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Where Should Facelift Incisions be Made – The Occipital Incision

If not performed correctly, problems such as hairline displacement and a poorly formed scar can occur when incising in the occipital area. Traditionally, the occipital incision has been placed high on the scalp over the mastoid in order to hide the scar. This tends to work well for young patients with a small amount of excessive skin on the neck. This incision allows for entry into the lateral neck (not for the purpose of shifting).


When the patient has excessive skin, a high incision on the scalp can cause hairline displacement and create a noticeable scar. Extra skin can be measured by pulling up the skin and measuring the surplus tissue. If there is less than two centimeters, the incision should be made on the scalp. If there is two centimeters or more of extra skin, the incision should be made on the occipital hairline. In order to hide a scar along the hairline, the lower portion of the incision should be positioned posteriorly on the scalp at the seam of the hair.

Occipital Hairline Incision

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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.

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