Pixie Ear Repair

How can a pixie ear be corrected? Can it be made to look like the other normal ear, or does the other ear need to be fixed as well to match the corrected pixie ear?

Doctor Answers (24)

Pixie Ear Repair


Pixie ear repair can range from a simple office procedure to a need for a redo facelift.  Most pixie ears are a result of excessive tension placed on the earlobes, causing them to stretch inferiorly after a facelfit settles.  An experienced surgeon can advise the best course of action to fix a Pixie ear in the least invasive and most effective manner.

Chicago Facial Plastic Surgeon
5.0 out of 5 stars 76 reviews

Pixie Ear - Correction depends on the scar you will accept


If the pixie ear occurred as a result of a face lift, it is generally because of a technical error during the inset of the ear, or less likely due to skin properties with healing. To fix it without showing any scars requires waiting till the cheek skin relaxes a bit (years), and then performing a secondary face lift. The alternative is to release the earlobe from the cheek skin, close the incision where it came from, and then reattach the earlobe in a higher position. This will correct the elongated earlobe look and create a detached lobe, but you will have a scar on your cheek from the earlobe heading along your jaw. The best advice with pixie ears is to avoid them altogether by performing the face lift correctly the first time.

Michael A. Bogdan, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 55 reviews

Correcting pixie ear deformity


Yes, pixie ears can be corrected in the office under local anesthesia. The skin around the earlobe is rotated in such a way as to help create a more normal appearing earlobe. Pixie ears can result after a facelift, necklift, or trauma to the earlobes. The procedures to correct it are usually very successful. Good luck!

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 80 reviews

You might also like...

Pixie ears can be corrected


Pixie ear is defined as an elongated earlobe attached directly to the facial cheek skin and can be repaired by removing a small lower portion of the earlobe to give more of a cupped earlobe appearance. The angle of axis of the ear oriented to the side of the face also has to be addressed, which sometimes gets changed after a facelift. Both earlobes need to be repaired so that they match and are consistent and look very natural and unoperated upon.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Pixie Ear can be fixed



Pixie ear is usually caused by too much tension on the skin immediately under the earlobe. This tension, transfered to the earlobe, pulls on the skin and forms the typical pixie ear. Don't worry, this can be repaired in a small office procedure under local anesthesia. Talk to your surgeon about the repair. If the other earlobe is fine, then there is no reason to make any changes to it.

I hope this is helpful.

David Shafer, MD

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

Pixie ear is fixable


Pixie ear is the plastic surgeons term for an earlobe that has pulled down onto the cheek. The acute angle that makes up the attachment from the earlobe to the cheek is lost.
When this occurs, the easiest way to correct it is with a small small to close the pull and reshape the earlobe. Whether or not it is identical to the untouched side is up for discussion, but it will be much closer than before.

Robert M. Freund, MD
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Earlobe deformity after facelift

It is amazing how plastic surgeons pay so kettle attention to properly shaping the earlobe during a facelift.  The result often that the earlobe gets dragged downward by the tension placed on it.  It is easy to avoid and pretty straightforward to fix.  Unfortunately to do it right, the correction often involved redoing much of the facelift.  If the earlobes aren't right, usually the rest of the face has not been properly fitted either.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 12 reviews

Correction of Pixie Ear Deformity

The "pixie" ear deformity can be recognized by its "stuck on" or "pulled" appearance, which is caused by the tension involving the facelift cheek and jawline skin flaps at the earlobe attachment point. In many cases, this deformity may be improved in the office using local anesthesia. In more severe cases, a revision facelift may be advisable. If only one ear is affected, then a procedure may be limited to that ear without affecting the other ear. Consult with an experienced facial plastic surgeon to better understand the options available in your particular case.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

A pixie ear deformity can be corrected under local anesthesia.


The ear has to be placed in its natural position.  sometimes there is thethered scar that be released to improve the ear-cheek junction.  It is best to wait at least 1 year after the facelift procedure to correct the problem.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 37 reviews

Pixie ear corrections are done under local and are so worth it!


To fix a pixie ear deformity, you have to undergo another mini facelift and it can be done under local anesthesia for about $6000 and is so worth it since it makes you look more natural and less likely that people will comment about your original poor facelift.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 28 reviews

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.