Fig. 4.

Incision design. A and B, Skin incisions are designed including a small transverse component [long red arrow in (A)] to the otherwise vertical preauricular incision below the tragus. A transverse, “cross-bar” extension is drawn under or within the sideburn approximately 2 cm above and connecting with the superior extent of the preauricular incision. Note that a swimmer’s plug [short red arrow in (A)] has been placed in the ear. The purple arrow in (B) shows the point at which the skin flap will first be secured underneath the lobule before trimming and insetting the skin flap.