Facial plast Surg 2013; 29(03): 225-232
DOI: 10.1055/s-0033-1347005
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Facelift without Periauricular Incisions

Alfonso Riascos
Department of Plastic Surgery, Centro Medico Imbanaco, Cali, Colombia
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2013 (online)


The best technique for facial rejuvenation has been argued about for years. Some result in more or longer scars, others in fewer or shorter scars; some techniques are more invasive, and some less invasive, giving, in turn, improvements to different aspects of aging. Some techniques may be less aggressive in parts of the face and may have better scar results compared with more invasive techniques; less scaring can provide long-lasting and enjoyable results. With the facelift without periauricular incision technique, no evidence of facial surgery is left because the traditional periauricular scars resulting from standard facelifts are avoided. A retrospective study of 210 patients who underwent a facelift without preauricular incisions between 2008 and 2011 showed a high patient satisfaction, effective action on effects of aging, and improvement on specific aspects for each patient. The complication rate was very low with simple revisions, among which were two related to temporal edema, two related to the marionette lines, three related to cervical suspension points, and four regarding scars. This technique is useful in patients between 40 and 70 years of age who do not have excessive facial wrinkles. It improves facial contour affected by aging, genetics, or secondary to previous surgeries and provides reproducible lasting natural results.