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Bernard L. Kaye, Bruce F. Connell, Peter McKinney, James M. Stuzln, Complications of Face Lift Surgery, Aesthetic Surgery Journal, Volume 18, Issue 1, January 1998, Pages 45–49, https://doi.org/10.1016/S1090-820X(98)80026-5
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Dr. Kaye: The first case is a patient shown with hair loss—or, perhaps more accurately, repositioning of the hair—after undergoing a face lift (Figure 1). Dr. Connell, how does one avoid this type of problem?
Dr. Connell: In the preoperative evaluation, I carefully examine the patient, pinching the skin to determine how the hair will shift as a result of surgery. If the amount of skin that will be moved toward the temple area would shift the hair to an objectionable degree, I discuss this with the patient. The choices are either having a scar that follows along the hairline, which is not ideal but rarely causes a problem, or having the hairline shift. Most of my patients opt for the incision along the hairline, but there may be some who would not object to the hair shifting.
Dr. McKinney: I would have avoided this patient's problem by not trying to lift the midface so much by means of the temporal incisions. I find that an endoscopie brow lift offers a better option for achieving similar improvement to the mid or upper face, and it avoids shifting the hairline.