{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:11:20Z","timestamp":1792782680955,"version":"4.5.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"17","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Mudanya University","id":[{"id":"https:\/\/ror.org\/05khk0h97","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 400 female patients (mean age: 49\u00a0years, range 38 to 72\u00a0years) who underwent rhytidectomy using modified hairline preserving incision (the Okumu\u015f 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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence IV<\/jats:title>\n                    <jats:p>\n                      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 \u00a0\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-06114-5","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:44:06Z","timestamp":1782866646000},"page":"6830-6837","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Okumus Incision: A Hairline-Preserving Temporozygomatic Approach for Facelift Surgery"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-8398","authenticated-orcid":false,"given":"Ayhan","family":"Okumu\u015f","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"issue":"5","key":"6114_CR1","doi-asserted-by":"publisher","first-page":"676e","DOI":"10.1097\/PRS.0000000000001695","volume":"136","author":"D Wan","year":"2015","unstructured":"Wan D, Small KH, Barton FE. Face lift. Plast Reconstr Surg. 2015;136(5):676e\u201389e. https:\/\/doi.org\/10.1097\/PRS.0000000000001695.","journal-title":"Plast Reconstr Surg"},{"key":"6114_CR2","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.jpra.2023.06.003","volume":"39","author":"H Mortada","year":"2023","unstructured":"Mortada H, Alkilani N, Halawani IR, et al. Evolution of superficial muscular aponeurotic system facelift techniques: a comprehensive systematic review of complications and outcomes. JPRAS Open. 2023;39:166\u201380. https:\/\/doi.org\/10.1016\/j.jpra.2023.06.003.","journal-title":"JPRAS Open"},{"issue":"1","key":"6114_CR3","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.cjprs.2024.12.004","volume":"7","author":"SI Abdelwahaba","year":"2025","unstructured":"Abdelwahaba SI, Farasani A, Alfaifi HA, Hassan W. Trends and dynamics in facelift surgery research: a bibliometric analysis of the top 50 most cited papers. Chin J Plast Reconstr Surg. 2025;7(1):11\u20137. https:\/\/doi.org\/10.1016\/j.cjprs.2024.12.004.","journal-title":"Chin J Plast Reconstr Surg"},{"issue":"4","key":"6114_CR4","doi-asserted-by":"publisher","first-page":"1247","DOI":"10.1016\/j.surg.2024.06.017","volume":"176","author":"S Vaccari","year":"2024","unstructured":"Vaccari S, Fondrini R, Ragaini E, et al. The pixie ear: how to prevent and correct it-a review of the literature. Surgery. 2024;176(4):1247\u201355. https:\/\/doi.org\/10.1016\/j.surg.2024.06.017.","journal-title":"Surgery"},{"issue":"10","key":"6114_CR5","doi-asserted-by":"publisher","first-page":"e7194","DOI":"10.1097\/GOX.0000000000007194","volume":"13","author":"B Atiyeh","year":"2025","unstructured":"Atiyeh B, Emsieh S, Chrabieh E, et al. Surgical facial rejuvenation techniques: are they all scientifically valid and anatomically justified? Plast Reconstr Surg Glob Open. 2025;13(10):e7194. https:\/\/doi.org\/10.1097\/GOX.0000000000007194.","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"12","key":"6114_CR6","doi-asserted-by":"publisher","first-page":"4273","DOI":"10.3390\/jcm14124273","volume":"14","author":"CJ Boyd","year":"2025","unstructured":"Boyd CJ, Ceradini DJ. Current trends in facelift and necklift procedures. J Clin Med. 2025;14(12):4273. https:\/\/doi.org\/10.3390\/jcm14124273.","journal-title":"J Clin Med"},{"issue":"1","key":"6114_CR7","doi-asserted-by":"publisher","first-page":"51e","DOI":"10.1097\/PRS.0000000000010096","volume":"152","author":"YJ Avashia","year":"2023","unstructured":"Avashia YJ, Stuzin JM, Cason RW, Savetsky IL, Rohrich RJ. An evidence-based and case-based comparison of modern face lift techniques. Plast Reconstr Surg. 2023;152(1):51e\u201365e. https:\/\/doi.org\/10.1097\/PRS.0000000000010096.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"6114_CR8","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1001\/archfaci.5.4.325","volume":"5","author":"RW Kridel","year":"2003","unstructured":"Kridel RW, Liu ES. Techniques for creating inconspicuous face-lift scars. Arch Facial Plast Surg. 2003;5(4):325\u201333. https:\/\/doi.org\/10.1001\/archfaci.5.4.325.","journal-title":"Arch Facial Plast Surg"},{"issue":"1","key":"6114_CR9","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1089\/fpsam.2022.0319","volume":"27","author":"RWH Kridel","year":"2025","unstructured":"Kridel RWH, Swonke ML, Starr N, Delaney SW. Techniques for Creating Inconspicuous Facelift Scars: An Update. 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Plast Reconstr Surg. 2020;145(6):1402\u20138. https:\/\/doi.org\/10.1097\/PRS.0000000000006813.","journal-title":"Plast Reconstr Surg"}],"container-title":["Aesthetic Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-06114-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00266-026-06114-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-06114-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:02:19Z","timestamp":1790931739000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00266-026-06114-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":19,"journal-issue":{"issue":"17","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["6114"],"URL":"https:\/\/doi.org\/10.1007\/s00266-026-06114-5","relation":{},"ISSN":["0364-216X","1432-5241"],"issn-type":[{"value":"0364-216X","type":"print"},{"value":"1432-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]},"assertion":[{"value":"19 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The author declares that he has no conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted in accordance with the ethical principles stated in the \u201cDeclaration of Helsinki.\u201d Written informed consent was obtained from each subject for the operative procedures and for the use of patient data and images for publication purposes.","order":2,"name":"Ethics","label":"Human Rights and Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}