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Year Book 1993
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APIast Surg 15:141, 1991
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André Camirand, MD
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Montreal (Québec)
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Ann Chir Plast Esthet 36:21 5-21 7, 1991
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4-29
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Introduction
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In a temporal or frontal facelift, the ideal incision will result in the least hair loss, minimal widening of the frontal and temporal areas, and the least noticeable scar. A technique using multiple "W"-like incisions was developed.
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Technique
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Just within the hairline, a series of Ws, composed of legs 2-5 mm in length at 45-degree angles to one another, is incised. These Ws need not be precise. At the distal edge, in the frontal and temporal areas, a curvilinear line approximately 41% longer than the proximal one is incised. The 2 incisions meet at both ends. The excess skin is resected, and the 2 edges are joined. Suturing in a single plane, preserving the deep part of the hair follicles, must be impeccable. Because of the increased length of the incision, tension in the wound can be avoided
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Fig 4-47 -Left, scar after a first facelift. Right, same patient after a second facelift, according to author's technique.
(Courtesy of Camirand A: Ann Chir Plast Esthet 36:215-217, 1991.) |
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Conclusion
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This technique yields excellent results (Fig 4-47) . The risk of edema, pain, and complications, including dehiscence, infections, and hair loss, are reduced. With its proximal "serated" edge, this technique appears to be simple and quick, resulting in excellent scars.
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* Hairlines are not sharp demarcations, but staggered lines.-P. McKinney. M.D
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