 We sterilely prepped everything and we actually had already done a midline incision prior to this for the prior surgery, so we incorporated this incision into the new incision, and to be able to open the skin on the left side, we did a T-shaped incision with T vertical portion coming from anterior to the ear from the zygoma up towards the vertex of the skull towards the midline of the skin. 
We sterilely prepped everything and we actually had already done a midline incision prior to this for the prior surgery , so we incorporated this incision into the new incision , and to be able to open the skin on the left side , we did a T - shaped incision with T vertical portion coming from anterior to the ear from the zygoma up towards the vertex of the skull towards the midline of the skin .