ArticleAesthetic plastic surgery2026
The Okumus Incision: A Hairline-Preserving Temporozygomatic Approach for Facelift Surgery.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aimed to investigate safety and effectiveness of using a modified hairline preserving incision (the Okumus incision) in face-lift surgery, particularly in terms of temporal region aesthetic outcome.
methodsA total of 400 female patients (mean age: 49 years, range 38 to 72 years) who underwent rhytidectomy using modified hairline preserving incision (the Okumuş incision) through a temporozygomatic approach were included in this study. The Okumus incision was evaluated in terms of objective assessment by the investigator using the Global Aesthetic Improvement Scale (GAIS), patient-reported outcome (appearance after treatment, satisfaction with the treatment), complications and temporal region aesthetic outcome (temporal hairline distortion, anterior temporal scarring, alopecia, or sideburn irregularity).
resultsAt postoperative month 12, GAIS scores indicated exceptional improvement in 98% of patients and 98% of patients reported that they were very satisfied with the treatment in terms of temporal region aesthetic outcome. No cases of temporal hairline distortion, sideburn irregularity, or visible anterior temporal scars were observed. All complications including widening of temporal scalp scars (4.2%), delayed wound healing (5.2%) and hypertrophic scarring (2.7%) resolved without long-term functional or aesthetic sequelae.
conclusionThe Okumus incision offers a hairline-preserving, cosmetically superior alternative for female patients undergoing facelift, without compromising safety or efficacy. Providing a unique balance between the comprehensive exposure of a classical facelift and the aesthetic advantages of short-scar techniques, it enables retention of the full surgical access for cheek and midface rejuvenation while reliably preserving the temporal hairline and avoiding the stigmata of visible temporal scars. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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