SMAS Facelift: Q&A
Ask a QuestionEar Deformity? (photo)
Dear Doctors, 3 weeks after smas facelift, this is how my ear looks now. I feel its doesn't look "normal". I believe its shows clear sign of the facelift. If there is any option to fix it? Thank you.
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8 Doctor Answers |
Asked by
guitz
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Ear irregularity after a facelift
The good news is your scars look fairly good. The bad news is that there is no definition of the tragus. Most likely you will need a small revision but i would suggest waiting at least 4 to 6 months for things to settle. When performing a facelift, there are quite a few small technical details that will differentiate a great result from an average or poor result. Its important that patients realize that not every facelift is the same and its important that patients do their research and ask...
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Post Facelift Ear Scar
You are, unfortunately, going to need to wait a few weeks before you have your scar placed into the appropriate position in a retro-tragal scar position that most board certified plastic surgeons would elect to use in the first place. Your immediate post-operative fibrosis and perhaps your skin tension will be such that you will need to wait probably a few months before that incision in the pre-auricular position has reached tissue equilibrium and is soft and supple enough to...
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Gathering up of skin at the bottom of the earlobe after a facelift is the product of unequal distribution of tension.
In an attempt to decrease the length of the incision some procedures try to sit in different lengths skin on either side of that incision. This can result in irregularities on the longer side. Most of the time a revision will be necessary. This revision will demand lengthening the incision.
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Ear issue after facelift
It looks like the skin was bunched up a bit behind your ear as one issue. The other is that the ear may not have been inset without some tension causing it to pull a bit, a common issue in facelifting that usually can be avoided.
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SMAS Facelift Ear Abnormality
Tragal pointer blunting may be an issue, but this is impossible to evaluate without preoperative pictures. The scar appears to be well placed as well as the lobe position.
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Ear deformity after facelift
At three weeks after your facelift, there still will be additional changes taking place as you heal over more time. I would recommend waiting at least six months from the time of your surgery before considering any revision. Is the issue just on one side or both sides? If it does require revision, it would be a minor procedure that could just be done in the office.
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Tragus Adjustment??
Ear lobe position looks good. Yes, you could require a minor procedure in the future to adjust the tragus. The tragus is the small cartilaginous projection anterior to the external opening of the ear. These procedure are often done under local anesthesia in the office and are considered minor procedures. Please consider waiting at least 3 to 4 months or longer before any further surgery. Best,
Gary R Culbertson, MD, FACS
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Facelift
The tragus is blunted. It is the attebtion to these fine details that makes the difference.
It can be corrected and improved, but will require opening the front of the ear scar. All the scar on the tragus should be removed, cut the tragus with a defined curve and suture fixateavove and below. the skin needs to be thinned over the tragus.
Baltimore Plastic Surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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