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Where Should Facelift Incisions be Made – The Pre-Auricular Incision

During facelift surgery, I prefer to cut closely along the border and shape of the tragus (the small piece of cartilage located in front of the ear canal). This helps to conceal discoloration and texture changes caused by a scar.


Some outstanding surgeons prefer to incise the skin further away from the tragus, often using a skin crease in front of the ear. It’s important to stress here, that there is more than one legitimate approach to this decision, and a well-technically executed incision can heal well using either approach. Having said this, in the majority of cases, I prefer a “post-tragal” incision because I feel my results are better using this approach. The incision made towards the top of the ear should parallel the arc of the helix (the outer rim of the upper ear composed of cartilage). It is important to create an incision that turns into the crease located between the cheek and lobule to avoid a lengthened tragus. A proper pre-auricular incision will result in natural and smooth-looking skin, non-indicative of surgery.

Auricular Incision, Sistine Facial Plastic Surgery

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Practice Policy Update Regarding COVID-19

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Important message to all of our patients

Dr. Leong and his team are happy to announce, we are open and seeing patients for all surgical and non-surgical consults. The summer surgery schedule is rapidly filling up. Please call or contact us today to schedule your consultation.

We are following all state and federal guidelines for your protection and safety, including but not limited to: wearing gloves and masks, providing hand sanitizer, frequent cleaning, wiping down and sanitizing of all contact surfaces. As well as will maintain all standard Social Distancing protocols. Patients should not come in if achy, feverish or coughing or COVID positive test for active infection.

We are still utilizing virtual consultations, including to obtain initial information about treatment plans for new and returning patients. Our goal is to find the best balance between being available to our patients and maximizing their safety.

Please call our office or select the “Video Consultations Tab” to schedule a video discussion.

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