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Facelift Scar in Front of the Ear Versus Inside the Tragus

January 30th, 2013 Miguel A. Delgado Jr, MD


External Ear

The best placement for rhytidectomy or facelift incisions is unique to each San Francisco Bay Area patient depending on facial anatomy, hairline and gender.

This is an important topic for the surgeon to discuss with the face lift patient as the goal is to have the resulting scars as invisible as possible. Sonoma, Napa and Marin women say they want to be able to wear their hair in any style.

Careful placement of the incisions by the cosmetic plastic surgeon are generally around the back of the ear in the natural folds, and inside the tragus which allows the scars to be hidden.  The little cartilage in front of the ear that covers the ear canal is called the tragus. Tension on the sutures needs to be avoided so that the result is not a “pulled” look and so that the scar can heal properly without becoming wide.

Men usually have their incision in front of the ear so as not to bring the beard in the ear but laser hair removal can take care of this.In addition to having well hidden scars, the surgeon’s goal in having a natural result is also to keep from distorting the hairline and the ears.

Can Breast Implants be Removed Permanently?

January 15th, 2013 Miguel A. Delgado Jr, MD

Bilateral Capsular Contracture

Over 5 million women have breast implants, nearly 400,000 women have breast augmentation surgery annually. There are about 40,000 women a year that have their breast implants removed permanently, there are several reasons women may decide to do this. They may have a rupture or deflation, financial concerns; they may be prone to capsular contracture or breast cancer, or maybe a change in lifestyle.

As with any surgery there are risks and complications, they may be left with loose skin, sagging breasts, infection, scarring, loss of sensation in the nipples, anesthesia complications.

Insurance may cover the removal if it is being done for a medical reason such as, infection, leakage or cancer. Removal of breast implants requires removal of the capsules to prevent them from filling with fluid.

When implants are removed, the breast is left with no volume and may be quite droopy. The skin may have lost its elasticity and not contract well if at all, looking somewhat like a deflated balloon. Many women opt to have a breast lift after implant removal.