Abstract
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.
Keywords
periauricular - facial rejuvenation - plication - autologous grafts - facelift
