Dr. Haupt makes an inner hair or hair line incision just above and or in front of the ear. He then continues around the ear before returning to the point of origin in the scalp. The skin is raised outward before Dr. Haupt repositions and tightens the underlying muscle and connective tissue. Some fat may be removed, as well as excess skin. For men, the incision is aligned to accommodate the natural beard lines. For both men and women, the incision is placed where it will fall in a natural crease of the skin for camouflage.