).
A separate scar is often necessary under the chin in order to eliminate the muscle cords in the front of the neck. All facelift scars are permanent but fade with time, most being inconspicuous after one year (Figure 4). It is not necessary to cut the hair at the time of surgery.