To the Editor.—I was pleased with the article by Adamson et al1 in the May Archives. The authors pointed out that beveling scalp incisions parallel with the hairshafts improves the scarline.
May I point out that in any such scalp procedure, be it facelift, temporal lift, or forehead lift, it is best to make the more superior incision perpendicular to the surface of the scalp, and then bevel the more inferior (or anterior, in the case of forehead lift) incision parallel to the hair shaft. This ensures that some intact follicles are present along the cut margin of the superior flap edge, and that the new hair shafts produced by these follicles will tend to grow through the hairline and help to disguise it.
CHRISMAN BB. Forehead Lift. Arch Otolaryngol. 1985;111(12):827. doi:10.1001/archotol.1985.00800140071015
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