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Early postoperative scarring related to increased tension following a secondary facelift. Stigmata include thinning and hypertrophy of the surgical scars, anterior migration of the preauricular incision, inferior displacement of the mastoid hairline scar, and anterior retraction of the posttragal incision leading to visibility of the external auditory canal ( a ). Long-term outcomes reveal these anatomic distortions even when the incisional scarring improves ( b ).
