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A natural-looking facelift. Dr. Richard Baxter discusses facelift incisions and how modern techniques provide for near-invisible scars. There comes a time in every person’s life when the skin on the face begins to sag. It can make you feel old, tired, and past your prime. To restore a healthy, taught look, the facelift procedure tightens the skin and muscles of the neck and face, rejuvenating the entire appearance. The only real downside that patients are concerned with is scars; after all, any surgery will involve some form of scarring. For facelift patients, they are simply the necessary trade-off for a younger looking face. Patients shouldn’t let the fear of facelift scars deter them from having surgery. Today, trends have developed to make facelift scars *practically invisible*. Dr. Richard Baxter of Mountlake Terrace, WA discusses the key components to insuring that your facelift scars remain as inconspicuous as possible. FACELIFT SCARS With a facelift, the goal is always a natural-looking result; no patient wants to look “pulled.” To achieve this, your surgeon will need to remove any excess skin, as well as get underneath your skin’s surface in order to do the lifting and shaping that is the basis of any good facelift. “So, there are scars,” explains Dr. Baxter. A scar is simply your body’s natural response to skin trauma. Fibrous tissues form to knit or bind the two sides of an open wound together. Since scar tissue contains more collagen than normal skin, it can have a different look and texture – but that doesn’t mean that all scars are going to be noticeable. WAYS TO MAKE FACELIFT SCARS INVISIBLE The most important key to concealing facelift scars is placement. In general, facelift scars are put in the natural creases within and behind the ear. However, trends have developed over the years to make these scars *even less visible*. The first is that surgeons now bring the incision in front of the hairline. This may seem counterintuitive, but the problem with placing the incisions in the hairline is that it can “displace the hairline up,” explains Dr. Baxter. This is of particular concern for men. The old way of doing things would often pull up on the sideburn so that “the sideburn would be a level higher than the front of the ear. That is a big tip off,” explains Dr. Baxter. And no one wants their facelift “outed” without it being their choice. Furthermore, surgeons who later went in and tried to bring the hairline back down found that it wasn’t such an easy fix. SMAS TECHNIQUE The second trend that reduces the appearance of facelift scars is a facelift technique called SMAS. Basically, SMAS (superficial musculoaponeurotic system) is a thin layer of fascia and connective tissue that rest below the skin and above the muscle. When a surgeon works on these deeper layers, folding it back to restore youthful vigor to the face, there is subsequently less tension on the edges of skin where they are sewn together. This leads to a finer, less visible scar.