Facelift Incision Placement: The Key to Natural Results and Minimal Scars

2025-05-04

Facelift surgery has evolved far beyond just lifting the skin. Today, where and how your incisions are placed plays a critical role in how natural—and invisible—your results look. Especially in Korea, where subtlety and refinement are valued, incision strategy is the hidden art behind successful facial rejuvenation.


Why Incision Placement Matters in a Facelift

Incision placement options in facelift
Incision placement options in rhytidectomy

While most patients focus on the lift itself, experienced surgeons know that incision placement determines how noticeable the scars will be. Poorly positioned incisions can lead to visible scars, distortion around the ear, and unnatural hairline shifts.

Three Strategic Zones for Facelift Incisions

In Noonopi plastic surgery Korean facelift techniques, incisions are commonly divided into three main areas: temple, in front of the ear (tragus region), and behind the ear (postauricular region). Each zone offers options that balance aesthetics and functionality.

1. Temple Area

Incisions here can be placed either inside the hairline or along the hairline.

  • Inside the Hairline

Hairline incision vs along-hairline placement comparison
Inside the hairline incision

✅ Pros: Scar hidden within the hair.
⚠️ Cons: There is a risk of hairline displacement if the patient has significant skin redundancy to address.

  • Along the Hairline

    Hairline incision and along-hairline placement comparison
    Along-hairline incision

    ✅ Pros: Preserves sideburn and no risk of hairline shift.
    ⚠️ Cons: Visible scar if not aligned precisely. Slightly longer operating time.

2. In Front of the Ear (Tragus Region)

Successful outcomes of this zone depend greatly on the surgeon's technical proficiency.

  • Anterior to the Tragus

    anterior tragus incision
    Anterior tragus incision

    ✅ Pros: Easier surgical access, no risk of tragus deformity.
    ⚠️ Cons: High likely of scar visible.

  • Posterior to the Tragus

    posterior tragus incision
    Posterior tragus incision

    ✅ Pros: The incision is concealed along a natural crease, allowing for a seamless color gradation between the ear and cheek.
    ⚠️ Cons: Technically demanding. Possible distortion of tragus shape if not well performed.

Posterior tragus incision scar healing example
Re-do facelift: to prevent Tragal Deformity and Attached Earlobe

3. Behind the Ear (Postauricular Region)

This continuation incision is essential for neck lift components.

  • Along the Hairline

    Along the hairline incision
    Along the hairline incision

    ✅ Pros: Follows natural hairline contours.
    ⚠️ Cons: Scars may be visible if not properly done.

  • Inside the Hairline

    Inside the hairline incision
    Inside the hairline incision

    ✅ Pros: Scar may hidden well.
    ⚠️ Cons: Hairline will be displaced, may need hairgrafts.

Korean Facelift Philosophy: Precision Meets Aesthetics

In Noonopi Plastic Surgery Korea, the goal is not only to lift the face but to leave no sign that surgery was ever performed. 

  • Incision is blend into natural creases

  • Avoid skin pulling to minimize wound closure tension

  • Incision is beveled on the hairline to preserve hair follicles

This meticulous technique achieves results that leave no trace of having undergone surgery.

korean facelift before after
Before and after. Note the spots migration(green and yellow arrow) and less visible scars(blue arrow).

 

facelift scars
Case of facelift scar and improper incision placement, attached earlobe deformity(by unknown surgeon)

How to Ensure Minimal Scars After a Face lift

Even the best-placed incision requires proper healing. Here’s how Noonopi Plastic Surgery Korea optimize the recovery:

Tips for Scar Minimization

  • Utilize Hyperbaric Oxygen Therapy (HBOT)

    HBOT enhances tissue oxygenation, reduces inflammation, and promotes faster, healthier wound healing—especially effective in post-surgical recovery.

  • Ensure Tension-Free Closure

    Excessive tension during wound closure is the leading cause of hypertrophic or widened scars. Meticulous, layered suturing techniques help minimize tension across the incision line.

  • Strategically Place Incisions Along Natural Creases

    Positioning incisions within natural skin folds or along relaxed skin tension lines helps camouflage scars and maintain harmonious color and contour transitions.

Early timelines of facelift scars
Early timelines of facelift scars

What Does a Minimal Scar Facelift Cost in Korea?

Type of FaceliftEstimated Cost (USD)
Mini Facelift (Short-Scar)$3,000 – $7,000
Full SMAS Facelift$6,000 – $13,000
Face + Neck Lift Package$9,000 – $17,000
Revision Facelift$13,000 – 
Proper placement of incision ensures less visible scars
Proper placement of incision ensures less visible scars

Conclusion: Incision Placement is a Surgical Art

The beauty of a facelift lies in what isn’t seen—well-hidden scars and a balanced, youthful appearance. The right incision placement can make all the difference between a "pulled" look and elegant rejuvenation.

At Noonopi Plastic Surgery in Gangnam, we specialize in natural-looking facelifts with invisible scars. Let us help you find the best incision approach for your unique anatomy and aesthetic goals.


This article is written in acknowledgment of the teachings and guidance of the esteemed Dr. Connell and Dr. Marten, whose work has profoundly influenced my surgical philosophy and technique.

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