Secondary Cases

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In secondary cases, the same technique can be applied. In the temporal area, the same flap is elevated with the same downward shift; minimal or no resection of the scalp at the upper part is necessary. In the retroauricular area, when the primary transversal retroauricular scar is of good quality, one can ignore the old scar and perform a vertical incision as if it were a primary case. Apart from occasional adhesions

  1. 47.8. Secondary cases. Left: When the old transversal scar is of good quality (arrow) it is ignored, and the vertical incision is performed. Right: The old scar migrates higher and is no longer visible. (Reproduced from Marchac et al. [4], with kind permission of the editor of Plastic and Reconstructive Surgery)
  2. 47.8. Secondary cases. Left: When the old transversal scar is of good quality (arrow) it is ignored, and the vertical incision is performed. Right: The old scar migrates higher and is no longer visible. (Reproduced from Marchac et al. [4], with kind permission of the editor of Plastic and Reconstructive Surgery)

at the scar level, the entire retroauricular area is easily elevated. At the end of the procedure, the old transversal scar has been raised significantly and made less conspicuous (Fig. 47.8).

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