The skin incisions are then made using a scalpel or an electro-surgical unit. For electrosurgical incision, we use a pure cutting current and a Colorado needle tip. Long-term experience has shown that the scars are indistinguishable between the two techniques. We prefer to use a blade on younger patients and electrosurgery on older patients who have more lax skin, which tends to make it more difficult to get an even cut with the blade.

We begin with an oblique temporal incision that is perpendicular to the desired direction of temple lifting. This incision need only be long enough to allow introduction of a finger. The incision is made just through the dermis. The posterior extent of that incision joins an incision inferior along the upper anterior helix, going along the edge of the tragus, then sweeping around the earlobe in the crease behind the ear and up on the occiput. Although many investigators have advocated making the postauricular incision on the conchal cartilage because of subsequent migration of the scar, we find this unnecessary, as our technique avoids any pull on the skin and thus eliminates scar migration.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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